<s>[INST] i have been having back pain for the last couple days  I thought I slept wrong  it is located down and on both sides if I were to put my fists directly above my hips in the back it hurts right there sometimes I cant move without pain  if I sit up straight and push my chest out it hurts really bad  not sure if I slept wrong or if it is a kidney infection  I dont want to go to the emergency room if it isnt necessary [/INST] Hi, thanks for writing to Chat Doctor. Based on the description, I think that you have suffered Acute lumbosacral strain. The general treatment guidelines are as follows -* Give adequate rest to the inflamed area making it to heal and recover* Avoid involving in activities that produces pain* Ice packing for 10 minutes once in 2 hours* Moist heat application over the affected area* Analgesic & Muscle relaxant medications as needed. If you don't find any relief with the above measures, a detailed clinical examination along with appropriate investigations are needed to establish a diagnosis. Hope this information is helpful. Good day </s>