Compression Fracture Pain

Abstract

Bone pain remains one of the most common sources of chronic pain in the elderly population. Over 30 % of women over the age of 65 are estimated to suffer from osteoporosis and are at risk for bone fractures. Fractures occur in vertebrae most often in this population, followed by wrist and hip fractures. However, only one-third seek medical attention for related back pain. The incidence of radiographically identified vertebral body fractures nearly doubles in women every 10 years starting from age 50. It is thought that women show a significant increase in osteoporosis risk after estrogen production decreases at menopause. Changes in bone metabolism and a longer expected life span compared to men are thought to be contributory. In men, the incidence of vertebral fractures also increases with age, but at a slower rate. The lifetime risk for vertebral fractures is thought to be as high as 40 % for women while only 13 % for men.