### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
slipped down the stairs the other day and was very painful with lots of muscle spasming similar to when I compression fractured my L1, L2 in spine 9y ago. Took me a long time to get adjusted on the stairs into a position which was the most comfortable and then was able to crawl back up the stairs and into my bed on 1 side only as the other side or on back was too painful. Now two days on I can walk but get severe burning pain in back on right side at back and still get spasming if I move into wrong position. it is better as I can get around better although still painful. I feel the bruising in my mid back on right side of spine where the stair lips hit my back as I slipped down and that is very tender. any suggestions? Update:  had xrays but nothing obvious.   Still get red hot pains in my back right side above the hip with cramping / light spasming?    Taking slow release ibuprofen,  oxycontin and paracetamol also propam for muscle relaxation but sharp burning pain from right hip/buttock between hip and spine going up back not touched by pain medication so all I can do is lay down in a comfortable position,  leaning forward or trying to sit up etc very painful with the burning pain like a red hot knive big needle going up back. not sure if this maybe pulled muscle if it didnt show up on 3 xrays taken but sent off for further review just in case ER Doctor missed anything.  Not sure what to do other than continue the treatment and hopefully it will get better but considering the level of pain relief I have available its not doing much. Thank you so much for advice,  I felt quite lost when nothing was found on xray in local small hospital er. Kindest regards and happy new year

### output:

Hi there. A fall of such a nature is not good for you as you already have had compression fracture in the past. First and foremost get a X-ray done immediately to rule out any fractures.  The muscle spasms could be due to these fractures. Secondly ....please take complete bed rest and avoid bending your back forwards. You need an anti-inflammatory along with a muscle relaxant like tablet Nicosia - MR twice daily. Apply ice packs to the tender area along with diclofenac gel application.  Avoid applying heat altogether. Tablet ULTRACET (tramadol) can be taken if pain is not relieved by the above. I hope my suggestion was helpful. Good luck.