Hello, Thanks for writing to us, I have studied your case with diligence. As per your history of trauma there is possibility of rib contusion. I will advise you tab tramadol and you can also use local nupatch for pain relief. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. For osteoporosis newer medication can be started consulting your doctor. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care Regards Dr Vaibhav