COMPRESSION FRACTURE OF THE VERTEBRAE
What is a compression fracture of the vertebrae?
How does it occur?
Compression fractures in older adults are usually the result of osteoporosis. Osteoporosis causes bones to lose calcium and become more porous, thinner, and weaker. “Dowager’s hump,” a curving of the spine most often seen in older women, is caused by osteoporosis. About 20% of women have had a compression fracture of the spine by age 70. Osteoporosis develops over a period of years. Factors that increase the risk of developing osteoporosis include:
- lack of regular, weight-bearing exercise
- lack of sufficient calcium in your diet
- being a woman past menopause who does not take hormone replacements
- having a family history of osteoporosis
- getting very little sunlight and not getting enough vitamin D from other sources
- drinking a lot of alcohol
- (prolonged bed rest or immobility
- long term use of heparin
What are the symptoms?
You may have a compression fracture without knowing it.
It does not always produce severe pain or a change in the way your body works. Over time, compression fractures may cause you to become shorter by as much as several inches.
How is it diagnosed?
How is it treated?
Treatment for a compression fracture may consist of:
- bed rest until your pain decreases, then increasing your level of activity gradually, according to how much you feel you can do
- wearing a corset or back brace to give the fractured area added support
- taking medication for pain
- physical therapy.
As your fracture heals, you will have less pain and will be able to do more. You may find assistive devices such as a cane or walker helpful in getting around. Avoid stretching or stooping to prevent further injury. When you feel pain in your back, stop what you are doing and apply either heat or cold, whichever feels better.
How can compression fractures be prevented?
Osteoporosis often runs in the family. Having a healthy lifestyle with a good diet that includes enough calcium and vitamin D and regular, weight-bearing exercise can help prevent or reduce the severity of osteoporosis. Speak with your health care provider about other ways of reducing your chances of developing it. If you do have osteoporosis, ask about treatment.
Using your body wisely when doing everyday tasks may help prevent compression fractures. For example:
- Bend your legs rather than your back when you pick up something from the floor.
- Hold objects close to your body when lifting them.
- When getting out of a chair, put your weight over your feet and slide to the front of the chair. Then, using the arms of the chair, raise yourself to a standing position.
- Stop smoking.
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