Spine’s Silent Warning
by Ann Butenas
Why sudden back pain after a fall could signal a serious condition requiring immediate medical attention.
I just had a fall. Could I have a compression fracture?
A fall might seem minor, but it could signal something more serious. To understand when to be concerned, we spoke with Dr. C. Lan Fotopoulos, a board-certified interventional physiatrist at Kansas City Orthopedic Alliance who specializes in treating complex back and neck conditions.
“Compression fractures often occur from seemingly minor incidents, and they’re more common than many realize,” explained Dr. Fotopoulos. “Doctors frequently see patients surprised to learn that everyday activities can trigger compression fractures, especially in those with underlying bone weakness.”
Unlike typical back pain that might come and go or gradually worsen with activity, compression fracture pain tends to be sharp, immediate, and severe, especially when standing or walking. The pain often occurs in a specific spot along the spine rather than being spread across the lower back.
“What’s particularly important to understand,” Dr. Fotopoulos added, “is that a compression fracture usually comes on suddenly from an initiating event, like a fall or even sitting on the toilet. Patients experience immediate onset of acute back pain that is aggravated with flexion and any type of weight-bearing motion.”
The key point is that a compression fracture is often the first sign of an underlying condition, usually osteoporosis. It’s essentially the skeleton sending an urgent message that needs attention. For women, the risk is particularly high due to hormonal changes affecting bone density after menopause, as estrogen and progesterone play crucial roles in calcium production. While less common, men can also experience compression fractures.
What can I expect after I sustain a compression fracture?
First, Dr. Fotopoulos will fit the patient with a lumbar brace for support. If needed, he may recommend a minimally invasive procedure to stabilize the fracture. The medical team ensures a sterile environment and may prescribe antibiotics before and after the procedure. While patients need to temporarily stop blood thinners before any procedure, they can resume regular medications afterward, and there are no restrictions on activity levels or diet.
However, treating the fracture is just the beginning. The next important step is preventing future fractures by addressing the underlying cause. The treatment plan typically includes:
- Bone density testing
- Possible referral to a bone health specialist or endocrinologist
- Medications to strengthen bones and reduce further bone loss
- Calcium and Vitamin D supplements
- A safe weight-bearing exercise program
According to Dr. Fotopoulos, patients with osteopenia (less severe bone loss than osteoporosis) who experience a compression fracture will be treated as if they are osteoporotic to prevent future incidents. Dr. Fotopoulos strongly encourages movement after treatment. Getting up and staying active is essential for recovery.
Further, if a patient smokes, quitting will significantly improve bone health and overall healing. The good news is that with proper treatment and lifestyle modifications, most patients return to their normal activities and can take steps to prevent future fractures.
Dr. C. Lan Fotopoulos is a board-certified interventional physiatrist at Kansas City Orthopedic Alliance, specializing in back and neck pain treatment.
For more information on compression fractures or to contact Dr. Fotopoulos with Kansas City Orthopedic Alliance call or visit: 913-319-7678 ext 3109 KCORTHOALLIANCE.COM
