If osteoporosis is the cause of your compression fracture, your primary care physician starts you on specific medications right away to strengthen your bones, along with Vitamin D if you’re not already taking it. Medications to treat compression fractures If conservative treatment is helping you after three weeks of treatment, there’s a 95 percent chance that you’ll maintain pain relief for up to one year. You’ll have a better than 50 percent chance of significant enough reduction in pain to be able to manage. If your Apollo Pain Management team deems your compression fracture treatable using conservative methods, your injury should normally heal within about two to three months. ![]() Healing from a compression fracture with conservative treatment Following is a summary of what you can expect in terms of healing. James Warren and the team can help if you’ve experienced a compression fracture. About 1.5 million vertebral compression fractures occur in American adults every year.Īt Apollo Pain Management in Sun City Center, Florida, Dr. A quarter of post-menopauswal women will experience a compression fracture. The chance of having a compression fracture rises with age. If you have osteoporosis, you’re more at risk of a compression fracture in your vertebrae than someone without it. When it occurs in your back, the pain can prevent you from carrying out your normal daily activities and put a stop to playing sports or engaging in other active hobbies. This international, multi-specialty utilization review showed excellent applicability of, and good adherence with RAND/UCLA-based recommendations on treatment choice in OVCF.A compression fracture can be disabling. The study population was restricted to the practices of the participants of the panel study. Differences in treatment decisions between interventional radiologists and surgeons were largely determined by differences in patient characteristics, with time of clinical presentation being the dominant factor. ![]() Treatment choice was strongly associated with the clinical variables used in the panel study. When compared with the panel recommendations, inappropriate treatment choices were rare (5% for NSM, 2% for VP, none for BKP). BKP was the most frequently chosen treatment option (49%), followed by VP (34%) and NSM (14%). Using an online data capture program, participants documented the clinical profile (age, gender, previous VCFs, time since fracture, magnetic resonance imaging (MRI) findings, evolution of symptoms, impact of symptoms on quality of life, spinal deformity, ongoing fracture process, and presence of pulmonary dysfunction) and treatment choice for consecutive patients who consulted them for OVCF. Practices were located in Belgium, Germany, Italy, Switzerland, and the United Kingdom. To assess the applicability of the appropriateness criteria in real-life practice.Įight practices of experts who participated in the panel study, including 2 interventional radiologists, one internal medicine specialist, 2 neurosurgeons, and 3 orthopedic/trauma surgeons. Using the RAND/UCLA method, an international multidisciplinary expert panel established patient-specific criteria for the choice between non-surgical management (NSM), vertebroplasty (VP), and balloon kyphoplasty (BKP). Appropriate treatment choice for osteoporotic vertebral compression fractures (OVCF) is challenging due to patient heterogeneity.
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