Patient: I fell from about ten feet up onto my lower back. It hurt and was sore for a couple days like normal but it’s been a week now and i have I kind of goose egg at the bottom of my back that is about 4 inches in diameter and shows no sign of getting smaller. The back pain is all but gone but the lump sticks out about an inch and hurts to the touch. Is this a sign of a bigger problem or should I try to lance this lump and hope for the best?