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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Pain In The Lower Back Be Treated?

My wife has had three crushes vertebrae failures due to osteoporosis corrected by the injection of cement. She again has an excruciating lower back pain which prevents her from any activity. A hospital examination with imaging suggests a crushed low spinal fracture, likely due to osteoporosis. Age 85 years. What can be done quickly and locally?
Sat, 28 Apr 2018
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Orthopaedic Surgeon 's  Response
Hello,

A vertebral compression fracture due to severe osteoporosis is common at her age, and usual treatment is rest and analgesics. Injection of cement is Vertebroplasty which is very useful in relieving acute pain.

If she is getting repeated fractures, then injection Teriparatide is very useful for pain relief from osteoporosis. It strengthens bone and reduces chances of compression fracture. It is taken subcutaneously at home.

Calcium supplements need to be taken with it. Other treatments are bed rest, and tablet Ultracet twice a day can be taken for pain relief. Walker support during walking and enough lighting of the bathroom need to be done to prevent additional fractures due to fall.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Jayesh Vaza
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How Can Chronic Pain In The Lower Back Be Treated?

Hello, A vertebral compression fracture due to severe osteoporosis is common at her age, and usual treatment is rest and analgesics. Injection of cement is Vertebroplasty which is very useful in relieving acute pain. If she is getting repeated fractures, then injection Teriparatide is very useful for pain relief from osteoporosis. It strengthens bone and reduces chances of compression fracture. It is taken subcutaneously at home. Calcium supplements need to be taken with it. Other treatments are bed rest, and tablet Ultracet twice a day can be taken for pain relief. Walker support during walking and enough lighting of the bathroom need to be done to prevent additional fractures due to fall. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza