1. See a doctor within 1–3 days (do not wait longer because of age) • Preferably orthopedic doctor or general physician who can examine. • They will most likely: • Do a clinical examination (press on area, check spine movement, neurological test of legs) • Order X-ray of lumbosacral spine (to rule out vertebral fracture — common in elderly falls even with minor trauma) • Possibly ultrasound soft tissue or CT if suspicion of deeper hematoma 2. Go to emergency / hospital same day if any of these appear: • Pain suddenly becomes much worse • Swelling increases rapidly • Fever develops • Numbness, weakness, or tingling starts in legs • Difficulty passing urine or stool (very rare but serious sign of cauda equina) • Dizziness, confusion, or blood in urine/stool

• Pain relief (safe for elderly): • Paracetamol 500–650 mg every 6 hours (max 3 g/day) — safest first choice • If not enough → Ibuprofen 200–400 mg after food, 2–3 times/day (only 3–5 days, watch for stomach upset) • Topical: Volini gel / Moov gel / Diclofenac gel 3–4 times/day — apply gently over bruise (avoid open skin) • Home care (very important): • Ice pack wrapped in cloth → 10–15 min every 2–3 hours for first 48–72 hours (reduces swelling & pain) • After 3 days → switch to warm compress (helps blood reabsorption) • Absolute rest for 3–5 days — avoid bending, lifting, sitting long • Sleep on firm mattress, use pillow under knees when lying on back • Elevate the area slightly when lying down (small pillow under lower back) • Healing time: • Pain usually peaks at 2–5 days, then gradually reduces • Bruise color changes (purple → blue → green → yellow → fades) over 2–4 weeks • Full comfort usually returns in 2–6 weeks depending on size of bruise This is a very common injury after falls in elderly — most resolve completely with rest, pain relief, and time. The X-ray is mainly to give peace of mind (rule out hidden fracture), but clinically it does not sound like one. Please take him to the doctor soon — better to get examined and reassured. If you want help preparing questions for the doctor or if anything changes (more swelling, new symptoms), consult online anytime. Take care of him — wishing him quick relief

Just wait for 3-4 days and if the pain persists or danger signs presents , contact the doctor