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An 8-year-old girl presented with severe low back ache, for 30 minutes. She was playing with her sibling sitting on the bed when she fell from the bed in a sitting position hitting her back. She was immediately brought to the Salya Department for management. Dr Sreelekshmi gave the biomedical diagnosis as a Sacral contusion [1] based on the X-Ray and the clinical presentation. The ayurvedic diagnosis was Bhagna [2] and immediately Murivenna picu was applied to the low back. The line of treatment was Bhagna hara and Keraliya kriyakarma were adopted. She was kept under observation for 45 minutes. She was feeling slightly relieved. The patient was prescribed medicines and sent home advising complete bed rest. But on the 4th day (12.9.21), as the pain was almost relieved, the kid became very active again and started playing extensively with her sibling. That night, the pain was excruciating, and she developed a high temperature. She was again brought to the Casualty and a Paediatrician was consulted. The Paediatrician prescribed Paracetamol for the fever and asked to continue the Ayurvedic medicines. After 3 days (15.9.21), there were no episodes of fever, and the Ayurvedic treatments were restarted. A follow-up X Ray done showed good healing of the S1 vertebrae. The child got complete relief from pain and was active once again. Three follow-ups were done and the patient had no recurrence of pain.