Doctor insights on:
Medicine For Vertebral Fracture
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Osteoporosis test: It is a low radiation dose test (less than standard x-ray; also less expensive) that can assess people at risk for low energy spine fractures. The presence of such fractures puts one at risk for additional fractures; not all hurt at the time, so earlier detection may guide treatment. An osteoporosis specialist may use it. At 22, you most likely do not need it. ...Read more
Works - But: Because of its ability to decrease the risk of spine fractures in postmenopausal women, estrogen replacement therapy and et/ht has been used for osteoporosis. Recent studies show that hormone replacement is associated with an increase in breast cancer, stroke and heart attack. As a result, the fda now advises patients to consider other treatments first. ...Read more
Benefits Unclear: No good studies have shown benefit from far infrared therapy for vertebral fractures. It may make it feel better but its' value remains unclear. As far as safety - unknown. ...Read more
Unsure: I am unaware of any effect of infrared radiation on vertebral fractures. The bone are too deep to be directly affected. I have no comment on its use for other conditions or its safety. ...Read more
As per dr singh: If the injury is stable then usually they try to get people moving. If it's unstable then initially bed rest/immobility will be required until stabilised with treatment. Ask your doctor directly for advice and as per dr singh it may well need extra imaging to sort it out ...Read more
Physio pressed on thoracic vertebral fracture causing immediate wheezing. Why would this cause this? (fracture not dx until later)
Hard to say: Wheezing is usually in some way related to reactive airway disease of one form or another. Pressure placed on the posterior aspect of the thorax could cause air to be expelled from the pulmonary cavity and could, in theory, make the wheezing more apparent. It is possible, especially if you have osteoporosis, that the fracture occurred at that moment as well. ...Read more
Yes: 60% probably need some form of treatment. Simple options include rest and medication. Bracing does not seem to be of much benefit although it is often ordered. Physical therapy may help patients mobilize but can be challenging if severe pain. 30-40% of vcf's come to surgery which is usually immediately helpful. ...Read more
Yes: Depending on the type of fracture. It may or may not require surgical intervention. See an orthopedic spine specialist. ...Read more
Spine Specialist: If you have sustained a fractured vertebra and are concerned that you are still having problems related to the fracture seek the care of a specialist. You have one of two options: 1.) a neurosurgeon or 2.) an orthopedist who has done a spine fellowship receiving additional training in treatment of spine related issues. Either or highly skilled in conditions related to treatment of the vertebra.. ...Read more
Yes.: You can, but the two are unrelated. ...Read more
Yes: Yes, a fractured vertebrae can "heal itself". The question is rather is it in good alignment that it we heal without chronic pain resulting from it, and is there anything about the nature of the injury that would put you at risk for neurological sequela. For that we would need to examine you directly and look at the scans of your specific fracture. ...Read more
These are usually treated with a brace to stabilize the area until it heals (at least 6 weeks)
Sometimes special cement can be injected with a surgical procedure to treat the fracture (vertebroplasty or kyphoplasty) ...Read more
Are vertebral crush fractures caused by the collapse of weakened vertebrae? What causes the collapse?
Yes: Two variables are bone strength and compressive energy applied the weaker the bone the less energy required to crush vertebra low energy fractures are in weak bone ...Read more
Hello I recently found out I have a fractured theoretic vertebrae and the doctors said to check for swelling how do I tell if its swollen of not?
If U mean thoracic-: -the advice U were given & U didn't hear it wrong, it's not worth anything. All 1 needs 2 do is B followed by a spine specialist, so my advice is 2 find 1 now & make an appointment. They would B able 2 give U proper advice as 2 treatment. ...Read more
Sure can be: Any vertebral fracture has the potential to be bad. Compression fractures, depending on the cause, can create lots of problems. Among them are pinched nerves with associated pain syndromes, loss of mobility and others. Depending on the situation, compression fractures can be heralds for more ominous things. You should be seeing a doctor for this, if you haven't already. ...Read more
Quite often: Could start as a simple pain. Please see doctor, because is not that simple to diagnose and treat pain. ...Read more
Many factors: Some of the risk factors (example: your genetics) cannot be changed. Things you can include smoking, heavy alcohol consumption, physical inactivity. Exercise that stresses your bones and muscles help maintain bone strength and can reduce the risk of falls. Avoiding situations that lead to falls also help. ...Read more
About 6 weeks: This should heal in 6 - 8 weeks, barring any complications. ...Read more
This is not: The same as a compression fracture. A compression fracture can result in anterior wedging, but not all anterior wedging is compression fracture. If there are up to 3 consecutive vertebral bodies with anterior wedging, then it may represent scheuermann's kyphosis which is a congenital osteodystrophy, that lead to vertebrae appearing wedged. Fracture is less likely given your age. See a specialist. ...Read more
Yes: Some medical conditions and medications can weaken the bone prematurely, leading to fracture. Trauma can cause fractures at any age. ...Read more
Please define Comminuted fracture involving the T12 vertebral body predominantly involving the superior endplate.
6 fractured vertebrae after falling 15 feet still in pain this happened in November is this normal?
No: A benign fracture of the vertebrae should heal in that period of time;although if the musculoligamentouss structures are "weakened", that could result in continued pain-would recommend return tonirthopedist for additional x-rays to make sure nothing has changed, and if ok then intensive physical therapy ...Read more
Yes: Yes, you likely should not have any problem conceiving or having a child solely based on your spinal surgery/fracture, as vertebral fractures don't affect the shape/morphology of you pelvic inlet/outlet. However, you have to discuss this with a spine surgeon in your area. They may need to evaluate you, and then review your post-operative images and any residual symptoms. ...Read more
Usual way: Nothing special to do. Just find a position that is most comfortable. Since being in bed is not weight bearing, it is safe. ...Read more
Yes: Technically, a compression fracure is simply a fracture of the anterior column of the spine. What would be very unlikely, however, would be for an 18 year old to have an osteoporotic compression fracture, which is the most common cause of compression fractures in patients over 50. If she does have a compression fracture after minor trauma, other potential causes should be sought. Thank you. ...Read more
Wat this means, a compression fracture involving T11 which involve greater than 50 percent vertebral body heights. Multilevel degenerative disease.
Fractured t10 vertebrae 8 months ago. No degree of healing on X-rays. Bone density tested but I'm only 25. Is there other possibilities as to why?
A traumatic: Fracture can occur with normal bone density. Did you have significant trauma? Patients with abnormally low bone density are at risk for stress and insufficiency fractures, but anyone can get a fracture from trauma. Once a vertebral body sustains a compression fracture, it never regains its normal height. It will heal maintaining the compression deformity. ...Read more
Fractured my vertebrae in mid back 9 years ago. Er doc said I might have broke vertebrae, but can not receive MRI because no insurance, help please!
Crushing or cracking: The most common is a crushing of the part of the bone in front. The bone partially collapses, and height is lost. Occasionally bone is pushed up against the spinal cord; if there is numbness, tingling, weakness in the legs should be evaluated by a specialist. There can also be minor breaks in other parts of the bone that usually heal without problem. ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more