FAQs About Compression Fractures
How long will I need to wear a back brace after a compression fracture?
The duration of brace use depends on the severity of the fracture and your provider’s recommendations. Most patients wear a back brace for 4 to 12 weeks to support the spine and reduce pain during the healing process. Your provider will guide you on when to discontinue its use, as prolonged wear can weaken surrounding muscles and bones.
Can you make a compression fracture worse?
Yes, certain activities can worsen a compression fracture, especially if the spine is placed under additional stress. Avoid heavy lifting, twisting motions, and high-impact activities during recovery. Working closely with your healthcare provider and following prescribed limitations can prevent further damage to the vertebrae and surrounding structures.
Who is at risk for a compression fracture?
Certain individuals are more prone to developing compression fractures due to factors that weaken the bones or place stress on the spine. You may be at higher risk if you:
- Are a postmenopausal woman: Hormonal changes during menopause can accelerate bone loss, increasing the likelihood of fractures.
- Have a condition that weakens bones: Diseases like osteoporosis, osteopenia, or cancers that spread to the bones can significantly reduce bone strength.
- Are 50 years of age or older: Bone density naturally decreases with age, making fractures more common in older adults.
- Have a history of compression fractures: Individuals who have experienced a compression fracture in the past are at higher risk for additional fractures.
Studies estimate that 40% to 50% of people aged 80 and older have experienced a compression fracture at some point. Other contributing factors include a sedentary lifestyle, poor nutrition (low calcium and vitamin D intake), and trauma such as falls or car accidents. Maintaining bone health through regular exercise, a nutrient-rich diet, and medical monitoring can reduce your risk.
What are the long-term effects of a compression fracture?
Untreated or multiple compression fractures can lead to:
- Kyphosis (hunchback): A forward curvature of the spine, which may result in chronic pain and difficulty with daily activities.
- Chronic pain: Ongoing discomfort that may require long-term pain management.
- Limited mobility: Reduced range of motion, impacting the ability to stand or walk for extended periods.
- Decreased quality of life: Pain and mobility limitations may interfere with work, exercise, and personal activities.
How do repeated compression fractures affect the spine?
When multiple vertebrae sustain fractures, the spinal column can begin to collapse. This can cause a forward curve known as kyphosis or a “hunchback” posture. Over time, this spinal deformity may contribute to chronic pain, limited mobility, and further complications that reduce overall quality of life. Early diagnosis and treatment are crucial to prevent such outcomes.
Can I drive with a compression fracture?
Driving with a compression fracture depends on the severity of your condition, the level of pain you’re experiencing, and your mobility. If your provider has prescribed a back brace or pain medications, it’s important to follow their recommendations closely. Pain medications, especially those that cause drowsiness or impair reaction time, may make it unsafe to drive. Additionally, twisting motions, such as turning to check blind spots, could worsen the injury.
Before driving, consult your healthcare provider to ensure it is safe for you to do so. They may suggest limiting driving during the initial recovery period and resuming only when pain is under control and mobility has improved. Prioritizing your safety and recovery is essential to prevent complications or further injury.
