Dr. Jordan Sudberg on Spinal Compression Fractures: How to Treat the Pain and Reclaim Your Life

Back pain can have many causes, but few are as sudden, debilitating, and life-altering as a spinal compression fracture. Most common in older adults—especially those with osteoporosis—these fractures often go undiagnosed, leading to lingering pain and posture problems that significantly reduce quality of life.

Fortunately, there are more treatment options than ever before, from conservative pain management to minimally invasive procedures. To better understand how spinal compression fracture pain can be treated, we turn to Dr. Jordan Sudberg, a leading pain management specialist with years of experience helping patients recover from spinal trauma.

What Is a Spinal Compression Fracture?

A spinal compression fracture occurs when one of the vertebrae—the small bones that form your spine—collapses due to weakness or trauma. These fractures typically affect the thoracic (mid-back) and lumbar (lower back) vertebrae.

Dr. Jordan Sudberg explains:

“Unlike typical fractures caused by high-impact injuries, compression fractures are often the result of weakened bones from osteoporosis or spinal degeneration. They can happen suddenly, even from simple actions like coughing, sneezing, or bending forward.”

Who’s at Risk?

While anyone can suffer a spinal fracture from a traumatic accident, the majority of spinal compression fractures are osteoporotic in nature—meaning they stem from low bone density.

High-risk groups include:

• Women over 60
  
• People with osteoporosis
  
• Long-term corticosteroid users
  
• Individuals with a history of cancer (especially metastatic to bone)
  
• Those with chronic spinal conditions
  

Symptoms: More Than Just a Backache

Compression fractures can often go unrecognized, especially when they happen gradually. Many people chalk up the discomfort to common back pain, which can delay proper treatment.

Common symptoms include:

• Sudden onset of sharp back pain
  
• Worsening pain when standing or walking
  
• Relief when lying down
  
• Loss of height
  
• Curved or hunched posture (kyphosis)
  
• Limited spinal mobility
  

Dr. Sudberg adds:

“If someone over 50 experiences sudden, unexplained back pain, especially with height loss or posture changes, it’s crucial to evaluate possible compression fractures. Early intervention can make a huge difference.”

Diagnosing a Compression Fracture

An accurate diagnosis is the first step to effective treatment. Dr. Sudberg typically begins with a detailed history and physical exam, followed by imaging tests such as:

• X-rays: To detect fractures or changes in spinal alignment
  
• MRI: To assess recent vs. old fractures and soft tissue involvement
  
• CT scans: For detailed bone imaging, especially before procedures
  

Pain Management Options: Finding Relief Without Surgery

Not all compression fractures require surgery. In fact, most can be treated conservatively, especially if they’re stable and the pain is manageable.

1. Pain Medications

Dr. Sudberg emphasizes a balanced approach to medication, often combining:

• Over-the-counter NSAIDs (e.g., ibuprofen, naproxen)
  
• Acetaminophen
  
• Short-term opioids for severe pain
  
• Muscle relaxants for associated spasms
  

“We want to control pain without creating dependency. The goal is to allow patients to move safely, which promotes healing.”

2. Bracing

A spinal brace (thoracolumbar orthosis) may be used to immobilize the affected area, reduce movement, and prevent further collapse.

Wearing the brace for a few weeks can help stabilize the spine and ease pressure, though it must be balanced with periods of movement to prevent muscle atrophy.

3. Physical Therapy

Once the acute pain subsides, physical therapy is crucial to rebuild strength, improve posture, and avoid future fractures.

Key components include:

• Core stabilization exercises
  
• Gentle weight-bearing activity
  
• Postural training
  
• Flexibility and balance work
  

Dr. Sudberg encourages guided rehab:

“Movement is medicine. Proper exercise not only aids recovery—it strengthens the spine and reduces the risk of future fractures.”

Advanced Options: Minimally Invasive Procedures

For patients with severe, persistent pain or fractures that don’t heal with conservative treatment, two minimally invasive procedures are often considered:

1. Vertebroplasty

A procedure in which medical-grade bone cement is injected directly into the collapsed vertebra to stabilize it. This can relieve pain within days and prevent further collapse.

2. Kyphoplasty

Similar to vertebroplasty, but involves first inserting a balloon into the vertebra to create space, then filling it with cement. Kyphoplasty can restore some lost vertebral height and correct spinal curvature.

Dr. Sudberg explains:

“These procedures aren’t for everyone, but for the right patient, they offer rapid and lasting relief. Patients often report significant improvement in pain and mobility within a week.”

Long-Term Management: Preventing the Next Fracture

A spinal compression fracture is often a red flag for underlying issues like osteoporosis, which means prevention is just as important as treatment.

Dr. Sudberg’s long-term recommendations include:

• Bone density testing (DEXA scan) for anyone over 50 with a fracture
  
• Calcium and vitamin D supplementation
  
• Prescription osteoporosis treatments (e.g., bisphosphonates, hormone therapy)
  
• Fall prevention strategies in the home
  
• Weight-bearing exercises to strengthen bones
  

“We treat the fracture—but we also work to ensure it’s the last one,” he says. “Prevention is a lifelong strategy.”

Emotional and Psychological Impact

Living with a compression fracture isn’t just a physical challenge—it can also impact emotional well-being. Chronic pain, reduced mobility, and changes in posture can contribute to depression, anxiety, and social withdrawal.

Dr. Sudberg notes:

“Chronic pain isolates people. That’s why part of our treatment includes mental health support and empowering patients with education and community resources.”

Final Thoughts: Hope After a Fracture

A spinal compression fracture can feel like the beginning of physical decline—but it doesn’t have to be. With proper diagnosis, treatment, and prevention, most people can regain function, reduce pain, and enjoy an active lifestyle once again.

Dr. Jordan Sudberg believes in a full-spectrum, patient-centered approach:

“Whether through medications, physical therapy, or advanced procedures, our goal is simple: help patients live better lives with less pain and more confidence.”

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