Treatment FAQ

what is standard treatment for t9 compression fracture

by Mr. Leon Turner IV Published 2 years ago Updated 2 years ago
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The most common treatments for a thoracic compression fracture are: pain medications, decreasing activity, and bracing. In rare cases, surgery may also be necessary. Mild pain medications can reduce pain when taken properly.

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How do you treat a T9 compression fracture?

How is a compression fracture treated?Pain medicine to relieve your back pain.Bed rest for a short time, followed by limited activity while your bones heal.Wearing a back brace.Physical therapy to help you move better and strengthen the muscles around your spine.

How long does a T9 fracture take to heal?

Most flexion injuries--including stable burst fractures and osteoporotic compression fractures—can be treated with bracing for 6 to 12 weeks.

How serious is a T9 fracture?

Since the T9 vertebra directly communicates with the adrenal glands, damage to this vertebra may produce severe symptoms in the kidney area. Any damage to the thoracic vertebrae causes moderate to severe back pain that is exacerbated by movement.

How is a compression fracture of the back treated?

The majority of fractures heal with pain medication, reduction in activity, medications to stabilize bone density, and a good back brace to minimize motion during the healing process. Most people return to their everyday activities. Some may need further treatment, such as surgery.

Is walking good for compression fractures?

However, this does not mean you should stay sedentary until the fracture heals. Low impact activities, such as walking or tai chi, are good for your heart, and a healthy circulatory system can increase blood flow to the fracture and help your bones heal faster.

Is bed rest good for compression fracture?

In conclusion, the short term bed rest period is recommended in compression fracture patients to reduce the treatment period and inconvenience of the patients.

What does the T9 vertebrae control?

These vertebrae, 12 in total, support your ribs and upper body, and protect some of the most important nerves in your body. The T9 is comprised of a solid bone mass which faces front and protects the discs which in turn protect the nerves inside.

Can a compression fracture get worse?

The main symptom you'll notice with a spinal compression fracture is back pain. It may start gradually and get worse over time or come on suddenly and sharply. But regardless of how it happens, it's important to let your doctor know about it, especially if you're a woman who is near or over age 50.

Is a compression fracture considered a broken back?

A compression fracture occurs when the front of a vertebra breaks and loses a little of its height, but the back of that vertebra remains intact. Symptoms include pain in the back and sometimes in the arms or legs.

What happens if a compression fracture goes untreated?

If left untreated, the fractured vertebra can eventually collapse causing pain, limited mobility, and deformity. These fractures are most common in the thoracic spine, which is below the upper body and centered in the middle of the back.

How long does it take to get over a compression fracture?

Compression fractures usually heal on their own in about 3 months. While that happens, your doctor may suggest you try some things at home that can make you feel better, such as pain medicines, rest, physical therapy, or a back brace.

How do I strengthen my back after a compression fracture?

0:395:45Exercises for back pain after spinal fractures - YouTubeYouTubeStart of suggested clipEnd of suggested clipWhat I'm going to ask you to do is to bring your arms outward squeezing your shoulder bladesMoreWhat I'm going to ask you to do is to bring your arms outward squeezing your shoulder blades together at the back to do this exercise.

What is the treatment for a vertebral fracture?

Fracture treatment. Treatment for the vertebral fracture will typically include non-surgical care, such as rest, pain medication, use of heat or ice for local pain, and slow return to mobility. Surgery may also be advisable.

What is the treatment for a spinal fracture caused by osteoporosis?

Treatment of a spinal fracture caused by osteoporosis is usually two-pronged, including both treatment of the fracture, and treatment of the underlying osteoporosis that led to the fracture. Vertebral Augmentation for Compression Fractures.

What is the procedure for a spinal fracture?

Vertebroplasty After a Painful Spine Fracture. Kyphoplasty: Similar to vertebroplasty, kyphoplasty is a minimally invasive procedure designed to reduce or stop the pain caused by a spinal fracture, to stabilize the bone, and to restore some or all of the lost vertebral body height due to the compression fracture.

What type of surgery is used to heal a fractured vertebra?

The two most common types of surgery for this type of fracture are vertebroplasty and kyphoplasty. Both types of surgery can help the fracture heal. Vertebroplasty: This minimally invasive treatment is designed to help reduce or eliminate pain caused by a fractured vertebra and stabilize the bone.

How to prevent future fractures?

Helping prevent future fractures by treating the osteoporosis. After sustaining one vertebral fracture, the patient is at risk for more fractures, so treatment of the patient’s underlying osteoporosis is an important part of the treatment plan.

What is the best treatment for osteoporosis?

Osteoporosis treatment will typically include one or a combination of the following: calcium supplements, increased vitamin D, weight-bearing exercises, and hormone replacement therapy for women. See Osteoporosis Treatment and Management.

What is compression fracture?

What is a Compression Fracture? A compression fracture is a type of broken bone that can cause your vertebrae to collapse, making them shorter. This often happens to the front of the vertebrae but not the back, causing you to stoop forward over time.Compression fractures are caused by:

How to reduce risk of fracture?

You can reduce your risk for a compression fracture by taking a few key steps , similar to the precautions for avoiding osteoporosis: Consume enough vitamin D and calcium — including such calcium-rich foods as milk, cottage cheese, yogurt, sardines and broccoli.

How to prevent bone loss?

Take medications to prevent bone loss or spur bone growth, as prescribed by your doctor (fracture patients are at high risk for additional fractures) Stop smoking, to reduce the risk of osteoporosis and some types of cancer that can spread to the bones. Avoid excessive drinking.

Can a compression fracture cause back pain?

If a compression fracture develops quickly, you may feel sudden, severe back pain. A fracture doesn’t always cause immediate symptoms, though. Instead, your doctor may notice it when giving you an X-ray for another reason.When a compression fracture starts harming vertebrae, you may feel: Slowly worsening back pain — lying on your back may relieve ...

Overview

Compression fractures are small breaks or cracks in the vertebrae (the bones that make up your spinal column). The breaks happen in the vertebral body, which is the thick, rounded part on the front of each vertebra. Fractures in the bone cause the spine to weaken and collapse. Over time, these fractures affect posture.

Symptoms and Causes

Compression fracture symptoms range from mild to severe. Some people may not have symptoms. Their provider may discover the fracture when they do an X-ray for another condition. But many people are unable to stand or walk without pain. Symptoms of a fractured spine include:

Diagnosis and Tests

To diagnose a compression fracture, your provider will examine you and ask about your symptoms. During the exam, your provider:

Management and Treatment

Compression fracture treatment focuses on relieving pain, stabilizing the bones in the spine and preventing another fracture. Depending on the severity of the fracture and your overall health, treatment may include:

Prevention

You may not always be able to prevent compression fractures. To reduce your risk of a compression fracture from osteoporosis, you should:

Living With

If you have sudden back pain that doesn’t get better after a day or two, see your provider. It’s important to get an evaluation for back pain so your provider can determine the cause and plan treatment. Call your provider right away if you’re over 65 or you have osteoporosis or a history of cancer.

Where does a compression fracture occur?

A compression fracture can happen anywhere along the spine. The incidence of thoracic compression fracture is the highest among all parts of the spine because this area is the one where the postural stoop (or kyphosis) will occur. You could experience a lumbar compression fracture when you have an impact.

Why does Brenda wear a compression fracture brace?

She uses it for support when sitting in a chair because it helps cushion the lumbar area. Compression Fracture Brace for Gardening. In the garden, Brenda wears a heavy-duty compression fracture brace for lumbar support. (Brenda uses the Bauerfeind Brace in the illustration to the right.)

What type of fracture did Brenda have?

Unfortunately, a series of x-rays showed that Brenda had a 70% T9 compression fracture. It was a thoracic compression fracture and four other vertebrae had some level of compression. Thoracic Compression Fracture Physical Therapy Treatment.

What was Brenda's job before the compression fracture?

Before the compression fracture, Brenda was the “Energizer bunny”. She was involved in the community association, university women’s group; did things at home like refinishing furniture for her daughter; and was engaged in lots of activities. But all that changed 100% because of the pain. Gardening.

Is it good to exercise before a compression fracture?

There are considerable benefits to being fit before the compression fracture. Unfortunately, a lot of women and men do not exercise until something happens and their body does not have a positive association with exercise. Brenda did. As a result, Brenda was used to muscle soreness from vigorous exercise.

Does kyphoplasty stop compression fractures?

Although a vertebral kyphoplasty can give you pain relief, it doesn’t actually stop the progression of further compression fractures. The importance of good body mechanics and diligence during your exercises is really important — despite having that type of intervention.

Why are T9 and T12 considered transitional vertebrae?

Sections T9 - T12 are known as transitional vertebrae because of their proximity and similarity to the lumbar vertebrae. The spinal cord and nerves’ correlation to these levels, along with the rest of the thoracic spine, aid in controlling the trunk of the body. The completeness of the spinal cord damage will determine how severe an injury truly is ...

What are the symptoms of a T11 injury?

A T11 injury will demonstrate itself by severe back and leg pain. If the nerves in the T11 vertebrae are damaged, common symptoms include weakness and numbness in these areas.

What is a burst fracture?

Thoracic vertebrae breaks can shatter one vertebra into multiple pieces, which is known as a burst fracture. Severe trauma, such as a motor vehicle accident, can account for shattering vertebrae. Thoracic vertebrae breaks need immediate attention since the bone fragments can become displaced and harm the spinal cord.

What is the T12 vertebra?

The T12 vertebra is the last member of the thoracic spinal column before transitioning into the lumbar section of the spinal column. The twelfth thoracic vertebra is the largest of the thoracic vertebrae.

Why do thoracic vertebrae fracture?

Thoracic Vertebrae Fractures. Thoracic vertebrae fractures are usually due to accidents with hard falls and physical trauma, or conditions such as osteoporosis. This injury occurs when the vertebrae spine collapses in its weakened state due to pressure.

What is the eleventh thoracic vertebra?

The eleventh thoracic vertebra (T11) is one of the last thoracic spinal vertebrae. It’s the first of the transitional vertebra that is not attached to a true rib, meaning a rib bone that connects to the chest’s sternum.

What happens if you get a T10 vertebrae?

An injury to the T10 vertebra will likely result in a limited or complete loss of use of the lower abdomen muscles, as well as the buttocks, legs, and feet. A minor injury will result in minor symptoms such as weakness, numbness, as well as partial or complete lack of muscle control over only one side of the body. Severe damage to this vertebra can result in complete paraplegia .

What is the best treatment for a compression fracture?

The most important step in treating compression fractures is prevention and treatment of osteoporosis. When vertebral compression fractures become symptomatic and cause disability, several treatment options are available, including kyphoplasty to alleviate pain and correct the sagittal imbalance of the spine.

What causes a spinal compression fracture?

When patients younger than age 55 years present with compression fractures, malignancy should be considered as a possible cause of the fracture.26.

What is the most common etiology of vertebral compression fractures of the spine?

Etiology of Vertebral Compression Fractures of the Spine. The most common etiology of VCFs is osteoporosis , although trauma,12infection, and neoplasm can also lead to VCFs.13,14Postmenopausal women have the greatest risk because of hormonal changes that can lead to osteoporo tic bone.

How many vertebral compression fractures occur in the US every year?

Compression fractures affect many individuals worldwide. An estimated 1.5 million verte bral compression fractures occur every year in the US. They are common in elderly populations, and 25% of postmenopausal women are affected by a compression fracture during their lifetime. Although these fractures rarely require hospital admission, ...

What does a T score of –2.5 mean?

According to the World Health Organization, a T score less than –2.5 indicates osteoporosis, while T scores from –1 to –2.5 indicate osteopenia or decreased bone density,36and T scores greater than –1 are normal. Classification of Vertebral Compression Fractures.

What to do if you have a compression fracture?

You want to ease the pain, heal the fracture, and treat the osteoporosis that weakened your bones and caused them to collapse .

How long does it take for a compression fracture to heal?

Compression fractures usually heal on their own in about 3 months. While that happens, your doctor may suggest you try some things at home that can make you feel better, such as pain medicines, rest, physical therapy, or a back brace.

What is the best medicine for pain?

Pain Medicine. You can often get relief with an over-the counter drug like acetaminophen or ibuprofen. Check with your doctor to see which one is right for you. Your doctor might prescribe a stronger medicine for more intense or persistent pain. The doctor might also suggest you take the hormone calcitonin.

Does bracing help with compression fractures?

There isn't much research to prove that a brace helps heal compression fractures, but one study shows it can ease pain. Prevent Further Fractures. In the short term, treatments like pain medicines, physical therapy, and bracing might help ease your pain and get you moving again.

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Purpose

  • When Brenda prepared for todays talk, she realized how frustrated she was with her situation. She felt despair and anger because of her compression fractures. I asked her not to emphasize her frustration but, instead, share the tactics that have helped her deal with her compression fractures. Brendas story is meant to help all of those individuals, men and women, with compres…
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Personal

  • Brenda is a retired teacher. She has always enjoyed gardening, bi-weekly exercise classes, and daily walks.
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Health

  • In her thirties Brenda realized that she needed to look after her bones. Her mom had fractured both of her hips as well as her pelvis. Brendas genetics and family history of osteoporosis were red flags indicating that she might have some issues with her bones sometime in the future. A routine DEXA (Dual-Energy X-ray Absorptiometry) test and FRAX score, in 2011, showed that Bre…
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Treatment

  • Her General Practitioner recommended bisphosphonates, but she couldnt tolerate them. He switched her to Prolia. She was on Prolia for four years. A repeat DEXA showed that she had improved, so she discontinued her Prolia injections in the spring of 2015. She was excited because she felt she had turned the corner. Brenda concluded that her bones were healthy beca…
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Symptoms

  • Unfortunately, that dream holiday became a nightmare. On the first day of the trip she experienced severe back pain (to learn more about the relationship between compression fractures and back pain, please read the section later in this blog post) when she moved some heavy bags. She was able to manage the pain because she had some over-the-counter pain medication with her. How…
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Results

  • Although a vertebral kyphoplasty can give you pain relief, it doesnt actually stop the progression of further compression fractures. The importance of good body mechanics and diligence during your exercises is really important despite having that type of intervention.
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Risks

  • Further, the vertebral kyphoplasty could be detrimental because it could make one strong section with weaker bones around it.
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