The conversation between human and AI assistant.
[|Human|] Im a big guy 230lbs and fell about four feet off a chair painting the trim and crushed a box on my right lower back area by my spine and kidney area I guess and it hurts really bad when sitting up straight or bending at all and wondering whats wrong. My skin is kind of warm on the area and I work tomorrow morning.
[|AI|]  Hello, Thanks for your query. Most likely it may be back muscle spasm. I would suggest consulting a spine specialist. You can start anti-inflammatory medicine with muscle relaxant and local gel application with hot water fomentation. This will help to relieve the pain. Also consider doing physical therapy as well. Intermittent traction will be useful. If pain persist or if you get any leg problem then MRI spine need to be done. Taking absolute rest for 3-5 days is essential. Any X-rays done? If possible please upload it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
