Patient presents with complaints of mid-back pain, possibly related to a recent fall from standing height.  The patient localizes the pain to the L1 vertebral level and describes it as sharp and stabbing, exacerbated by movement and deep breathing.  Physical examination reveals tenderness to palpation over the L1 spinous process and paraspinal musculature.  Neurological examination is grossly intact with no deficits noted in motor strength, sensation, or reflexes.  Radiographic imaging, specifically lumbar spine X-ray, confirms the diagnosis of an L1 vertebral compression fracture.  Differential diagnoses considered included lumbar strain or sprain, intervertebral disc herniation, and vertebral malignancy.  Assessment includes L1 compression fracture, likely secondary to the reported fall.  Current pain levels are reported as 7 out of 10 on the visual analog scale.  The patient was advised on activity modification, including rest and avoidance of heavy lifting.  Prescribed medications include ibuprofen 800mg every six hours as needed for pain management.  A referral to physical therapy for rehabilitation and pain management has been initiated.  Patient education provided on fall prevention strategies and proper body mechanics.  Follow-up scheduled in two weeks to assess pain control and functional improvement.  ICD-10 code S32.001A, L1 fracture, unspecified, initial encounter, is assigned.