Conversation: The conversation between human and AI assistant.
[|Human|] I had a terrible fall landing straight down on my tailbone. I broke my tailbone and ruptured discs. I am having a lot of pain down legs and in neck and head. Should I go to a neurologist? Or should I start with a DO as a primary care physn? I got chiro, and then stopped everything to just try to be stable and it s worse.
[|AI|]  Dear patient You have got trauma to your tailbone and there is possibility of fracture. But how you were diagnosed with tailbone fracture and ruptured discs?  Is itself diagnosis or based on investigation?  If no investigation is yet done I would advise X-ray of sacrum anteroposterior and lateral views to confirm diagnosis.  Ruptured disc can be diagnosis after doing MRI examination of spine.  If your X-ray is showing fracture of tailbone treatment is 1. Use of tire tube filled with air to avoid pressure on tailbone for one month and soft pillow 2. Tab diclofenac 50 mg twice a day for pain relief 3. If its significantly displaced manual reduction under image intensifier can be done. If MRI is showing ruptured discs you need to consult expert spine surgeon with report.  All the best.