I'd like to show our viewers this graphic which kind of shows compression
fractures that caused severe back pain so let's take a look at this and explain
it to our viewers compression fractures can cause again severe back pain and I'm
gonna start with the first one and I'm sure we'll get it up in just a bit but
it causes in the middle or lower spine is that correct?
Correct so for the most
part compression fractures above t5 can actually be a risk factor for having an
underlying cause for your fracture other than simply osteoporosis so for example
tumor having a trauma and things like this.
Alright and then of course the
pain is sharp and knife-like and pain can take weeks or months to go
away now also the pain is most likely in the middle lower spine knife-like that's
just awful isn't it?
Yes but not all patients will present with this
knife-like type pain which is how you have patients who may have vague back
pain for a number of years the nature of a compression fracture is it will
collapse to a position of entropy which means the least energy so essentially
once a fracture compresses down patients may actually experience less pain in
time which is what we should hope not everyone's pain is as severe which is
how you'll have patients coming in with multiple vertebral body fractures and
height loss over a series of years so unfortunately not every patient presents
with this type of symptom which is why it's so important to monitor patients in
terms of their bone health on a regular ongoing basis
And Dr. Mena that last point right there it takes weeks or months to go away that
just for them.
For the most part the average of a compression fracture takes
about two to three months to to heal normally can be debilitating the pain
during that time frame period most of the time what we do initially is we
praise patients for the most parts about 85 90 % of the times they they can heal
easily with a brace and it's just a matter of giving time some other patient
might be debilitating enough that is affecting or impacting the quality of
life and those patients that's when we start thinking about doing some other
interventions but to be quite honest it's about 10% of patients or less so
it's not that very common the type of patient that we throw in like procedures
for this type of condition.