Vertebral Compression Fracture

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Understanding Back and Neck Pain

Radiculopathy occurs when a nerve root in the spine becomes compressed or inflamed, leading to pain, numbness, and weakness. It can affect both the lumbar (lower back) and cervical (neck) regions, often causing distress but is typically treatable. The compression of the nerve can result from various factors, including herniated discs, spinal stenosis, or degenerative changes in the spine. Symptoms can radiate down the arms or legs, depending on the location of the affected nerve. While radiculopathy can cause significant discomfort, treatment options such as physical therapy, medications, and in some cases, surgery, can help alleviate symptoms and improve mobility. Early diagnosis and intervention are key to managing the condition effectively.

Lumbar Radiculopathy

This condition results from nerve compression in the lower back, often due to herniated discs, degenerative disc disease, or spinal stenosis. Symptoms include sharp pain, tingling, numbness, or weakness radiating down the legs, commonly referred to as sciatica. Activities like bending, lifting, or twisting can aggravate the pain.

Cervical Radiculopathy

Cervical radiculopathy involves nerve compression in the neck, often caused by herniated discs or bone spurs. Symptoms include neck pain, tingling or numbness radiating into the arms, hands, or fingers, and weakness in the arms or hands, which may affect motor skills or grip strength.

Symptoms

Pain: Sharp, burning, or stabbing pain radiating into the limbs.
Numbness: Pins and needles sensation or loss of sensation along the nerve path.
Weakness: Decreased strength in affected muscles, leading to difficulty with movements.
Reduced Reflexes: Diminished or absent reflexes in the affected limb.

Diagnosis
A physical examination helps identify muscle strength, reflexes, and sensory deficits. Imaging tests like MRI or CT scans pinpoint the source and location of compression, and electromyography (EMG) may further assess nerve and muscle function.

Why Choose Harmony Pain Management?

Personalized Care

Custom treatment plans tailored to your needs

Advanced Treatments

Safe, effective interventional pain solutions

Comprehensive Approach

Multi-modal therapies to restore function

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Care led by Dr. Manjunath Shetty with empathy and professionalism

Full Support

Guidance through every step of your recovery and documentation

Support for Personal Injury Cases

We specialize in treating patients injured in auto accidents, workplace incidents, or other personal injury cases. Our team works closely with attorneys, insurance adjusters, and medical providers to ensure your treatment and documentation are handled with precision throughout your recovery process.

Overview and Treatment

A vertebral compression fracture (VCF) occurs when a vertebra collapses or breaks due to pressure, commonly caused by osteoporosis. It can lead to severe back pain, decreased mobility, and nerve compression, especially in the thoracic or lumbar spine.

Causes

Osteoporosis: The leading cause, making bones brittle and prone to fractures.
Trauma: Falls or accidents can cause vertebral collapse.
Cancer: Metastatic cancers weaken bones, leading to fractures.
Age: Natural bone density loss increases fracture risk, especially in older adults.
Steroid Use: Long-term corticosteroid use weakens bones, raising fracture risk.

Symptoms

Back Pain: Sudden, severe pain, especially with movement.
Height Loss: Collapsed vertebrae lead to noticeable posture changes.
Limited Mobility: Difficulty bending, walking, or lifting.
Nerve Compression: Numbness or weakness in limbs.
Deformity: Multiple fractures may cause visible spinal curvature.

Diagnosis

Physical Examination: Assesses pain, posture, and range of motion.
X-ray: Identifies vertebrae collapse and changes in bone shape.
MRI/CT Scan: Provides detailed images of soft tissues and fractures.
Bone Density Test: Evaluates osteoporosis and fracture risk.

Treatment

Pain Management: NSAIDs or stronger medications for pain relief.
Rest & Activity Modification: Resting initially but avoiding prolonged bed rest.
Physical Therapy: Strengthens muscles and improves flexibility.
Bracing: Stabilizes the spine during healing.
Vertebroplasty/Kyphoplasty: Minimally invasive procedures to stabilize vertebrae and restore height.
Surgery: Rarely required, for severe nerve compression or instability.

Conclusion
VCFs can be managed with early diagnosis and appropriate treatments like pain management, physical therapy, and minimally invasive procedures. For those with osteoporosis, proactive measures can help prevent future fractures. If experiencing severe back pain, consult a healthcare provider for proper evaluation and care.