How long does a broken back take to heal

How long does a broken back take to heal

A spinal fracture, or “broken back,” is a major trauma that can leave you in serious condition — but it doesn't have to be the end of your life. With the right treatment, you can find your balance again after the trauma of your spinal fracture. 

Dr. Benjamin Cohen has the experience you can count on to get you back to daily life, with your back healed and stronger than ever. Here’s a look at some of the possible causes of a spinal fracture, options for treatment you may receive from Dr. Cohen, and the road to recovery.

How spinal fractures happen

Spinal fractures occur when one or more of your vertebrae — which are the 33 small bones of your backbone that enclose and protect your spine — break. Usually, spinal fractures happen after bad falls or other traumas like car crashes. Internal problems, like osteoporosis, spinal tumors, or malnutrition, can also result in vertebral fractures. 

Consequences of a spinal fracture

If you have severe pain at your fracture site, especially if the pain gets noticeably worse when you move, you may have a broken back injury. You may also experience numbness and muscle weakness if your nerves become compressed by displaced bones.

Even while broken, however, your vertebrae may have continued to protect your spinal cord. Your prognosis after your spinal injury will depend on the condition of your spinal cord. With early treatment, you can protect your nerves and support the integrity of your spine.

Treatment options for a spinal fracture

Depending on your injury, different treatment options may be right for you. From external braces to surgical options, Dr. Cohen can help you determine the right course of action for your spinal fracture.

Dr. Cohen may recommend surgical treatment to realign your bones or relieve pressure. Some of the procedures he specializes in include:

Balloon kyphoplasty: A minimally invasive procedure that uses a balloon to lift your vertebrae, producing a cavity that can be filled with bone cement to stabilize the injury.

Vertebroplasty: Also minimally invasive, involves injecting liquid bone cement into the damaged vertebrae itself, relieving pain and stabilizing the injury.

Lumbar vertebral body replacement: A procedure where Dr. Cohen removes the fractured area completely, implanting a metal cage filled with bone graft materials to stimulate new bone growth.

When you come in with a broken back injury, Dr. Cohen examines you physically and reviews your symptoms and medical history. Depending on your unique case, you may need tests including a spinal X-ray, a CT scan, or an MRI. Dr. Cohen may also run neurological tests on your reflexes, movement, and sensation to check for nerve damage.

Recovering from a spinal fracture

Whether or not you have surgery, you'll need to wear braces for around 8-12 weeks. Braces on your back and neck can help relieve pressure and keep your spine straight while it heals. “Halos” (rings that go around your head that are attached to a vest) may also be needed to stabilize your injury at first. Without a brace, you risk developing a hunchback posture, as well as further pain problems later on.

After your braces come off, 5-6 weeks of physical therapy will restore your back to strength. Depending on the severity of your injury, you might be able to return to normal life pretty quickly after you finish your PT, with just some stiffness to remind you of the experience.

If your injury is more severe, you may need months or years to return to complete health. For some patients, life changes forever after a spinal fracture. If your recovery lasts for a long time, or remains partial, adaptive technologies and options can improve your independence and quality of life. Dr. Cohen can support you through the whole process.

If you have a recent spinal fracture, or if you're dealing with complications after a fracture that haven't resolved, contact Dr. Cohen today. He treats spinal trauma patients from his Garden City, New York office. To schedule your initial appointment, call our office.

You've got a few key treatment goals when you have a compression fracture of the spine. You want to ease the pain, heal the fracture, and treat the osteoporosis that weakened your bones and caused them to collapse.

There's a good chance you won't need surgery. Most people can get by without it. Compression fractures usually heal on their own in about 3 months. While that happens, your doctor may suggest you try some things at home that can make you feel better, such as pain medicines, rest, physical therapy, or a back brace.

Pain Medicine

You can often get relief with an over-the counter drug likeacetaminophen or ibuprofen. Check with your doctor to see which one is right for you. Your doctor might prescribe a stronger medicine for more intense or persistent pain.

The doctor might also suggest you take the hormone calcitonin. Studies show it can help ease the pain from compression fractures.

Rest

You don't want to overdo it with activity, but you also don't want to stop moving entirely. Lying around for too long can weaken your bones even more. Your doctor might recommend bed rest for a short period of time. After several days or as soon as you start to feel better, gradually ease back into your old routine.

For a few weeks or months you may still need to avoid heavy exercise that could make your injury worse. Ask your doctor when it's safe for you to get active again and what the best ways to get moving are.

Physical Therapy

Once you're feeling better, ask your doctor if you should join a rehab program or work with a physical therapist. Exercises that strengthen your back can help you avoid having more compression fractures.

Check with your doctor about the best weight-bearing exercises for you, such as:

  • Walking
  • Yoga
  • Dancing

They're all good for strengthening bones. Or try tai chi, which improves balance and helps prevent the falls that lead to fractures.

Bracing

Wearing a back brace when you have a spinal compression fracture is similar to wearing a cast when you have a broken arm. It's made of a rigid frame that takes pressure off the painful bone and limits your movement. It gives your injured vertebrae -- the small bones that make up your spinal column -- time to heal.

There isn't much research to prove that a brace helps heal compression fractures, but one study shows it can ease pain.

Prevent Further Fractures

In the short term, treatments like pain medicines, physical therapy, and bracing might help ease your pain and get you moving again. But you also want to lower your odds of getting more broken bones. Some drugs can help.

Bisphosphonates. This type of medicine can prevent more bone loss and reduce fracture risk. Some examples include:

  • Alendronate (Fosamax)
  • Ibandronate (Boniva)
  • Risedronate (Actonel)
  • Zoledronic acid (Reclast)

Your doctor may suggest other medicines, such as:

SERMs. These may help prevent bone loss if you’ve gone through menopause. Some examples are raloxifene (Evista) and tamoxifen.

Denosumab (Prolia). Your doctor may recommend it if you’ve been through menopause. You get it as an injection under your skin every 6 months.

Romosozumab (Evenity). This drug increases bone formation and decreases bone breakdown. One dose of romosozumab consists of two injections, one immediately following the other, given once a month by a health care professional. Twelve doses in total are recommended.

Parathyroid hormone (Forteo, Tymlos). This helps you form new bone. It's for men and postmenopausal women with severe osteoporosis. You inject it every day for up to 2 years.

Can you still walk with a broken back?

Depending on what caused your spinal fracture — and which type of fracture you have — you'll still be able to walk with a broken back. It might be painful (or make your pain worse), but if your fracture wasn't caused by sudden trauma, it's likely you'll still be able to move.

Can a broken back heal on its own?

There's a good chance you won't need surgery. Most people can get by without it. Compression fractures usually heal on their own in about 3 months. While that happens, your doctor may suggest you try some things at home that can make you feel better, such as pain medicines, rest, physical therapy, or a back brace.

How serious is a broke back?

A broken back is a serious injury that occurs when the individual vertebrae of the back section of the spinal column become fractured or dislocated. The most common causes are vehicle accidents, falls, sports accidents or violent acts such as gunshot wounds. Not all fractured spines are due to trauma, however.

How do you heal a broken back fast?

Spinal Fracture Recovery Tips.
Medication Should Be Used Only as Needed. ... .
Rest is Important During the Recovery Process. ... .
Physical Therapy Builds Strength. ... .
Bracing Provides Support. ... .
Cold Therapy Can Help..