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Compression Fracture T4 T5 How?
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AAL5575 posted:
I am a healthy 33yr old male who works out regularly and maintains a healthy diet. I was diagnosed on 9/29 with having 2 compression fractures of the T4 and T5 vertebrae. To give some background, I woke up on 9/26 at 2am complaining of major back pain. So severe I couldn't even walk. I crawled into the shower to help relieve the pain but w/ no success. I took some alieve and laid back down and woke up around 730 in the same amount of pain. I had a friend come over w/ some bayer, icee hot pads, and warming pad to help with the pain. Around 1pm she left me to grab some lunch, upon her return I was having a gran mall seizure. I finally woke up as I was being brought into the ER. After CAT scans and MRI's I was cleared to go home but was prescribed pain meds for my back thinking it was just a muscle strain. As the weekend went by the pain increased and eventually we made an appointment with my primary on Monday. I was immediately admitted to the hospital where MRI's of my back were performed to reveal the compression fracture of my T4 and T5 vertebrae. I was fitted with a brace and a bone biopsy was performed along with other tests. It was identified I have a low Vit D level and that my bone biopsy was normal. A bone scan was also performed where no deficiencies were identified, except for the fracture. My question is how can a healthy 33 year old suddenly wake up w/ 2 vertebrae fractures? I was not involved in any recent accidents or sport injuries. I'm thankful no serious issues were found in the Biopsy, but I still have no answer as to how or why this happened! Can anyone provide some advice?
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bonebabe responded:
I would have a DXA scan that would measure the density of your bones. The MRI and CT scans won't do that. Also your family history of osteoporosis (family member getting shorter, breaking a hip or having the diagnosis) would be a big clue. Low testosterone is another reason men have low bone density as are taking prednisone and antiseizure drugs. Always in a young person, especially a male, if the bone density test comes back low, a primary cause should be looked into. Without the presence of the above factors, osteoporosis is deemed to be secondary to something else going on with you - possible some malasborption issue like Crohns or IBS. Good luck to you on this.
 
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edin1 responded:
Hi

I've suffered almost exactly the same set of symtoms. Can you please advise me what the final diagnosis was and how you resolved the issue

Thanks
 
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berns70 replied to edin1's response:
Hi! My 68 yr old mother with osteoporosis with compression fructure on her T12 and her primary MD suggested some treatment options
1. Surgery. Where they will inject a needle into the affected area and inject a solution that will serve as a cement into the area affected to fix it back to its original size.
2. thoracolumbar brace "fiber glass" made which the MD says it fits much better and immobilizes good but the problem with it is that it is too hot and it may be uncomfortable because she is in tropical area where it is hot and humid. or the alloy made brace.
3An injections? of I guess Vit d or calcium that would absorp thses vit and miniral faster and says the shot is once a year depending on the condition of the bone.
4. Oral vit d and calcium supplement.

My questions is. Are these the usual course of treatment for this problem? Any other options available.

Thanks
 
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berns70 replied to bonebabe's response:
Hi! My 68 yr old mother with osteoporosis with compression fructure on her T12 and her primary MD suggested some treatment options
1. Surgery. Where they will inject a needle into the affected area and inject a solution that will serve as a cement into the area affected to fix it back to its original size.
2. thoracolumbar brace "fiber glass" made which the MD says it fits much better and immobilizes good but the problem with it is that it is too hot and it may be uncomfortable because she is in tropical area where it is hot and humid. or the alloy made brace.
3An injections? of I guess Vit d or calcium that would absorp thses vit and miniral faster and says the shot is once a year depending on the condition of the bone.
4. Oral vit d and calcium supplement.

My questions is. Are these the usual course of treatment for this problem? Any other options available.

Thanks
 
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bonebabe replied to berns70's response:
The surgery you're referring to would be either kyphoplasty or vertebrplasty. They are both standard for compression fractures and highly effective. They give immediate relief. The vertebrplasty must be done on a fairly recent fracture, while the kyphoplasty can be used on older fractures. Both are outpatient and don't usually even involve an overnight stay.A good option.

The brace may be uncomfortable for her especially in a tropical area. I'd talk to the doctor about the surgery.

The injections you mention could be either Reclast (an annual IV infustion of an osteo drug), Vitamin D or maybe even Forteo, which is a 2 yr course of treatment involving tiny injections each day.

No matter what she decides, she needs to take in 1200 mg of calcium each day and at least 1000 IU of Vit D each day. Look at the National Osteoporosis Foundation website for more information and answers to questions you may not even have thought of yet. The website is www.nof.org .
 
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87firebird305ho replied to bonebabe's response:
Hi. I recently joined Web MD and the discussion. I was diagnosed with three Thoracic Spinal Compression Fractures T4, 5, and,6 in 2003 after a Mountain Biking accident. As a result of not having ANY medical insurance at the time, I was prescribed a Brace and some pain meds, and then sent home. Now, here it is 11years later, (I have insurance) and I can really feel it!!! One Med Professional said "This will haunt you for the rest of your Physical life". I am Healthy, Good diet "Mostly:)" I take Mens Centrum daily. I am active into repairing automobiles. Sometimes the pain gets so great that its Literally Crippling. I can't Lay Down, I can't sit at my computer upright in a chair, There is alot that I do to Compensate that I have learned over they years. Like using Handcarts, and surly asking for help to lift something heavy, Like and Engine or a Transmission. I am the Lightweight Skinny, Tall guy at the shop. The Little Fragile Guy if you will. I do see a Pain Management Physician once a month, because a year ago I established insurance to finally seek treatment. When He xrayed my Chest and Back, He Was Floored! He asked how long had I been suffering this condition, I told him ten years. He Immediately began to Prescribed for me so I could seek some relief. Surgery is no longer and option for me. Other research I have done insist that Internal Fixation for Compression Fractures is only available a very short period after the Initial Injury occurs. The Physician I mentioned said that I already suffer a significant measure of Kyphosis, (spinal Curvature) and suggested exercises to correct Posture. Our center of Gravity when the head is Straight Upright on The Shoulders, and The Chest is "bowed out" Gives the Spine it's most Straight Natural Position. AND IT HURTS LIKE HELL But, I have to do it to fight the Kyphosis. Also it was suggested to Stand with my back Flat against a wall, and Practice touching the wall with The Scapulas, or Shoulder baldes. This helps to Correct Kyphosis and Posture as well. There's Not to many options left for me at this point. I found I can't shovel Mulch or Dirt. I can't even Dig to Plant things for my Wife. When I insert the Shovel, and Fill the Blade with the material, I feel an "Electrical"shock in between my shoulder blades. I believe the electric shock to be a nerve issue. My Chronic Pain is Musculoskeletal too. When I got the Injury, the Muscles around the my Upper Spine grew back all "Knotted". Physical Exercises, and Muscle Relaxants were suggested to correct the Musculoskeletal aspect of my injuries. Nothing Really Makes the Pain "Go Away". Its Here to Stay For me, and I have accepted that. I get Picked on alot at work about being skinny. But what these Guys don't get is the saving yourself for the future kinda work around the shop. Like Don't be just Picking up something that's very, very heavy to prove "Your a Man". That attitude hurts me to even watch! But, if those guys can, Have at it! I make it somehow, Day in and Day out. With a "Broke Back" Too! Thanks For Reading Along.
 
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bonebabe replied to 87firebird305ho's response:
I'm so sorry you're having this pain. Perhaps a chiropractor could help with the alignment and the muscle spasms. I personally have been helped a lot by a wonderful chiro.

Your body's perfect postural alignment is for the ears, shoulders and hips to be in a straight line. You can check yourself in the mirror to see if you're doing it correctly.

Unfortunately there's not much that can be done to reverse a fracture as old as yours. It might be worth your while to talk to a radiologist in your local hospital about kyphoplasty. Radiologists and spinal specialists usually perform this. Sometimes it can be done on very old fractures, depending on the fracture position and the health of the bone. Ask. And good luck to you!
 
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katellawellnesscenter replied to bonebabe's response:
I totally agree with bonebabe that you teed to go see a chiropractor as he will be able to adjust your bones to give you relief from the pain.There are other techniques like ART(Active release technique or Laser technique treatment which are helpful in fast healing and relief from pain.
It is also very necessary for you to have a calcium rich diet as you have a family history of osteoporosis.A bone Density examination will also help to keep a check on your future condition.


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