Conversation: The conversation between human and AI assistant.
[|Human|] Hi, while at work today, I was sitting in a very low chair (elementary school) & hurt my back. I leaned forward to lift a medium sized Rubbermaid bin filled with wooden blocks, and before I could fully lift it something popped/snapped/pulled in the sacral area of my lower back. It hurts to move, especially going from sitting to standing or vice versa. Also, it feels rather warm to touch but the pain muscular.
[|AI|]  Hi, thanks for posting your concern in Chat Doctor. From the history, it seems that you have got traumatic PIED. To rule out, you may need a X-ray LS spine-AP & Lat, and MRI of LS spine done. For pain management, you should have rest for 2 days, stat bolus dose of injectable analgesic (e.g. Diclofenac with Sanitizing) followed by oral analgesic (PCM/ Diclofenac/ PCM+Diclofenac) with some PPI to avoid peptic ulcer, some muscle relaxant (e.g. cyclobenzaprine 15 mg) and ice pack 4 times a day for 1 day. You may need a lumber brace also. All the medication dosage should be according to the age or body weight. Please consult local orthopedic consultant or write back to me with the reports of imaging. Wish you an early recovery.