<s>[INST] A year ago I injured my right hip and lower back from a 15mph fall off a longboard. I did not seek a doctor and over time felt better. I am now experiencing lower back pain after physical activity, which has never happened before. I usually notice it when I lay down at the end of the day and I get a sudden rush of pain in my lumbar section of the spine. If I slowly turn on my side and lay in a curled position the pain will eventually recede. This has been happening for several months and has not improved. [/INST] HiThere must be neglected soft tissue injury if lower back presenting now.Do hot packs, avoid forward bending,wear lumbo sacral brace in daytime, apply muscle inflammatory gel like vitaran gel twice after fomentation.Seek orthopedic doctors consultation </s>