Conversation: The conversation between human and AI assistant.
[|Human|] I am a fifty year old overweight male whose feet slipped out from under him on the ice.  I fell flat on my back and hit my head on the ground.  It has been two hours and my middle back is killing me.  I feel like I have been in a car wreck.  What could have happened?
[|AI|]  Welcome to Chat Doctor I have gone through your query and understand your concern. There are both possibility of soft tissue injury and bony injury(fractures). These can be distinguished by x-ray of lumbar spine. Primary treatment of it is rest and analgesic such as ibuprofen for pain relief. Calcium and multivitamins help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.