Right-sided back pain for about 10 years may or may not be directly related to a uric acid level of 8.2. Hyperuricemia mainly affects joints, but in some people, it can contribute to uric acid kidney stones or kidney irritation, which may cause flank or back pain. However, chronic one-sided back pain is also commonly linked to muscle strain, spine problems, arthritis, nerve compression, posture issues, or kidney-related conditions unrelated to uric acid alone. Further evaluation is important because persistent pain for many years should not only be explained by a mildly high uric acid level. Doctors may recommend kidney function tests, urine examination, ultrasound, X-ray or spine imaging, depending on whether the pain is associated with stiffness, numbness, urinary symptoms or movement-related discomfort. Pain-relieving medicines, physiotherapy, posture correction, stretching exercises, weight control and adequate hydration may help depending on the underlying cause. Reducing alcohol, sugary drinks and high-purine foods, such as red meat or organ meat, may also help control uric acid levels. Consult a doctor if weakness, numbness, fever, blood in urine, difficulty passing urine, severe night pain, or worsening symptoms occur, because these signs may require a detailed kidney or spine evaluation.