Once she got the clean bill of health, Brenda planned a dream holiday for her and her husband - a five week trip to Africa. It turned out that Brenda came to this conclusion prematurely. Brenda concluded that her bones were healthy because of her exercises, diet and Prolia injections. She was excited because she felt she had turned the corner. A repeat DEXA showed that she had improved, so she discontinued her Prolia injections in the spring of 2015. Her General Practitioner recommended bisphosphonates, but she couldn’t tolerate them. She became more careful, watched the calcium in her diet, her vitamin D levels, and continued her exercise classes. Her mom had fractured both of her hips as well as her pelvis. Brenda’s genetics and family history of osteoporosis were red flags indicating that she might have some issues with her bones sometime in the future.Ī routine DEXA ( Dual-Energy X-ray Absorptiometry) test and FRAX score, in 2011, showed that Brenda had some bone loss. In her thirties Brenda realized that she needed to look after her bones. She has always enjoyed gardening, bi-weekly exercise classes, and daily walks. Brenda’s Thoracic Compression Fractureīrenda is a retired teacher. Brenda’s story is meant to help all of those individuals, men and women, with compression fractures who are suffering in silence. I asked her not to emphasize her frustration but, instead, share the tactics that have helped her deal with her compression fractures. She felt despair and anger because of her compression fractures. When Brenda prepared for today’s talk, she realized how frustrated she was with her situation. Each time we meet she arrives with her completed checklist and asks me questions specific to compression fractures. She does every single compression fracture exercise I ask her to do. Of all the individuals that I’ve worked with who have compression fractures, Brenda is the most positive and persistent client. My patient, Brenda, is here to share with you how her life has been impacted by compression fractures. If you are at risk of a compression fracture, already have one or know someone suffering from a compression fracture, you should read this blog post and view the videos - the time you invest will be well worth your while. One is 5 minutes in duration and the other is 10 minutes. There are two more videos later in the blog. The first video (below) is 25 minutes long. In the video below you will meet Brenda - one of my clients with compression fractures - and hear her story of how her compression fractures happened, how they affected her quality of life, and what she has done to return to living an active life. 26 Nonsteroidal anti-inflammatory drugs have been shown to significantly increase gastrointestinal bleeding in the elderly and must be used with caution.This article was last updated on October 10, 2022 25 Muscle relaxants, external back-braces, and physical therapy modalities also may help. Calcitonin-salmon (Miacalcin) nasal spray can be used for treatment of pain. If bowel sounds and flatus are not present, the patient may require evaluation and treatment for ileus. Oral or parenteral analgesics may be administered for pain control, with careful observation of bowel motility. Prolonged inactivity should be avoided, especially in elderly patients. Patients are treated with a short period (no more than a few days) of bedrest. Traditional treatment is nonoperative and conservative. Fortunately, compression fractures are normally stable secondary to their impacted nature. A stable fracture will not be displaced by physiologic forces or movement. The physician must first determine if the fracture is stable or unstable. Family physicians can help patients prevent compression fractures by diagnosing and treating predisposing factors, identifying high-risk patients, and educating patients and the public about measures to prevent falls. Interventional procedures such as vertebroplasty can be considered in those patients who do not respond to initial treatment. Traditional conservative treatment includes bed rest, pain control, and physical therapy. While the diagnosis can be suspected from history and physical examination, plain roentgenography, as well as occasional computed tomography or magnetic resonance imaging, are often helpful in accurate diagnosis and prognosis. More severe fractures can cause significant pain, leading to inability to perform activities of daily living, and life-threatening decline in the elderly patient who already has decreased reserves. Vertebral compression fractures usually are caused by osteoporosis, and range from mild to severe. Compression fracture of the vertebral body is common, especially in older adults.
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