<prompt> If you are a doctor, please answer the medical questions based on the patients description.husband fell on sidewalk 5 days ago hitting head, xray and cat scan of head showed no damage of head and mri of back showed back okay showed 2 bulging disc but no back pain, now this morning has right side pain by his right ribs, should he go to er, as this is sat?  <response>: Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your querulous is a condition known as myeloradiculopathy- that means the disorder path involves the spinal cord myself- and the nerves coming out of it radical-. Your spine is basically a column of bones separated by cartilages with spinal cord running inside this bony column. The nerves come out from the spinal cord and run out to the body through small gaps between the honestest cartilages sometimes move from their place. This displacement can be in any direction, but is most prominently and commonly behind. Now when this disc cartilage slips behind, it manages to obstruct the gaps through which the nerve comes out. This causes damage to the nerve. If the disc protrudes further, it may start to affect the coverings of the spinal cord thetaat first, followed by the compression of the spinal cord itself. I would usually suggest a prescription of pregabalin and methylcobalamin. This may be associated with physiotherapy. A short course of steroid may afford some immediate relief. If nothing works, surgery may be considered. As for the rib pain, I think you will need an x-ray of the chest. This may be a separate injury. There may have been a fracture of the rib that was not noted initially, and would not show in either of the tests you have reported so far. So yes, a visit to the ER is warranted. You may be seeing symptoms like pain on breathing or laughing. However, let me warn you, there is nothing that can be done for a rib fracture. After all we cant put a plaster on chest-there will be difficulty breathing. There may be strapping yes. And some painkillers that you may take. CT head is normal and there are no brain symptoms-so not to worry their hope this helps you. Inform the reports mentioned aboveif any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. If the answer has helped you, please indicate thisBest of luck. Chat Doctor. MBBS, MD Internal Medicine, CC Diabetes Mellitus, DNB NeurologyConsultant Physician and DiabetologistJS Hospital Apollo Hospital, Delhi Baileys Hospital, Noida 