I think you are on good treatment for your age and osteoporosis
. I think you need to be re evaluated with respect of osteoporosis every 6-9 moths and ma be to be scanned every year to see if you are progressing either way.
It depends on your starting point of osteoporosis ( when the diagnosis was made and duration of your medicine you've been on for osteoporosis) .
Osteoporosis got alot of medication , some of them based on severity of osteoporosis.. which medicine you should be on ...? I do not prescribe medicine over the net or phones....
If symptoms persist in your back , you may need to see a specialist for the above reasons and to rule out insufficiency fracture
of the spine..