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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Osteoporosis, Developed Four Compression Fracture In Spine. History Of Cortisone Injecting. Solution?

In 2010 I started with osteoporosis in that one after the other I had four compression fractures of my spine . I now have three monthly infusions of Bon Viva and take Gabapentin and Paracetemol three times a day. I have had two injections of cortisone last year and am due to have two more tomorrow. The last injections lasted just over a month and at the moment I am in constant pain so I am hoping these next injections will last longer.
Wed, 28 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

The traditional conservative treatment of vertebral compression fractures include Bed rest , Pain control and Physical therapy.

Calcitonin nasal spray can be used for the treatment of pain. Muscle relaxants, External support braces and physical therapy modalities may also help.

Patients who do not respond to conservative treatment or who continue to have severe pain may be candidates for percutaneous vertebroplasty. Percutaneous vertebroplasty involves injecting acrylic cement into the collapsed vertebra to stabilize and strengthen the fracture and vertebral body.

Most patients can make a full recovery or at least significant improvements from their compression fracture after six to 12 weeks, and can return to a normal exercise program after the fracture has fully healed.

A well-balanced diet, regular exercise program, calcium and vitamin D supplements, smoking cessation, and medications to treat osteoporosis (such as bisphosphonates) may help prevent additional compression fractures.

Hope this information is helpful. Good day
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Have Osteoporosis, Developed Four Compression Fracture In Spine. History Of Cortisone Injecting. Solution?

Hi, thanks for writing to HCM. The traditional conservative treatment of vertebral compression fractures include Bed rest , Pain control and Physical therapy. Calcitonin nasal spray can be used for the treatment of pain. Muscle relaxants, External support braces and physical therapy modalities may also help. Patients who do not respond to conservative treatment or who continue to have severe pain may be candidates for percutaneous vertebroplasty. Percutaneous vertebroplasty involves injecting acrylic cement into the collapsed vertebra to stabilize and strengthen the fracture and vertebral body. Most patients can make a full recovery or at least significant improvements from their compression fracture after six to 12 weeks, and can return to a normal exercise program after the fracture has fully healed. A well-balanced diet, regular exercise program, calcium and vitamin D supplements, smoking cessation, and medications to treat osteoporosis (such as bisphosphonates) may help prevent additional compression fractures. Hope this information is helpful. Good day