<s>[INST] I ride bmx, and recently I fell backwards pff my bike at a decent speed. I dodnt think much of it but minutes later I started feeling pain at the bottom of my spine. It bothered me the rest of the day. The next say I rested and did minor activity and the pain lessened. I went to ride my bike again today at the skatepark and the more active I got, the more I started feeling the pain come back. Anything I can do to recover? [/INST] hi,thank-you for providing the brief history of you.A thorough neuromuscular assessment is advised.As mentioned by you that you had a fall and post which you are having pain in the back. Now to understand this further a clinical special test are needed and a palpation of the muscles of the spine.Now, post this and X-ray, an MRI or a CT will be performed to check the status of the bone and the soft tissues. Later on, rest, Medication and physical therapy will be advised. Based on your symotomatic improvement the physical therapist will help you learn the exercises as to strengthen the core, pelvic floor, upper back, lower back, lower limbs and upper limbs. A combination of all of these will help you get rid of pain and also a good strength in the muscles to ride again.In my clinical practice I have seen cases with such pain and they all recover with 99% success rate.RegardsJay Indravadan Patel </s>