How to manage L1 compression fracture?

Q. My test reports show an L1 compression fracture. Please advice.

Answered by
Dr. Muhammad Zubayer Alam
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Nov 09, 2020

Hi doctor,

I have done a CABP1 test and CT abdomen pelvis with contrast for periumbilical pain. Multiple axial CT images of the abdomen and pelvis with IV was done. The contrast was obtained, followed by 2D coronal reformats. And the contrast dose is 3.33 fl oz Omnipaque 350. All CT scans at this facility use dose modulation, iterative reconstruction, and or weight-based dosing when appropriate to reduce radiation dose to as low as reasonably achievable.

The findings were initial images of the lung bases are clear. Visualized heart size is normal. The liver is normal. No cholelithiasis. No biliary dilatation. The pancreas is normal. No pancreatic ductal dilatation is seen. No splenomegaly. Adrenal glands are normal. Kidneys enhance symmetrically. No hydronephrosis. The stomach is distended with oral contrast material. No dilated small. The bowel is seen. The appendix is not identified. By history, appendectomy. The portions of the ascending colon, hepatic flexure, and proximal. Transverse colon and rectum are under distended and partially decompressed. This degrades the evaluation of this segment of the colon. No adenopathy. The bladder is near completely collapsed with wall thickening. This degrades the evaluation of the bladder. Scattered atherosclerotic calcific lesions are present, age indeterminate L1 compression fracture. Please provide the prescription and advise on the CT scan report and blood test report.



Welcome to

Thanks for the query. I can understand your concern. According to your statement, you have recently done a CT (computed tomography) abdomen with pelvis with Contrast, which has revealed an L1 (lumbar spine) compression fracture, and your blood test revealed nothing significant. You have provided your investigation reports (attachment removed to protect patient identity) here but have not provided your clinical symptoms. You have not mentioned what you want to know or what type of help you want. I want to add that most lumbar compression fractures heal in two to three months with rest, using a back brace with some medications like painkillers, calcium plus vitamin D supplements, etc., and light exercise like walking. But your investigation report was done seven months back. So your L1 compression fracture related clinical sufferings have to be subsided. For that, I have asked you about your present clinical sufferings or queries. Please mention that. In case of any query, ask me.

Hi doctor,

I have been physically not significantly active during this corona period. I have recently started strengthening my leg muscles (for two weeks), and while doing so, I observed a lot of gas formation in my stomach and usually come out during the workout. Also, I was having pain in my stomach in my naval region until I finish my workout. Hence my primary care doctor asked me to have a CT scan of the abdomen with the pelvis region and advised me to consult a GI (gastrointestinal) doctor. She also did a full blood profile check-up suspecting diabetic and low hemoglobin levels. I did have a little back pain, but I did not complain about that as it was significantly less, and I was under the impression that it is just normal as it is significantly less, and maybe that is for my long working hours these days. But after seeing my CT scan result, I am scared.

I know I will have to consult an ortho doctor for that back pain, but it will take some time as they are not so available, and there is a long queue at this point. I have already taken an appointment on this month with a GI specialist.



Welcome back to

Thanks for the query again. Do not worry. You have provided excellent details of history regarding your present clinical symptoms with your CT abdomen with pelvis investigation outcomes.

Acid reflux, constipation, etc. may cause abdominal pain and gas. Again your investigation report has revealed that you have an L1 compression fracture. You should wear a back brace that will support and protect the affected area of your back. Take proper rest and do some light exercise, like walking. Avoid any strenuous exercise or activities. It will take time to heal, around 10 to 12 weeks. Only so rare cases may need surgical intervention. So, do repeat a CT Scan of the back after three months.

You can take the medications as follows,

  • Tablet Naprosyn (Naproxen) 500 mg after a meal in case of back pain.
  • Tablet Lioresal (Baclofen) 5 mg twice for ten days.
  • Tablet Citracal +D (Vitamin D and Calcium) once for two months.
  • Tablet Prevacid (Lansoprazole) 30 mg once before meal for one month.
  • Syrup Gaviscon (Aluminium hydroxide and Magnesium Carbonate) two tablespoon three times daily (after meal) for 15 days.

By following the medications mentioned above, you can subside your abdominal pain and back pain due to L1 compression fracture.

If any other query, knock me, and I will try to reply to you further.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
What are the symptoms of mercury toxicity?

I went to the doctor in my area and told him about what had happend and showed him pictures of the various substances and I took a urine test and a blood test and this was made around 130 days after possible initial exsposure and the test came   Read full


It relieves symptoms caused by an increase in stomach acids like heartburn, abdominal pain, and a group of patients with persistent cough due to acid reflux ...   Read full

What is the difference between spine fusion and fixation surgery?

.. fusion means we fuse one mobile segment of the spine. That means we fuse between two vertebral bodies. We put bone graft there and it fuses with time. This is usually done if there is instability at that segment or spinal canal is so narrow that while   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a General Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.