<s>[INST] Hello I fell last week whilst snowboarding and landed on my front, smacking my pelvis hard onto the ground. The impact reverberated through to my back and I developed a swelling/bump to the left of or actually on my spine - one of my upper lumbar vertebrae. It hurt when I arched my back and I carried on snowboarding for a few more days but then have been off for the last 4 days but very slow improvement. Please can you advise? [/INST] Hi, Thank you for posting your query. Based on the description of your symptoms, you seemed to have had a severe impact to the ground, however, it is fortunate that your injuries do not seem to be serious. As of now, you can continue to take analgesics such as ibuprofen or diclofenac tablets for pain relief and for the reduction of swellings. If the swelling does not go down or if the pain persists, it may be better to get an MRI of spine done to exclude any injuries to spine or the nerves. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ </s>