Lower back injury management

80y, male, DM + HTN (good control),leading normal life, suddenly fall and injured in lower back. Now PT is suffering from mild to moderate lower back pain while try to rise from a sitting position and try to sit from a standing position. No fever, no Red flag.PT do not want to X- ray/MRI (covid19 fobia).Please suggest a conservative management.



At this age high likelihood of compression fracture of vertebrae Need xray thoracolumbar spine minimum Since no neurological features, no harm waiting Taylor's brace for ambulation Calcium vitD

Valuable opinion

Should go for xray atleast...if cannot go then complete bed rest with toilet on the bed...after 3-4 weeks once the pain subsides then can sit up with LS belt...but emphasize on the xrays

Thank you doctor