I'm sorry to hear about your lower back pain after the fall. Since you have been taking Enzoflam (a combination of diclofenac, paracetamol, and serratiopeptidase) for five days, which helps reduce pain and inflammation, but still experience heavy pain, here are some steps you can consider:

• Rest and Avoid Strain: Limit activities that worsen the pain. Avoid heavy lifting or sudden movements.
• Apply Cold or Heat: Use an ice pack on the painful area for the first 48 hours to reduce swelling, then switch to a warm compress to relax muscles.
• Pain Management: If pain persists, consult a doctor before continuing or changing medications. Avoid self-medicating beyond prescribed doses.
• Physical Therapy: A physiotherapist can guide you through gentle exercises to improve mobility and strengthen back muscles.
• Medical Evaluation: Since the pain is heavy and persistent, it is important to see an orthopedic specialist or a spine specialist to rule out any serious injury such as fractures or nerve involvement.
• Imaging Tests: The doctor may recommend X-rays or MRI if needed to assess the extent of injury.

Please seek prompt medical attention if you experience symptoms like numbness, weakness in legs, loss of bladder or bowel control, or severe worsening of pain.

It is best to consult an orthopedic doctor for a thorough evaluation and personalized treatment plan. If the pain worsens suddenly or you have any emergency symptoms, contact emergency services immediately.To narrow down potential causes, we will need some more information.I'm sorry to hear that you're in pain. To provide the best advice, could you please share your age and gender?