How can contusion on buttocks and lower back pain be treated?
Patient: yes we need advise right away please my boyfriend fell at work has a contusion on his buttocks and pain from lower back all the way down his leg has seen doctors who sent him to a nerologist (cant spell" but say he has a buldged disk l5 n l2 but they say they can not perscribe pain meds for what ever reason he needs help cant keep going to er need answers fast please Doctor: Dear caring gf He has sustained trauma to his lower back and both buttocks with  contusion and this needs to be investigated with Xray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. How he was diagnosed with disc bulge?  Was mri of lumbosacral spine done? If mri was done and there was disc bulge at L5 level with nerve root compression , it may be considered the cause for pain all along his lower limb. if Xray is normal you need not to worry. Take rest for  3 days and avoid forward bending and weight lifting. Start tab diclofenac plus thiocolchicoside combination twice a day for pain relief alongwith tab pregabalin 75mg at bedtime.  Thus will help in pain and radiculopathy.  If Xray report is abnormal  you need to consult expert orthopaedic surgeon with report. All the best