When to worry about lower back pain with a vertebral compression fracture

A vertebral compression fracture happens when a spinal bone weakens and partially collapses. Pain is often focused in the back and may increase when standing, walking, coughing, or changing position. A change in posture or reduced height can develop over time. Severe pain, pain after a fall, or symptoms travelling into the legs may indicate a new problem or pressure near spinal nerves.

Contact a healthcare professional if pain is not settling, prevents sleep or basic movement, or returns after improvement. Avoid heavy lifting, forceful twisting, and unadvised bed rest. Move carefully, keep frequently used items within easy reach, and follow any brace or activity instructions you have received. Assessment may include examination and imaging, followed by a plan for pain control, safe activity, and bone health.

Get urgent help for new leg weakness, spreading numbness, numbness around the groin, difficulty passing urine, or loss of bowel control. Attend promptly after a significant fall or other impact, particularly when pain is severe or movement becomes difficult. Fever or feeling acutely unwell with new back pain should also be assessed without delay.

Ask whether the fracture appears stable, what movements and lifting limits apply, and whether a brace or physiotherapy is appropriate. Discuss warning signs of nerve pressure, whether bone-strength evaluation is needed, and how to make your home safer while recovery progresses.