I fell off a horse on Friday and landed on

Patient : I fell off a horse on Friday and landed on my head but about 5 mins after I got a sharp pain across my back up by my ribs it only hurts when I go to run or jump and when riding a horse iv rested for 3 days and still no better. Just wondering if it's muscle or nerves as I only get a sharp pain when my rib case moves down after I jump or run
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