<s>[INST] I am diagnosed with osteoporosis. I also have curvature of spine. Most recently and today being the absolute worse pain started when I got out of bed. I took a hot shower but did not ease pain. It is prominent at the lower left pelvic area but in my backside. After driving my car getting out of car after being seated is excruciating until I can get my bearings to walk. My regular primary care physician is telling me to ice it and rest and of course take Aleve and Tylenol. I m worried I may have fractured. I did make appointment to see an Orthopedic surgeon on March 24th but would appreciate any added suggestions. I am 62 year old woman . Can any of you doctors help me? [/INST] Hi, Consult an orthopedician and get an MRI scan done. As a first line management, analgesics like Aceclofenac or Tramadol can be taken for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>