<s>[INST] I was at a show the other night and attempted to stage dive. Ive done this many times before and messed up landing and bruising different parts of my body but this time I really hurt myself. I landed on my back awkwardly, the bottom lower left side of my back next to my spine has pretty severe pain. I can sit still and it will just feel sore but any major movement really hurts. I can walk around but if I move wrong while taking a step it hurts like hell. My paramedic buddy checked me out at the show and he seems to think I may have an inflamed tendon. Ive been taking 2 to 3 motrin every 4 hours and just sitting/laying about trying to let it heal. Its been about 24 hours since the show and Im still hurtin. Any suggestions or thoughts? [/INST] Dear patient You have got significant trauma to your lower back, and it needs to be investigated as possibility of minor fracture cannot be ruled out. I would like to advise X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities.  Visit radiology center nearby you and get it done. Take strict bed rest for three days and apply Lolita get to your back. Take tab diclofenac plus thiocolchicoside combination twice a day for 7 days.  If X-ray shows fracture need to consult expert orthopedic surgeon </s>