It depends. You'd better shoot if you can. If there are no conditions, you can check for yourself first. If the tenderness point is located in the middle of the spine, it means that the supraspinous ligament is injured and no hand is needed. If it is located on both sides of the spine and the paper is 5- 10 cm, there is no need to shoot. It may cause lumbar muscle damage. If it is located within 5 cm and not in the center of the spine, it is best to take a film.