Dr. Sharoff Lokesh Mohan
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
8 months back, had a spinal compression fracture of the T12 vertebrae caused by a large fall into water. Currently it is ‘stable’ meaning I can walk and move. No gross deformity, I have motor and sensory function within normal limit. I have aggravated pain when I bend forward or sit or stand for longer than 10 minutes but I can walk around without pain. It is basically just a bone in my spine that is squashed to around 70 % of its height and is pressing on the spinal nerve. Most fractures like this heal in a few months but mine never healed. I saw a few different doctors which told me a few different things, I got X-rays and a CT scan. I would like an opinion on the best non-invasive treatment.
Hi,
Welcome to icliniq.com.
I have seen your CT scan and X-rays (attachment removed to protect patient identity), it has been sometime now since you got the injury, and I would not expect any more soft tissue or bony healing now, Suggesting non-invasive treatment now would only comprise of DAILY physiotherapy and extension exercises, you need to strengthen your muscles to take the load of the body and reduce load taken by the spine. Suggesting any invasive stabilization procedure to you would require looking at MRI scans rather than CT scan, but your options unfortunately are limited interms of non invasive management - based on physiotherapy only. I would not even recommend braces for you.
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Patient's Query
Thank you doctor,
I am wearing a brace every day as directed by my last doctor, would there be a reason to take it off? Would the use of daily physiotherapy and extension exercises heal the bone at all? And are there any medications or procedures such as PRP I can do to heal it internally?
Hi,
Welcome back to icliniq.com.
I do not think you should wear the brace now as it will weaken the para-spinal muscles, rather you need to do daily physiotherapy to strengthen the para-spinal muscles now. Brace should now only be used to contain episodes of pain. I do not think PRP is going to be of any benefit now or any other injections.
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Orthopedician and Traumatology
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