<s>[INST] I fell off a ladder as it turned and came loose from where it rested on a pole. My fall was broken by my back hitting up against a large container. I landed on my buttocks and my left butt check is tender to touch. I have a large scrape down my right backside and can hardly bend over due to stiffness in my back. How should I treat this? Ice or heat? [/INST] Howell come to ChatDoctorI really appreciate your concern, applying of ice is best, if inflammation is there then it can be managed with Tab Ibuprofen 400 mg three times in day, it may cause the formation of clot beneath the skin, if this is so then it may take little more days to come around, here the great care needs to be taken for infection and on prophylactic basis antibiotic can be started hope this information helps. </s>