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Suggest Treatment For Osteoporosis And Compression Fractures

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Posted on Mon, 17 Aug 2015
Question: I have osteoporosis and have had compression fractures. The first ones seemed to heal and there was a brief painless period - then another injury- I fell. After an injury I don't keep getting MRIs or x-rays because I would be constantly getting them. Now I have a pain that radiates from spine all around the rib cage so it seems like my entire ribs and spine are hurt- but the worst is the spasms. They come so quickly and hard I always cry out and can't seem to catch a breath. I am on a diuretic, could I be dehydrated? How are spasms related to bone injury?-
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Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Cord compression should be ruled out, gabapentin

Detailed Answer:
Hello and Welcome

I appreciate your concern

I am sorry for your distress but if the pain is more severe than usual and is not responding to medication then cord compression must be ruled out via an MRI. Its vital because failure to do so can affect ambulation adversely if prompt diagnosis is not made. If the MRI is clear then the pain should be managed with additional options. The spasm description of pain is common for neuropathic pains though bone pain can also have a spike and dome pattern especially if the osteoporosis is severe. Its unlikely to be dehydration as dehydration doesn't cause pain. I would recommend Gabapentin as an option. You may discuss these options with your doctor to reach a final conclusion.


Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Osteoporosis And Compression Fractures

Brief Answer: Cord compression should be ruled out, gabapentin Detailed Answer: Hello and Welcome I appreciate your concern I am sorry for your distress but if the pain is more severe than usual and is not responding to medication then cord compression must be ruled out via an MRI. Its vital because failure to do so can affect ambulation adversely if prompt diagnosis is not made. If the MRI is clear then the pain should be managed with additional options. The spasm description of pain is common for neuropathic pains though bone pain can also have a spike and dome pattern especially if the osteoporosis is severe. Its unlikely to be dehydration as dehydration doesn't cause pain. I would recommend Gabapentin as an option. You may discuss these options with your doctor to reach a final conclusion. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil