What are some non-surgical ways to relieve pain and heal spinal compression fractures?

The treatment goals for a spinal compression fracture are to relieve pain, heal the fracture, and treat the osteoporosis that caused it. Most cases do not require surgery, and compression fractures usually heal on their own in about 3 months. During this time, doctors may recommend home treatments like pain medication, rest, physical therapy, or back braces. Over-the-counter drugs like acetaminophen or ibuprofen can help with pain relief. Your doctor might also suggest calcitonin hormone, which studies show can help ease pain from compression fractures. While you should avoid overdoing activities, complete inactivity can weaken your bones further. Short-term bed rest may be advised, followed by gradually resuming normal activities. Avoid heavy exercise until your doctor deems it safe. Rehabilitation programs or physical therapy can help strengthen your back and prevent further compression fractures. A back brace can reduce pressure on the bones, limit movement, and help the spine heal. Although research is limited, some studies suggest that braces can relieve pain. Long-term, medications like bisphosphonates can reduce bone loss and fracture risk. Other medications such as selective estrogen receptor modulators, denosumab, romosozumab, and parathyroid hormone may also aid in treating osteoporosis.