<s>[INST] Hi I fell down the stairs from top to bottom with my daughter in my arms who is fine but I couldn't use my hands to save myself and have excruciating pains in my lower back and I keep getting a shooting pain in my right bum cheek I haven't slept all night I work with primary children as a play worker. Where do I go from here? [/INST] Hello and Welcome to HCM, Thanks for writing to us. From description , it seems you might developed muscular or ligamentous strain over back and buttock area. Meanwhile following measures will help with the pain • Lie on a hard bed. • Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required • Avoid forward bending. • Avoid strenuous activity & lifting heavy weights. • Apply diclofenac gel on the affected area. Warm compresses will also help. Hope this helps you. Wishing you good health... Regards. Dr Saurabh Gupta. Orthopaedic Surgeon. </s>