Conversation: The conversation between human and AI assistant.
[|Human|] I fell flat on my back in the kitchen about two months ago. Since then I have extreme pain in my lower back and hip areas. Especially painful to lie down and stay asleep. The pain is slightly less when I walk around and start the day, but it always with me. I do have a left hip replacement from 5 years ago. Could this fall have caused all this excrutiating pain? Will it go away in time as it heals? I am 62 female not overweight.
[|AI|]  Severe back pain after fall which aggravates with lie down and decreases with standing and walking suggests sever muscle spasm due to injury over posterior part of bony spine. Proper rest, analgesic such as ibuprofen and muscle relaxants for 7-10 days should decrease the pain. Hot fomentation with extension exercises of spine will also be beneficial to you. If pain does not subside then consult to your orthopaedician and get a X-ray of lumbosacral spine done. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.