![]() ![]() He denied any radiating/referred pain symptoms into the lower extremities or difficulty with bowel and bladder function. The patient rated his pain as 8/10 on the Verbal Pain Rating Scale (VPRS) where 0 is “no pain” and 10 is the “worst pain that he had ever experienced.” The pain was described as sharp and stabbing, and it was exacerbated by direct pressure over the painful area and any movements of the lower axial spine. He reports that he managed his symptoms with over the counter medication (ibuprofen). The patient did not seek medical treatment following this incident. During the mid-point of a lift, with his spine forward flexed, he reportedly heard a “pop” in his back and a sensation of pain immediately ensued. The patient explained that this pain occurred while he was lifting 30–40 lb pieces of wood. Salient clinical features and diagnostic considerations are also discussed.Ī 74-year old male presented with acute back pain of three days duration localized to the region of the thoracolumbar spine. This case study was conducted to evaluate the conservative treatment and management of an osteoporotic patient presenting with acute back pain resulting from a lumbar compression fracture. 1, 9 – 11 Early recognition, diagnosis, and conservative management can play important roles in minimizing the negative sequelae of OVCF. 13 In addition to acute pain and the risk for developing chronic pain, OVCFs may also be accompanied by other physical and emotional consequences. 12 Patient population studies indicate an increased mortality rate in patients with OVCFs that correlates with the number of involved vertebrae. 9 – 12 For any given case, the diagnosis of a single OVCF increases the risk of subsequent fractures by a factor of five. It is estimated that many OVCFs remain asymptomatic, and that only one-third of individuals seek immediate medical attention, presenting predominantly as acute back pain patients. 3 Although considered a female health issue, osteoporosis is also becoming a major health concern among males. 4 The annual incidence of osteoporotic vertebral compression fractures (OVCFs) among Canadian women is currently reported to be approximately 37,000. 2 The risk of major osteoporotic fracture in Canada is among the highest in the world, 3 with the incidence of VCFs expected to increase as the Canadian population ages. Within this affected group, it is estimated that 700,000 VCFs occur each year and approximately 70,000 result in hospitalization, with an average hospital stay per patient of 8 days. 1 In the United States, it is estimated that at least 10 million people suffer from osteoporosis and an additional 18 million people are at significant risk for development of the disorder. After exerciseĭo some further cool down moves to increase your flexibility and return your breathing and heart rate back to resting levels.Individuals with osteoporosis have a greater likelihood of suffering vertebral compression fractures (VCFs), which can range from mild to severe in terms of associated pain and resultant disability. It can help you think about how the benefits apply to you, and how the different types of exercise can help your bone health. This explains the different ways that exercise and physical activity help with bone health and osteoporosis. ![]() If you need some extra encouragement, read the information in our fact sheet, ' About exercise for osteoporosis and bone health'. Warm up properly before exercising to get your joints and muscles ready and to prevent injury. If you are new to exercise or worried about other health problems, speak to your doctor, other healthcare professional, or an exercise instructor. However, if you are finding the exercises difficult, ask your doctor to refer you to a physiotherapist for advice. You don’t need to wait until your bones are fully healed. These exercises may help to relieve pain any time after fractures happen, so start to introduce them as soon as you feel ready. If pain is very severe you may need to alternate gentle movement with rest periods at first. Relax between each move and take your time. Hold each exercise for three to five seconds and don’t forget to breathe! Move slowly into the positions, as far as your pain allows, using the correct technique. Try to do these exercises at least once a day. If you want to add some padding under your knees or head for comfort, you’ll need something soft like a cushion or pillow too. you have ongoing pain due to height loss and changes to the shape of your spine.Īn exercise mat and an armless chair.you have pain as a result of recent spinal fractures.How to build up exercise for your bone strength.Exercise and physical activity for osteoporosis. ![]()
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