How is low back pain treated after a traumatic injury?

  What often occurs in the elderly after trauma is lumbar back pain, especially in women, who themselves have osteoporosis, which very easily leads to osteoporotic fractures of the spine Face to the lumbar spine as an example of how to treat osteoporotic lumbar compression fractures in the elderly.  Geriatric osteoporosis lumbar compression fracture, refers to the age of more than 60 years old, under minor violence, such as bending down to carry something, slipping and sitting on the ground, or even a violent cough caused by lumbar pain, found by X-ray and other examinations of the lumbar vertebrae compressed (lumbar compression fracture).  1.What problems will come after a compression fracture?  Firstly, it will cause severe pain in the lumbar region, and it will be very difficult to sit, stand, or even turn over in bed; secondly, since there are rich nerves near the lumbar vertebrae, the fracture hematoma will cause widespread pain in the ribs and the whole lumbar region, and if the fracture block presses the nerves, there may also be pain in the lower limbs, or even paralysis and diaphoresis. Therefore, if an elderly person accidentally falls and has back pain, the first thing to consider is whether there is a fracture, do not just move around, especially not to go back to work, try to rest in bed, and seek medical attention as soon as possible if possible.  2.If unfortunately a compression fracture occurs, how should I treat it?  There are two kinds of treatment, one is conservative treatment, as the name implies, is not to do surgery, rely on medication, bed rest, rehabilitation exercises to recover. The first is conservative treatment, which, as the name suggests, is to recover without surgery by taking medication, bed rest and rehabilitation exercises.  3.How to choose conservative treatment and surgical treatment?  Each patient’s situation is different and must be analyzed on a problem-specific basis. If you choose conservative treatment, it means you need to be bedridden until the fracture heals, that is, 6 to 8 weeks in bed, during this period of time, urination and defecation are best in bed, which requires a lot of manpower to take care of the patient, and this conservative treatment, the compressed flattened bones will not return to the original height, can not restore the original height, that is, become hunchback, the force of the spine has changed, the legacy of repeated and stubborn back The back pain will be high. Moreover, many patients are not properly cared for in bed for a long time and are prone to complications such as lung infections, urinary tract infections and hip rot, especially those with low resistance and thinness. The advantage of conservative treatment is that it eliminates the cost of surgery and does not require hospitalization, which is more suitable for patients who have sufficient manpower at home, have considerable nursing experience, have relatively minor fractures, and whose physical condition does not allow surgery; if surgery is chosen, the advantage is that the patient can wear a waist brace and move slowly on the ground the day after surgery, which is a very fast recovery and saves care, the disadvantage is that it is expensive and requires hospitalization for 3 to 4 days. Of course, after surgery, you are not allowed to jump around, after all, just fractured, still need more bed rest to do.  Whether you choose conservative or surgery, anti-osteoporosis treatment must be continued, osteoporosis is the culprit of fracture.  4.Summary To sum up, if an elderly person falls and has back pain, he or she may have an osteoporotic compression fracture of the lumbar spine. It is recommended to seek medical attention as soon as possible, choose the best treatment plan according to the situation, take more bed rest, and adhere to anti-osteoporosis treatment.