Warning Signs to Watch For
Osteoporosis and Compression Fractures — For Older Adults
One of the most important causes of back pain to watch for in older adults is compression fracture due to osteoporosis.
Why This Matters
- Approximately 1 in 3 women over age 70 has osteoporosis
- Compression fractures can happen from everyday activities — sneezing, lifting a heavy bag, or sitting down hard
- Many people live with fractures they don't know about (if you've noticed you're "getting shorter" or "more hunched over," this may be why)
Signs That Suggest a Compression Fracture
| Sign | Description |
|---|---|
| Sudden severe back pain | Especially if there was a triggering event (fall, lifting something heavy) |
| Pain when pressing on the spine | A specific spot on the back is very tender |
| Loss of height | You've lost 2 cm (about 1 inch) or more in height |
| Increased rounding of the back | Noticeable worsening of a hunched posture |
| Long-term steroid use | Steroids can weaken bones over time |
Diagnostic Tests
- X-rays can detect most compression fractures
- DEXA scan (bone density test) measures the degree of osteoporosis
- MRI is helpful when it's unclear whether a fracture is new or old
Most compression fractures improve with appropriate treatment. Even when pain is severe, many patients recover with a combination of bracing, medication, and rehabilitation.