I fell on my marble floored I was going down the steps.. Slipped off the top step and came down hard on he edge of the sharp granett   Stepps...on my right mid back.. I couldnt breath well for about ten minutes, Im in a lot of pain and can hardly stand or move.. What should I do I am 49 years old and pretty slender..
You at the very least bruised your ribs, with some possibility of fracture of the ribs. Neither requires surgery, but you should get x-rays taken to rule out a fracture. Otherwise, take pain meds/anti-inflammatories to control the pain as it heals. Could also use topical ice.