Understanding Lumbar Compression Fractures

Back pain is something many of us experience at some point in our lives, but sometimes it’s more than just a sore muscle or poor posture. One possible cause of persistent or sudden back pain, especially in older adults, is a lumbar compression fracture. 

What Is a Lumbar Compression Fracture?

A lumbar compression fracture occurs when one of the vertebrae (bones) in the lower part of your spine collapses. This usually happens because the bone has weakened, most commonly due to osteoporosis (a condition that makes bones more brittle). In some cases, it can also result from trauma, such as a fall or car accident.

Imagine the vertebra like a small, sturdy box. In a compression fracture, the top part of that box can get crushed, causing it to shrink and change shape. This can lead to pain, a hunched posture, and loss of height over time.

Who's At Risk?

The people most at risk for lumbar compression fractures include:

• Older adults, especially women after menopause
• Those with osteoporosis
• Individuals taking long-term corticosteroid medications
• People with cancer that has spread to the bones
• Those who have had previous spine injuries 

Symptoms

Symptoms can vary, but common signs of a lumbar compression fracture include:

• Sudden back pain, often without a clear injury
• Pain that worsens when standing or walking
• Decreased height
• A stooped or hunched posture (known as kyphosis)
• Limited spinal movement
• Weakness or numbness in the area
• A kyphosis diagnosis

In severe cases, the fracture can compress nerves, leading to numbness, tingling, or weakness in the legs.

Causes

Some examples of the causes related to lumbar compression fractures are: 

• Osteoporosis (most common cause)
• Injuries or accidents
• Cancerous tumors

Diagnosis and Treatment

Diagnosis:

Usually involves physical examination, medical history review, and imaging tests such as an X-ray, CT scans, or MRI if needed. These tests will help your healthcare provider determine which vertebra (or vertebrae) has moved and whether nerves are affected.

You can learn more about how to discuss your pain and preparing for a visit with your healthcare provider in these blog articles.

How to Talk to Your Doctor About Your Pain

Tips for Communicating With Your Doctor at Your Next Appointment

Treatment Options:

It is important to always follow the prescribed treatment plan prescribed by your healthcare provider. Your healthcare provider will provide recommendations for treatment duration and frequency.

The good news is that most lumbar compression fractures heal with time and proper care. Treatment often depends on the severity of the fracture and the underlying cause.

Non-Surgical Treatments

Some common non-surgical treatments include:

• Lumbar brace (LSO or TLSO depending on the affected spinal area)
• NSAIDs (nonsteroidal anti-inflammatory drugs) medications
• Rest and time off from sports activities or repetitive motions
• Physical therapy

We offer a wide selection of lumbar braces to treat your lumbar compression fracture. You can view our selection of lumbar braces by clicking here.

Surgical Treatment

Depending on the time it takes to heal and the amount of pain, surgical intervention may be an option to stabilize the vertebra and relieve pressure on the nerves.  The goal with surgery is usually to stabilize the spine, relieve pressure on the nerves, and correct the slippage.

In some cases, especially if the fracture causes significant pain or nerve issues, a doctor may recommend a minimally invasive procedure like:

• Vertebroplasty, where special cement is injected into the bone to stabilize it and relieve pain.
• Kyphoplasty, this procedure is similar to Vertebroplasty except a balloon is inserted into the vertebra and inflated to regain vertebral height before bone cement is injected.

Preventing Further Fractures

If osteoporosis is the root cause, treating it is essential to prevent future fractures. This can involve:

• Medications to strengthen bones
• Calcium and vitamin D supplements
• Weight-bearing exercises
• Lifestyle changes like quitting smoking and reducing alcohol

When to Seek Medical Help

If painful or debilitating symptoms persist or worsen despite self-care measures, it’s important to consult a healthcare provider. They can offer personalized advice or recommend further evaluation if necessary. Lumbar compression fractures can lead to the more painful conditions. Early diagnosis and treatment can prevent complications and improve quality of life. 

Conclusion

A lumbar compression fracture can be painful and disruptive, but it’s treatable and often preventable. Taking care of your bone health and seeking medical advice when symptoms appear can make a big difference. With the right combination of rest, therapy, and lifestyle changes, you can lead a normal, active life. The key is early diagnosis and a personalized treatment plan.

If you're experiencing chronic back pain or leg symptoms, don’t brush it off. A simple exam might uncover something that, with the right attention, can greatly improve your quality of life.

We're Here To Help

The team of experts at Elite Medical Supply of NY is here to help identify the right lumbar brace, mobility product, or therapy product for your recovery. We also offer a wide selection of braces from world-class manufacturers to alleviate pain and help heal your condition. Take a look at our selection of braces by clicking here.

When you're ready to order a product or need assistance making a choice we're here to help. You can reach us at 866-712-0881, send us an email, or fill out a contact form.