Brief Answer:
Alternatives options explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

Initially Bisphosphonates such as alendronates are prescribed but if there are fractures as in your case or BMD ( Bone Mass Density ) fails to improve then Teriparatide can be used.

Though vertebroplasty, kyphoplasty are minimally invasive spine procedures used in the management of painful osteoporotic vertebral compression fractures, you need to know that a compression fracture can lead to permanent neurological deficits and nerve entrapment that can lead to further complications. You should consult a neurosurgeon about the severity of the compression and if you could do without surgical intervention.

Hyperparathyroidism and hyperthyroidism should be screened for and adequately treated as it can help in the overall management.

Rehabilitation involves controlling pain if a fracture has occurred. Compression fractures can be very painful so analgesics on a regular basis can be taken. Options such as Moist hot packs and transcutaneous electrical nerve stimulation should also be considered. Constipation, urinary and fecal retention or incontinence should be looked for and reported right away as it may indicate emergent decompression in case there is further compression of the vertebrae.
Respiratory depression can occur with use of narcotic analgesics and should also be looked for by your physician.

Physical intervention programs involving improved static balance, dynamic balance, and exercise relating to other body parts eg knee extension strength may also be of considerable benefit. balance training is necessary as fall prevention is of paramount importance and measures should be taken for its all out prevention. Physiotherapy including muscle strengthening exercises within the safe range should also be considered as an alternate choice in this regard.

Orthotics can be used to decrease flexion and limit spine movements to prevent the progression of kyphosis and in the reduction of pressure on the fracture site.

For the nausea and pressure, GERD and dyspepsia can treated on empiric basis.
I would recommend a two week course of a course of A PPI like Esomeprazole and a prokinetic like itopride to see for improvement. Please consult your doctor before using any medication.

wishing you best of health

thanks

Dr. M.S Khalil

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