Spinal Fractures

Following a spinal osteoporotic fracture, your doctor may suggest:

• pain relief with anti-inflammatory drugs (NSAIDs)
• abdominal bracing exercises
• exercises to help posture
• physiotherapy

It is important to exercise under the supervision of a physiotherapist to reduce the risk of falling and further injury.

The pain from spinal or vertebral crush fractures is usually short-term (6 - 8 weeks) and should resolve as the fracture heals. However, permanent changes to your posture can lead to chronic pain.

If you have had multiple crush fractures, pain relief medications given in combination with TENS (Transcutaneous Electrical Nerve Stimulation) and relaxation techniques have been shown to be effective. Talk to your physiotherapist about TENS machines and other pain-relieving treatments.

Hip Fractures

Depending on your age and the type of surgery you have, you may go to a rehabilitation hospital after your hip surgery. This will help you to become as physically independent as possible.

You may continue rehabilitation at home or as an outpatient at the hospital. Home-based rehabilitation after any fracture usually includes various combinations of muscle strengthening, walking, transfer and balance training supervised by a physiotherapist.

State Osteoporosis Foundations run osteoporosis Self-Management Programs for people who have osteoporosis and fractures. These courses also include sections on pain management and falls prevention strategies. Contact your state office for more information.

Hydrotherapy

Hydrotherapy is also a good place to start your rehabilitation program after a frature. You can do strengthening exercises in the water, and the warmth and buoyancy make slow, gentle movements easier.
Note: Hydrotherapy will not prevent bone loss or build bone strength. See Exercises for strong bones.