> All right we have some symptoms of compression fractures in case you're
feeling some pain or you're feeling maybe something that could be a
compression fracture. Let's walk through these severe back pain with movements.
>Right. So many patients whenever they have a real compression fracture they
feel this pain particularly when they're getting out of bed in the morning or
when they're getting up from a chair that's typically what what causes the
majority of pain in these patients. > All right. improved pain with standing
sitting or lying down. Right. So once the patient actually gets to the standing
position or the seated position or if they're lying flat, the pain goes to
almost zero but if they're having any movement whatsoever it can get as high
as 10. 10 out of 10. -- that's painfull -- > And that's important thing with the
treatment of these because... because you don't have pain with Moot with when
you're sitting still it's only with movement a lot of these patients become
sedentary. -- Right. They stop moving. This I don't want to move. -- Yes. I'm good in that
especially in the elderly population that could lead to other issues such as
urinary tract infections in pneumonia. There's a lot of hospitalization that
happens the United States the average hospitalization for a compression
fracture in the United States is eight days, and so the early treatment in early
diagnosis of these is very important. I think that's important point that Adam
brings up treating these patients early but have compression fractures so you
have to really get patients up and immobilize as quickly as possible.
> Absolutely. Let's I'll finish off that list real quick and we'll move on to
something else. I think we were at limit... limited movement in the spine, that was
the third one. Nerve damage and if we can maybe take that one more time thank you.
Decrease in your height truly really happening. > Yeah decrease in your
height. So when we talked and we showed the model if we could go back to the
model here. -- absolutely -- the model is showing the vertebral body height here
and it's if you look at it from the side they're almost like squares and when you
have a compression fracture it's literally compressing it and so the
vertebral body loses what we call vertebral body height it could happen in
a symmetric fashion or it could happen in a wedge fashion. With the symmetric
fashion you you actually just lose height with a wedge fashion you lose
angle to that spine and so you could appear almost bent over.