Vertebral Compression Fractures

May 25, 2022

Vertebral compression fractures are normal in the thoracic and lumbar spine, especially close to the T12-L1 intersection. There might be no injury or a minor injury causing those fractures. Patients with osteoporotic vertebral fractures are at high risk of vertebral and nonvertebral fractures.

The effectiveness of Gunn IMS

A fracture comes with associated muscle spasms which can be a source of continued pain. Gunn Intramuscular Stimulation (IMS) can aid the reduction of muscle spasms and produces long lasting and often permanent results, even in chronic conditions.

Types of Vertebral Compression Fractures

Osteoporotic vertebral fractures are asymptomatic or cause kyphosis or lessening their heights in around 66% of patients. While with others, pain symptoms might emerge right off or later in life. The pain may develop in the abdomen. Radicular pain, reflex or sphincter anomalies, and weakness are not common. The pain regularly diminishes after around a month and resolves after around 12 weeks.

Non-osteoporotic vertebral compression fractures cause intense pain, tenderness in the bone at the break site, and muscle spasms.

Causes of Vertebral Compression Fracture:

The common causes of vertebral compression fractures are as follows:

  • Osteoporosis is the most widely recognised reason for vertebral compression fractures. 
  • Pertaining injuries from car or sports accidents leading to fractures.
  • Cancers or tumors in the spine can also cause fractures.

Symptoms of Vertebral Compression Fractures:

The following are symptoms that a person exhibits with vertebral compression fractures:

  • A loss of height.
  • Kyphosis is seen in such patients. 
  • Weak muscles, numbness, trouble walking, tingling sensations, and difficulty controlling your bladder and bowel movements.
  • Gradually deteriorating back pain — lying on your back might alleviate the aggravation, and standing might exacerbate it.
  • Restricted movement of the spine makes it hard to bend.

Risk Factors for Vertebral Compression Fracture:

The two groups that are at most noteworthy risk for fractures:

  • Individuals with osteoporosis
  • Individuals with malignant growth that has spread to their bones

If an individual has been determined to have a particular type of cancer, including multiple myeloma and lymphoma, the physician might screen the person for fractures. Then again, once in a while, a spinal break might be the principal sign that an individual has cancer.

In any case, most vertebral compression fractures happen due to osteoporosis. Certain individuals have a higher possibility of getting the sickness due to:

  • White and Asian ladies have the most serious risk.
  • Women with age 50 and above are at high risk.
  • The women with the thin body texture.
  • Women who went through menopause before age 50 are more likely to get osteoporosis.
  • People who smoke than nonsmokers.

Diagnosis:

The medical care supplier will consult about personal history and ongoing conditions and perform a physical test. They will verify the area of pain and whether the spine is slumped forward. They may likewise need to get spine photos using CT scan, X-ray, MRI, and Dual-energy x-beam absorptiometry (DXA or DEXA) or bone densitometry.

Treatment of Vertebral Compression Fractures

  • Analgesics
  • Physiotherapy

Treating vertebral fractures is done by dealing with pain and physical therapy. Analgesics are given to help deal with aggravation.

Our trained Physiotherapists can help by training lifting methods and endorsing activities to fortify paravertebral muscles. However, physiotherapy might be deferred until the pain is managed.

Prevention Tips for Vertebral Compression Fractures:

Natural Remedies:

Natural remedies for forestalling fractures incorporate the following:

  • Calcium supplements
  • Getting more vitamin D
  • Quitting smoking
  • Preventing falls
  • Weight-bearing exercises
  • Strength-building exercises. 

Recommended Medications:

The following medicines likewise halt or slow osteoporosis:

  • Bisphosphonate drugs. 
  • Teriparatide (Forteo)
  • Raloxifene (Evista)
  • Zoledronic acid (Reclast)
  • Denosumab (Prolia, Xgeva)

When an individual has unexpected back pain that worsens after a while, a trip to the doctor is a must. Getting an assessment for back pain is vital so the physician can decide the reason and plan treatment. While recuperating from vertebral compression fractures, adhere to the directions so one can recuperate appropriately.

References:

A patient’s Guide to Lumbar Compression Fracture. University of Maryland Medical Center. (n.d.). https://www.umms.org/ummc/health-services/orthopedics/services/spine/patient-guides/lumbar-compression-fractures

Boden, S. (n.d.). When back pain is a spine compression fracture. Spine. https://www.spine-health.com/conditions/osteoporosis/when-back-pain-a-spine-compression-fracture

Campagne, D. (2022, June 2). Pelvic fractures – injuries; poisoning. MSD Manual Professional Edition. https://www.msdmanuals.com/professional/injuries-poisoning/fractures/pelvic-fractures

Compression Fracture. Cedars. (n.d.). https://www.cedars-sinai.org/health-library/diseases-and-conditions/c/compression-fracture.html

Compression fractures: Causes, symptoms, treatment & prevention. Cleveland Clinic. (n.d.). https://my.clevelandclinic.org/health/diseases/21950-compression-fractures

NIH. (2022, February 12). Vertebral compression fractures – statpearls – NCBI bookshelf. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK448171/

Osteoporosis and spinal fractures – orthoinfo – Aaos. OrthoInfo. (n.d.). https://orthoinfo.aaos.org/en/diseases–conditions/osteoporosis-and-spinal-fractures/

Ratini, M. (2021, July 30). Symptoms of spinal compression fractures. WebMD. https://www.webmd.com/osteoporosis/guide/spinal-compression-fractures-symptoms

Ratini, M. (n.d.). Spinal compression fractures causes, pain, risks and more. WebMD. https://www.webmd.com/osteoporosis/guide/spinal-compression-fractures-causes

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