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Can a compression fracture be treated with regular exercise?

Dr Shital Parikh
Assistant Professor, Division of Orthopaedic Surgery,
Cincinnati Childrens Hospital Medical Center,
Ohio

Q: What is the treatment for compression fracture of lumbar vertebrae L1? Can it be cured by regular exercise, without operation? How long will it take to get relief from this?

A:Compression fracture of vertebra would heal on its own but can have long standing complaints of pain and deformity even after the fracture has healed. If the fracture is acute (few weeks) then a vertebroplasty is beneficial (its a procedure done under anaesthesia, where cement is injected into the vertebra after restoration of the vertebral height using balloon) for chronic (old) fractures, if you have pain - you can try physical therapy or brace. Role of surgery is very minimal if you have neurologic symptoms of tingling, numbness or weakness due to the fracture.