The high number of fragility fractures, especially vertebral fractures (VF) in women with postmenopausal osteoporosis needs to be addressed.

Fractures are the most common complication of osteoporosis and can occur in any part of the body; the common ones are the vertebral, proximal femur and distal radius. When left untouched, fracture increase morbidity, pain and mortality.

Fractures also yield some degree of disability and, in some cases, as with hip fractures, increases the risk of death. Therefore, the evaluation of Pain Clinic Chicago treatments, both preventive, management and therapeutic is of paramount importance. Let's take a look at typical fractures triggered by osteoporosis.

Treatment of acute pain from vertebral fractures

During acute pain episodes, prescription orthotics should be used with caution to avoid excessive spinal immobility that can cause decreased bone mass. The drugs listed include conventional analgesics: paracetamol, codeine or a combination of both.

Another pain relief treatment used by Back Pain Specialists in Chicago tramadol (opioid low), which behaves as an effective analgesic in most cases. NSAIDs can also be used to control pain and inflammation especially when one is dealing with acute pains like back pains.

Treatment of back pain caused by vertebral fracture

Treatment should begin as soon as possible to reduce pain and prevent the occurrence of new fractures in the back. The patient should maintain their intake of calcium and vitamin D, as well as adhered to adequate physical exercises avoid toxic elements as well as prevent unnecessary falls during treatment. Some common back pain fracture treatments offered by Pain Management doctors Chicago include:

Calcitonin- Acts as an anti-resorptive agent and reduces the incidence of VF by 33 to 36% and pain associated with recent FV. The most commonly used form of administration is a daily dose of 200 mg.

Etidronate- Was the first bisphosphonate used in the treatment of back pains caused by osteoporosis. Should be administered intermittently, typically 400mg daily for two weeks, every three months. Produces a significant increase in bone mineral density (BMD) with variable rates of reduction FV.

Alendronate- This one has been studied extensively and is useful in the treatment of osteoporosis-related pains including your dreaded back pains. It increases BMD at all sites, reduces the incidence of VF, hip, and Colles, and decreases the risk of VF after a year of treatment. This is the most common treatment at Chicago Pain Centers.