Osteoporosis & Fractures

“Osteoporosis weakens the bones over time, increasing the risk of fractures, particularly in the spine. Compression fractures can lead to back pain, loss of height, and reduced mobility. Early detection and proper management are essential to prevent further bone loss and complications. With a personalized, non-surgical approach, many patients can manage symptoms, reduce fracture risk, and maintain function. I can help guide you toward safer, more effective care.”

-Dr. Anatoly Pisman, MD

What is Osteoporosis & a Compression Fracture?

Osteoporosis is a condition characterized by decreased bone density and strength, making bones more fragile and prone to fractures. When this affects the spine, it can lead to compression fractures, where a vertebra collapses under pressure.

Compression fractures most commonly occur in the thoracic and lumbar spine and may develop gradually or suddenly, sometimes without a significant injury. These fractures can contribute to chronic back pain and changes in posture.

Common Causes

Osteoporosis and compression fractures develop due to a combination of biological and lifestyle factors:

Symptoms of Osteoporosis & Compression Fractures

Symptoms may vary depending on the severity and location of the fracture. Some compression fractures may initially go unnoticed, while others present with noticeable pain.

When to See a Doctor

Medical evaluation is recommended if you experience sudden back pain, unexplained height loss, or changes in posture. Individuals with known osteoporosis or risk factors should be regularly monitored. Prompt assessment can help confirm fractures and prevent further bone complications.

Diagnosis & Testing

Diagnosis typically involves a physical examination along with imaging studies such as X-rays, CT scans, or MRI to identify fractures and assess bone structure. Bone density testing (DEXA scan) may be used to evaluate the severity of osteoporosis. In certain cases, additional evaluation may be performed to determine underlying risk factors.

Non-Surgical Treatment Options

Most compression fractures can be managed without surgery. Treatment focuses on pain control, stabilization, and preventing further bone loss. This may include activity modification, bracing, physical therapy, and medications to strengthen bone density.

In some cases, minimally invasive procedures such as vertebral augmentation may be considered for pain relief and stabilization. A personalized treatment plan helps reduce symptoms, improve mobility, and lower the risk of future fractures.

What to Expect at Your Visit

During your visit, your symptoms, medical history, and risk factors will be carefully evaluated. A physical examination will assess posture, spinal alignment, and areas of tenderness. Imaging may be recommended to confirm fractures or assess bone health. Based on your evaluation, a customized treatment plan will be developed to manage pain, support bone strength, and improve function.