Unfortunate accident: juve bp fell from 4.5 ft, please advise

[Bogertophis]

I would do the x-ray, but skip the "bone medicine" that sounds like a calcium supplement.

At least with an x-ray you might see if any ribs are broken and the location of a sore spot if there is one, just for future knowledge.

Except that the vet himself said if the x-ray showed broken bones, he still couldn't fix them. While it would be nice to know one way or another, for me it would depend on how much hassle it would be to get to that vet's office (travel & vet visits can be stressful for snakes too) plus the expense versus the OP's budget for "less-than critical treatment". One could always add a bit of calcium & multi-vitamin supplements (those made for snakes) to the snake's prey* also, & just keep their handling to a minimum for a while. That's what I'd likely do, with no real symptoms seen. This wasn't a huge height that the snake fell from either.

*The best way I know of to add powdered nutritional supplements to a snake's meal is to pry open the dead rodent's mouth & put the powder in their oral cavity, then push the mouth closed. Works very well- the snake doesn't know the difference. Most of it will fall off if applied to their fur, plus it makes the rodent smell different, so many snakes will reject them if "dusted". Not to mention they end up with powder in their mouths...makes me cough just thinking about it, & snakes cannot really cough.