Does bisphosphonate therapy treat vertebral compression fracture?

A vertebral compression fracture occurs when part of a spinal bone collapses. Bisphosphonates act on bone remodeling rather than physically restoring the height or shape of the injured vertebra. When reduced bone strength contributed to the fracture, a bisphosphonate may be part of a longer-term plan to strengthen the skeleton and lower the chance of additional fragility fractures.

Pain control, short-term activity changes, safe movement and rehabilitation address recovery from the fracture itself. Imaging and examination help distinguish a healing fracture from another cause of back pain. The condition page gives more context about vertebral compression fracture, and the treatment page describes bisphosphonate therapy.

Arrange follow-up with a clinician to review the fracture, bone health and medicines. Ask whether you need a bone-strength assessment, blood tests, fall-prevention advice or physiotherapy. Use lifting and bending instructions that protect your spine, and return to activity gradually as advised. Do not begin, stop or switch a bisphosphonate on your own; suitability can depend on kidney function, swallowing problems, dental concerns and other medicines.

Get urgent help for new leg weakness, numbness around the groin, loss of bladder or bowel control, severe pain after a fall, or inability to stand or walk. Contact your clinician promptly if pain is worsening, pain starts at rest, or you develop fever. These signs require assessment for nerve pressure, another fracture or another cause rather than a medication adjustment alone.

What caused my vertebral fracture? Is a bisphosphonate suitable for my bone health? How will we manage pain and protect my spine while it heals? Which exercises, tests and follow-up scans are appropriate?