A doctor is holding a picture of a spine in his hand.

Treatment for Pain Associated with Spinal Compression Fractures


As we age, our bones become weaker, and as the weight they must bear remains relatively the same, they may crumble from the pressure. The effect of this pressure on the spine is known as spinal compression fractures, a painful condition that impairs posture and causes walking difficulties.


Causes of Spinal Compression Fractures

The most prevalent cause of compression fractures is osteoporosis. Osteoporosis is where the body either loses or cannot make bone tissue, resulting in brittle bones. As a result of this bone weakness, the vertebrae in the spinal column collapse and shorten, a condition that precedes compression fractures.

 

Other possible causes of compression fractures include trauma from road accidents, injuries from various sports activities, and tumors on or around the spinal column.

 

Risk Factors and Symptoms

Osteoporosis is the most common cause of compression fractures. This means that if you are over 50, it is in your best interest to watch out for the condition. Additionally, if you participate in physically demanding sports such as skiing, the probability of accidents puts you under the at-risk group. Individuals who have had compression fractures before are at a high risk of getting them again.

 

Some of the symptoms of compression fractures include back pain that gets worse with time, a reduction in your height, and a limitation of your spine's movement. Additionally, one may present with numbness and abnormal curvature of the spine, usually a forward stoop, that can result in motor challenges, where movement becomes challenging.

 

Treatment Options

There are several treatment options for these fractures, focusing on either the causative or symptomatic aspects. Some of the available medical interventions include using supplements and medications that strengthen bone, pain medication, and bed rest. Doctors may also suggest exercise and physical therapy, braces, surgery, and radiation therapy.


Supplements and Medications That Strengthen Bone

The leading cause of compression fracture is osteoporosis, so a doctor will likely treat it if present. Some drugs work to strengthen bones. These drugs contain calcium and vitamin D supplements.

 

As long as your bones are healthy, your pain will dissipate and go away in a short time. Examples of drugs that you might use to reduce bone loss and increase its formation include bisphosphonates such as Risedronate, Romosozumab, and Denosumab. New studies have shown that parathyroid hormone helps in bone growth.


Bed Rest

Bed rest refers to taking a rest from strenuous physical activity. This rest does not imply that you remain bound to a bed because inactivity may further weaken the bones. As long as you balance bed rest and some degree of activity, you can count on recovering in a short time.


Exercise and Physical Therapy

Physical therapy or exercise helps you regain functional use of the back muscles by building their strength despite the condition. Exercise helps prevent further fracturing because it eases the strain and pain on the back. Taking walks, dancing, stretching out in yoga, or taking part in some martial arts are some of the ways that you can exercise alone or with the help of a physical therapist.


Braces

Braces limit your movement and ease the pressure off your back. The support offered is due to the rigid nature of braces. Your doctor will aid you in finding the best fitting mount. The type of mount that the doctor will prescribe depends on the degree of comfort it provides. Even though braces my not necessarily help compression fractures heal, they ease the pain, which goes a long way in aiding recovery.


Surgery

Sometimes, all the interventions above may fail to work, resulting in fractures causing chronic symptoms. If the symptoms persist, your doctor may recommend surgery. Available surgical treatments currently include vertebroplasty, kyphoplasty, and vertebral fusion.

 

  • Vertebroplasty: This procedure involves injecting small amounts of acrylic bone paste that, on hardening, stabilizes any fragmentation and eases the pain almost immediately. Using X-rays to ensure accuracy, the doctor injects the paste into the fractures using needles carrying the paste. Vertebroplasty gives the broken vertebrae strength to support the rest of the body without fracturing further.
  • Kyphoplasty: Kyphoplasty is similar to vertebroplasty, except it involves the use of balloons. This procedure uses small balloons whose primary use is expanding the fractures and creating a cavity that the doctor fills with the bone adhesive. Like the process above, kyphoplasty eases pain, strengthens the vertebra, and improves posture.
  • Vertebral fusion: This surgical technique is the last resort treatment for spinal compression fracture. It has various applicable situations, including injuries from accidents or sports. The idea is to reduce or eliminate any motion between the vertebra while reducing pain. By using screws and metallic rods or plates, the vertebrae are held together to allow them to grow or fuse, thereby easing the pain. This process is relatively longer than the others, and you may take longer to recover from it.


Radiation Therapy

In rare cases, the symptoms of compression fractures may be due to a malignancy. Depending on the cancerous growth stage and location, you can either go through chemotherapy, surgery, or radiotherapy. Radiation therapy is a more effective way of handling malignancies and is a viable option in treating spinal compression fractures.

 

A compression fracture can affect anyone as long as the conditions that precede it are present, prior infection notwithstanding. The pain management interventions that we give here are universal in scope, which means that these fractures are manageable if you get a way to eliminate the pain. If you are experiencing pain from a spinal compression fracture, reach out to us at Pain Treatment Centers of America to learn more about how we can help.

 

By Bob Berendsen February 1, 2026
Chronic or acute pain has the potential to significantly impact your daily life, making even everyday tasks a hassle. Pain Treatment Centers of America believes that knowing your medication options is a crucial step in building an appropriate, personal pain management strategy. While many treatment options are available, pharmacologic therapy has been the peak of comprehensive care. Types of Medications Used in Pain Management Pain medications are not universalized. The selection of the right prescription depends on the pain type, severity, and medical history. Common categories include: 1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) NSAIDs, such as ibuprofen or naproxen, tend to be the first line of defense for low levels of pain. They reduce swelling and provide comfort associated with conditions like arthritis, back pain, or joint injuries. In some patients, however, they can affect the stomach or kidneys. Therefore, careful studying and dosing guidance from a professional is key. 2. Acetaminophen Acetaminophen is mostly for general pain reduction and is sometimes combined with other treatments. Unlike NSAIDs, it doesn’t target swelling. Nonetheless, it can be effective for pain relief and daily improvement. 3. Muscle Relaxants For pain caused by muscle spasms or tension, muscle relaxants can provide relief. These medications work by calming overactive muscles and are usually prescribed for short-term use to prevent dependency or side effects. 4. Antidepressants and Anti-Seizure Medications Certain antidepressants and anti-seizure drugs can treat neuropathic (nerve) pain. They work by altering how the nervous system processes signals of pain throughout your body. Even if you do not experience depression or seizures, these medications assist with pain control. 5. Opioids Opioids are strong pain-relieving medications chosen for more potent pain when other options aren’t doing the trick. At Pain Treatment Centers of America, we practice strict guidelines to minimize risks, evaluate patient progress, and ensure healthy, responsible use. A combination of Opioids can be introduced to other treatments as part of a multimodal pain management plan. Personalized Pain Management The effectiveness of medications is best when combined with other therapies; physical therapy, interventional procedures, and lifestyle changes. We work closely with each patient to structure a plan that focuses on the root cause of pain, not just the signs. Every treatment plan is carefully engineered, giving thought to variables like medical history, existing conditions, and possible side effects. Patients are taught how to use the medication safely, dosing schedules, and expectations of each prescription. Take the Next Step Understanding your medication options enables you to take charge of your pain and improve your life overall. If you’re having issues with chronic or acute pain, our professionals at Pain Treatment Centers of America will gladly help. We mix the most up-to-date pharmacologic therapies with personalized care to provide comfort, improve function, and enhance your total well-being. Schedule a consultation today to learn which pain management medications are a good fit.
By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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