Osteoporosis Pain

Managing Osteoporosis Pain

As with all persistent pain conditions, a comprehensive pain management approach is required. Improvement in pain symptoms and restoration of function are the treatment goals. Components of a multidisciplinary pain management approach include a goal oriented exercise regimen, appropriate lifestyle modifications, pain relief modalities, psychosocial support, and various assistive devices.

Nonpharmacologic Management

Following an acute event, bed rest and bracing may help with the acute pain of vertebral compression fractures. However, management of persistent pain requires a rehabilitative approach aimed at reducing disability, improving physical function, and reducing the risk of subsequent fractures. An individualized physical therapy program is particularly effective for persistent postural pain, to decrease postural muscle fatigue, increase tolerance for daily activities, and promote or restore an active lifestyle.²⁸ Strengthening back muscles also decreases abnormal stress brought on by kyphosis, and clinical trials show that exercise can be beneficial.²⁹ Other measures include supportive pillows (used while traveling or to pad seats), ice massage, patient education, and social support.

Nonpharmacologic Interventions Physical therapy programs Exercise to strengthen back muscles Supportive pillows Ice massage Patient education Social support