Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 49 y.o. female 5 feet tall and 170 lbs. I have had muscle sprains in my lower back from an MVA a couple years ago and the pain went away after a couple weeks, but it never hurt this bad and with no relief.  I fell in a store 3 days ago while sitting in a chair that gave out, I am now having alot of pain in my lower back and sacral region. My pelvic organs are sore as well. I am not getting full relief from the pain even with 800 mg of advil. The pain is also going down my leg and my leg feels a bit weak. Could it be worse then a muscle sprain? Who should I see for this?
[|AI|]  Hi Welcome to Chat Doctor. I understand your concern. Your earlier pain a couple of years ago is strongly related to MVA.but since it disappeared, it extremely important for you evaluate thoroughly the cause of pain in your case. Trauma could be a possible cause as of now, injuring the disc or causing sciatic nerve compression resulting in sciatica. I strongly recommend you to have an MRI scan of the spine. This can accurately detect the pathology if any. This is unlikely to be a muscle pain as it radiating to great extent with associated trauma. A total serum calcium level is helpful.Meanwhile, analgesics like ibuprofen and diclofenac will help. Consult your neurosurgeon in regard to above. Post your further queries, if any. Thank you.