
How Does Osteoporosis Cause Compression Fractures?

Our bones naturally lose some density as we age, but for those with osteoporosis, this process happens faster and more severely than normal.
Osteoporosis weakens bones, making them fragile and prone to fractures, even from minor movements or falls. One of the most common and painful fractures linked to osteoporosis is a compression fracture, which typically occurs in the spine.
Why is a bone condition the culprit behind painful compression fractures? That’s what Dr. Raul Lopez and our West Texas Pain Institute are here to uncover.
What is a compression fracture?
A compression fracture occurs when a bone in the spine, called a vertebra, collapses or becomes compressed due to weakness. Unlike other fractures that break in a clean snap, a compression fracture causes the vertebra to crumple inward.
These fractures can happen suddenly, like after a fall, or gradually over time, even from simple, low-impact activities like bending down or lifting a light object. They’re most common in the mid-to-lower back (the thoracic and lumbar spine) and can cause significant pain, mobility issues, and even height loss.
The link between osteoporosis and compression fractures
Osteoporosis is often referred to as a “silent disease” because it weakens the bones, often without noticeable symptoms, until a fracture occurs. Here’s a closer look at how this sneaky disease compromises your bones.
Bone density loss
Osteoporosis causes bones to lose minerals like calcium, making them porous and brittle. The spine supports your entire body, so when the vertebrae become too weak to handle everyday stress, they can easily collapse.
Everyday movements become risky
Other types of fractures typically happen from a traumatic event; compression fractures can occur from something as simple as twisting, bending over, or even sneezing too hard. The slightest movement becomes a huge risk when osteoporosis has weakened the vertebra enough.
Weight bearing becomes a problem
Your spine bears much of your body weight and is responsible for maintaining posture. When osteoporosis weakens these bones, they can no longer withstand the usual pressure and stress, leading to gradual spinal collapse or multiple compression fractures over time.
Loss of height and posture changes
As compression fractures compound, the vertebra continues to collapse, which can lead to kyphosis, a condition where the upper back develops a hunched or rounded appearance. This not only affects posture but also causes chronic back pain and makes it difficult to stand upright.
Symptoms of a compression fracture
It might sound strange, but since osteoporosis-related fractures can develop gradually, you might not always be immediately aware. There are some key signs to be aware of, including:
- Sudden or worsening back pain, especially in the mid-to-lower back
- Loss of height over time
- A stooped or hunched posture
- Pain that gets worse when standing, walking, or bending
- Limited spinal mobility
If you experience persistent back pain or notice a change in your posture, it’s crucial to make an appointment with Dr. Lopez to check for fractures, especially if you already know you have osteoporosis.
Preventing compression fractures
There’s no way to fully reverse osteoporosis, but you can strengthen your bones and reduce your fracture risk. Here’s how.
Focus on bone-friendly nutrition
You can eat your way to stronger bones by consuming plenty of calcium-rich foods (dairy, leafy greens, and fortified foods), protein, and magnesium.
Vitamin D is another key component to bone health. You can get it through your diet or spend time in the sunlight.
Do the right type of exercise
Walking, jogging, and resistance training help maintain bone density, and balance exercises (like yoga and Tai Chi) can reduce your fall risk.
Take care to prevent falls
Walk around your house and remove all tripping hazards, such as loose rugs and clutter. We also recommend wearing supportive shoes to improve stability and using assistive devices like handrails, canes, and grabbers.
How we can help
If you have osteoporosis, don’t wait for a fracture to happen before taking action. Dr. Lopez and our team can help you if you:
- Have chronic back pain that won’t go away
- Notice a change in height or posture
- Have had previous fractures
- Are at high risk for osteoporosis due to age, family history, or other conditions
We can assess your bone health and recommend treatments based on your needs. Certain medications, like bisphosphonates and hormone therapy, can strengthen bones and prevent compression fractures.
If you already have a compression fracture, we can discuss the possibility of kyphoplasty to repair the damage and restore your spine’s strength.
Compression fractures are a serious risk for anyone with osteoporosis, but they’re not inevitable. By focusing on bone health, exercise, and fall prevention, you can reduce your risk and maintain an active, pain-free life.
Have more questions about your spine health? Schedule a consultation with our expert online or over the phone at our El Paso, Texas, office today.
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