<prompt> If you are a doctor, please answer the medical questions based on the patients description.hello, i was thrown from a horse on Tuesday and my lower back is still painful. its aove my waist line, more of the center but the pain can come all the way across. i cant sit down comfortably and have to sit at a funny angle so it doesnt hurt. should i go see a doctor or will it pass? there is no bruising or marks just a sharp pain can sometimes feel like burning  <response>: Hi, thanks for writing to Chat Doctor. Based on the description of the symptoms, I suspect that you could have suffered a soft tissue contusion involving the paravertebral muscles. An X-ray is mandatory to rule out any bony injuries to the vertebral elements. You can try the following measures before visiting a doctor - Adequate rest to the injured area and avoid activities that produces pain Ice packing of the affected area once in 2-3 hours Local painkiller gel application with mild massage Moist heat fomentation over the injured area to relax the taut muscles Analgesic muscle relaxant medications as needed Hope this information is helpful. Good day 