Conversation: The conversation between human and AI assistant.
[|Human|] I fell down the stairs a week ago I hit the bottom of my back and under my arm and around my heart area hurts when I breath. I can feel a pulsing pain in the centre of my upper body it s inside me and hurts a lot. I was given chest X-ray and radiologist asked me which side was most painful I told her left side and she said ok. Doctor said he couldn t find anything on X-ray. But I can put any pressure on centre of my back or chest it s really bad. Also I can t sit down on my bottom av to lie on left side. Please can you help
[|AI|]  Hi, thank-you for providing the brief description. As you had a fall this can be a past injury issue leading to soft tissue pathology and the pain symptoms. I will advise you to undergo a thorough clinical examination and MRI based on the examination like the lumbar spine. This will help us understand the old injury and treatment choice will be painkillers in combination of a physical therapy. Most fall injuries have pain on a later stage, and they need proper clinical examination and physical therapy. Regards Jay In Chat Doctor.