Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Persisting Intense Pain Post Burst Compression Fracture Of L1, Uses Tlso Brace, Taking Morphine, Endones, Physiotherapy, X-ray Showed Almost Healed. Normal?
Hello, I had a burst compression fracture of my L1 vertebrae 5 months ago. It was stable and required no surgery. I also had an MRI which proved no disc/nerve damage. I m still in a lot of pain. I wore a tlso brace and sometimes still wear it when I go I need to go out. I m also Doing physiotherapy . My doctors say healing time is different for everyone and my X-rays show it s almost healed. My question is, is it normal to be in a lot of pain a this stage. I am still on morphine and endones. People on the net say it took them 3-4 months to recover. I feel like I m at a standstill. I got for small walks everyday but can t sit for more than 10 minutes or bend without getting an ache throught my shoulder blades and up to my neck. Is this normal?
The recovery time differs always from person to person. I personally feel that the persistent pain in you could be the result of an angular gibbus deformity that might have developed at the fracture site causing a stretch on the posterior spinal ligaments. This typically gets worsened when you try to bend forwards.
You can try a few steroid shots or trigger point injections at the site of maximum pain or tenderness which may provide relief.
* Always wear the TLSO brace except in supine position (as in sleeping) * Avoid bending forwards (as in picking objects from the floor) * Use daily calcium supplements to strengthen the fractured bone * Ocassional muscle relaxants as needed * Physiotherapy for strengthening your back muscles
Hope this information is helpful . Good day
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Persisting Intense Pain Post Burst Compression Fracture Of L1, Uses Tlso Brace, Taking Morphine, Endones, Physiotherapy, X-ray Showed Almost Healed. Normal?
Hi, thanks for writing to HCM. The recovery time differs always from person to person. I personally feel that the persistent pain in you could be the result of an angular gibbus deformity that might have developed at the fracture site causing a stretch on the posterior spinal ligaments. This typically gets worsened when you try to bend forwards. You can try a few steroid shots or trigger point injections at the site of maximum pain or tenderness which may provide relief. * Always wear the TLSO brace except in supine position (as in sleeping) * Avoid bending forwards (as in picking objects from the floor) * Use daily calcium supplements to strengthen the fractured bone * Ocassional muscle relaxants as needed * Physiotherapy for strengthening your back muscles Hope this information is helpful . Good day