Dr. Jordan Sudberg on Spinal Compression Fractures: How to Treat the Pain and Reclaim Your Life
Back pain can have many causes, but few are as sudden, debilitating, and life-altering as a spinal compression fracture. Most common in older adults—especially those with osteoporosis—these fractures often go undiagnosed, leading to lingering pain and posture problems that significantly reduce quality of life.
Fortunately, there are more treatment options than ever before, from conservative pain management to minimally invasive procedures. To better understand how spinal compression fracture pain can be treated, we turn to Dr. Jordan Sudberg, a leading pain management specialist with years of experience helping patients recover from spinal trauma.
What Is a Spinal Compression Fracture?
A spinal compression fracture occurs when one of the vertebrae—the small bones that form your spine—collapses due to weakness or trauma. These fractures typically affect the thoracic (mid-back) and lumbar (lower back) vertebrae.
Dr. Jordan Sudberg explains:
“Unlike typical fractures caused by high-impact injuries, compression fractures are often the result of weakened bones from osteoporosis or spinal degeneration. They can happen suddenly, even from simple actions like coughing, sneezing, or bending forward.”
Who’s at Risk?
While anyone can suffer a spinal fracture from a traumatic accident, the majority of spinal compression fractures are osteoporotic in nature—meaning they stem from low bone density.
High-risk groups include:
- Women over 60
- People with osteoporosis
- Long-term corticosteroid users
- Individuals with a history of cancer (especially metastatic to bone)
- Those with chronic spinal conditions
Symptoms: More Than Just a Backache
Compression fractures can often go unrecognized, especially when they happen gradually. Many people chalk up the discomfort to common back pain, which can delay proper treatment.
Common symptoms include:
- Sudden onset of sharp back pain
- Worsening pain when standing or walking
- Relief when lying down
- Loss of height
- Curved or hunched posture (kyphosis)
- Limited spinal mobility
Dr. Sudberg adds:
“If someone over 50 experiences sudden, unexplained back pain, especially with height loss or posture changes, it’s crucial to evaluate possible compression fractures. Early intervention can make a huge difference.”
Diagnosing a Compression Fracture
An accurate diagnosis is the first step to effective treatment. Dr. Sudberg typically begins with a detailed history and physical exam, followed by imaging tests such as:
- X-rays: To detect fractures or changes in spinal alignment
- MRI: To assess recent vs. old fractures and soft tissue involvement
- CT scans: For detailed bone imaging, especially before procedures
Pain Management Options: Finding Relief Without Surgery
Not all compression fractures require surgery. In fact, most can be treated conservatively, especially if they’re stable and the pain is manageable.
1. Pain Medications
Dr. Sudberg emphasizes a balanced approach to medication, often combining:
- Over-the-counter NSAIDs (e.g., ibuprofen, naproxen)
- Acetaminophen
- Short-term opioids for severe pain
- Muscle relaxants for associated spasms
“We want to control pain without creating dependency. The goal is to allow patients to move safely, which promotes healing.”
2. Bracing
A spinal brace (thoracolumbar orthosis) may be used to immobilize the affected area, reduce movement, and prevent further collapse.
Wearing the brace for a few weeks can help stabilize the spine and ease pressure, though it must be balanced with …read more
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