Should one visit the ER for severe pain after a back sprain?
Patient: I fell off my horse Wednesday night and Thursday morning the doctor said I have a sprained back and I have bone bruising all over my pelvis.  I was told to go back if the pain gets worse, and it has.  I am now in so much pain that I could vomit and I'm struggling at work.  I already take ibuprofen (800mg/3x a day) and diazepam (5mg) at night, which doesn't help much.  Is it time to go back to the doctor? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  Yes, you should go back, and perhaps change medications as well, seems like your pain is not well controlled, you will likely benefit from physical therapy.   Hope I have answered your query. Let me know if I can assist you further.