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How do I know if I have a spinal fracture?

At the Center for Better Bones, I frequently see middle-aged women who have just received a bone density test and have been told they have the bones of an “80-year-old” or something equally frightening. Many become terrified, and some start to wonder if that lower back pain they experience from time to time could really be from a dreaded spinal fracture. Usually this isn’t the case, but the worry created by the medical pronouncement can produce long-term damage, both physically and emotionally. So I always recommend finding out whether there really is any existing spinal fracture, or even any slight deformity. This can now be done by a special x-ray test known as the “Vertebral Deformity Assessment” or the “Vertebral Fracture Assessment.”

spine image

Just like the bone density test, the Vertebral Deformity Assessment uses special x-ray beams to image the bone. In this case the x-ray is able to image each vertebral body of the spine detecting if any are crushed, wedged, or in any way deformed or fractured. The Vertebral Deformity Assessment can be done on the newer bone density testing machines that have special software for this purpose. For this test, a side or lateral view of the spine is used. This new spinal x-ray can also be done and interpreted by knowledgeable radiologists using other x-ray technology.

If you do have vertebral fractures, take heart: this is your chance to take action to strengthen your bones. It’s never too late to alter lifestyle factors and improve your nutrition in ways that halt bone loss and begin to build new bone. And if you don’t have vertebral fractures but are still concerned about your overall fracture risk, use our Bone Health Profile to determine your likelihood of future fractures — you may find that you’re in better shape than you think!

 

We created the Osteo Blast blog as our forum to express opinions and educate the public about natural means of supporting and improving bone health and overall wellness. As part of this forum, we sometimes discuss medical issues and medications, and their effects on bone health in general. However, we cannot advise readers about specific medical issues in this forum. If you wish to obtain advice from Susan E. Brown, PhD, about your specific bone health and nutritional concerns, please visit our Consultations page. Other specific medical questions should be referred to your healthcare provider.

Comments

January 11. 2010 11:40

Thank you for that most interesting news - my concerns are for my vertebrae and appreciate all information that comes through

Much appreciated - keep up the good work - from a devotee

laraine j MCNICHOL

February 28. 2010 22:28

Laraine,
Yes, a spinal x-ray will help clarify you situation and perhaps reduce your worry.  Best wishes, Susan

Susan Brown

September 18. 2010 17:17

Yesterday a former football linebacker gave me such a strong hug that I felt (and so did he) a cracking sensation in my upper mid-back.  There was no pain then nor has there been any pain as I go about my regular activities. (The hug felt very much like a chiropractic or osteopathic treatment!)On your bone profile I have scored a moderate risk for fracture especially in my spine which is at -3 plus on a dexa.  Should I be concerned and have a spinal x-ray?

Eleisa Trampler

September 20. 2010 09:34

Dear Eleisa,

In such a situation, we would recommend that you talk to your primary care physician about it. Given your fracture risk and the fact that your linebacker friend also felt the cracking, it would probably be best for you to assure yourself that there is no fracture. If you do, please be aware that there are ways to heal faster, as described in Susan's article on fracture healing. http://www.betterbones.com/bonefracture/speedhealing.aspx

Managing Editor

September 20. 2010 15:46

Thank you for the info.  I have contacted my doc to see what she suggests and I am reading and trying to absorb as much information as I can from your website. I would prefer a natural approach over the Forteo which my doc has recommended.  I am 70 yrs old. baseline dexa was at -2.9 in lumbar spine in 2003 and -1.3 in left hip.  I went on Evista to halt bone loss and added cal. citrate and exercise.  Until Feb 2010 it remained stable then the dexa revealed a drop to -3.19 in the spine but no significant change in the hip.  I took myself off the Evista, though that was probably unwise.  I have also halted use of ibuprofen.  I am unsure about supplements and wonder if the Better Bone Builder would be a good choice for me.  What is the cost for a 90 day supply?

Eleisa Trampler

September 20. 2010 15:58

Dear Eleisa,

Better Bones Builder is sold as part of the Personal Program for Better Bones, which is a 60-day program that supplies the supplements, New Member Guide (information about how to eat and exercise for bone health, including recipes), pH test kit, Wellness Coach check-ins. The details of the program itself can be found here:

www.womentowomen.com/programs/bonehealth/choosebetterbones.aspx

The price for one month of the program is $84.75 + shipping (totals are listed at the bottom of the order page). The Program cost is refundable if you're not satisfied.

Managing Editor

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