<s>[INST] hi am having pain on my right side it goes down to my back sometimes it hurts when i breath when i do an lot of moving around it hurts when i laugh please tell me whats the problem i have had every test you can think of but this pain is getting to much for to handle [/INST] As per your explanation here I want to know since when you have got this kind of back pain?, And what all treatment as well the tests you have done?. Any way since the explanation is not clear let me suggest you in general. I suggest to check whether do you have any kind of radiating pain or numbness in your legs or hands? If yes then it can be related to cervical or lumbar level disc or spinal cord problem. And it will be affecting the nerves coming out from that particular area. And so that it pains where ever it goes in body. But if there is no radiating pain and pain only at back then it can be only muscular pain. However the conformation can be given only after MRI and x-ray. So I suggest visiting the orthopedic doctor and do the needed test. Based on results doctor will suggest you for surgical option for severe issues in report, or he will give you some medication and conservative management with physiotherapy treatment which will be useful to reduce inflammation at muscular level as well relaxing the soft tissues. As a physio I will also suggest the spinal exercise program based on patient condition which will again help to improve strength and stamina of the spinal muscles. You can also use hot and cold pack for some more muscle relaxation and reduce inflammation which will help again for some more pain relief. Take care. </s>