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L1 Compression fracture
Two weeks of fracture. Still very painful unable to sit. No problems in legs pr hands or hips.. Only lower back is very painful. Is this much pain normal?
Answers (7)
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Consult me search browse on goggle practo website Dr Rajinder sharma senior Orthopaedic neurospine joint Replace surgeon ,42 years expertise chandigarh health Department Govt Multispeciality Hospital retired Chandigarh(U.T)
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Share x ray
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Next Steps
rest
lumbar belt
medication
Health Tips
consult orthopaedician
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It is common when u have a fracture in spine
Most likely it is an osteoporotic fracture considering ur age
Use a LS corset
Strict bed rest for 1 month
Next Steps
Inj teriparatide OD to be started along with analgesics
Tab nucoxia MR BD x 7 days
Tab PanD OD x 7 days
Tab suparacal OD × 1 month
tab uprise D3 60k 1per week for 6 weeks
Health Tips
avoid bending forward and lifting heavy weights
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Dr. Rajesh Gayakwad
Orthopedic surgeon
19 yrs exp
Mumbai
Bed with regular follow up with treating orthosurgeon is advisable
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
4 yrs exp
Ahmedabad
Pain will happen if you do not go for complete rest.. any sort of movment is painful in early stages
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Dr. Shubhanshu Bhaladhare
Orthopedic Surgeon
8 yrs exp
Navi Mumbai
Hello.
Any fracture will take a minimum of 3-6weeks to heel when immobilised in the form of plaster, or brace.
Since the fracture happened at L1 , the lower back we can't immobilise it with a plaster, we ask patient to be in bed rest for 3 weeks and after 3 weeks, allow them to move around with a belt. But this line of management depends upon the type of fracture and involvement of the vertebral body. Some fractures are so severe that they require surgery to stabilise it.
Xray would have helped here.
Next Steps
If you had already visited an orthopaedician, then continue bed rest for the next one week or else please show it to some spine specialist.
if pain is not tolerable, please visit again.
Health Tips
Take full bed rest for next one week , avoid sitting and standing if you have to then please use a brace.
Also check for bone density if available to start anti osteoporotic medications that will help in fracture healing.
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