Should i be worried about the sore lower back with no bruising?
Patient: I fell and hit my lower right back right above my waistline -- there is no bruising (external) but it is very sore.  Should I be concerned about internal bleeding?  A bruise would show if there was, right?  Could I have bruised a rib and see no external sign of it? Doctor: Hello, Thanks for your query.From description , it seems you might developed muscular or ligamentous strain over back .I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. You may get the MRI of the area affected under his/her guidance.Meanwhile following measures will help with the pain• Lie on a hard bed.• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required • Avoid forward bending.• Avoid strenuous activity & lifting heavy weights.• Apply diclofenac gel on the affected area. Warm compresses will also help.I do hope that you have found something helpful and I will be glad to answer any further query.Take care