"In Your 70s and Fell Recently? Persistent Back Pain Might Mean a Fracture"

by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul

For individuals in their 70s and beyond, persistent lower back pain after a fall—especially when changing positions such as lying down to sitting up—should never be ignored. It may not be just a muscle strain, but rather a spinal compression fracture.

A patient visited Son Cheolho Rehabilitation Clinic today with exactly this concern.
She had fallen two months ago, and although two separate X-rays at other clinics reportedly showed no fracture, her pain while sitting up from a lying position continued.

After a thorough consultation, I recommended repeating the X-ray examination. This time, the imaging clearly revealed a compression fracture in the first lumbar vertebra (L1).

Why compression fractures are often missed

In elderly patients, bone density is often significantly reduced. Even a minor fall can lead to a vertebral fracture. However, in the early stages, compression fractures can be subtle and may not always appear clearly on standard X-rays—especially if taken in only one position or at an early phase of the injury. This is why persistent pain should never be overlooked, even if initial tests appear normal.

In some cases, MRI or CT scans may be necessary to detect subtle or early fractures.

🔍 When to suspect a spinal compression fracture:

  • Persistent back pain for more than a month after a fall

  • Pain worsens when sitting up, standing, or changing posture

  • Pain does not improve with common pain relievers

  • Previous X-rays were “normal,” but the pain continues

Early diagnosis is crucial. Delays in identifying a vertebral fracture may lead to chronic pain, postural deformities, or long-term functional limitations.

If you or a loved one is in their 70s or older and experiencing these symptoms after a fall, please seek evaluation from a rehabilitation medicine or orthopedic specialist. Repeating diagnostic imaging can make a real difference in recovery and quality of life.

👍Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea) 

by  Dr Son MD & DC 
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

댓글

댓글 쓰기

이 블로그의 인기 게시물

 What is Central Sensitization? by Son PMR(Physical medicine & Rehabilitation ) & Chiropractic Clinic in Seoul Central sensitization refers to a condition where the brain and spinal cord become abnormally sensitive to pain signals following an injury or inflammation. In simpler terms, the pathways that perceive pain become overly reactive, causing individuals to experience excessive pain from minor stimuli or persistent pain even after healing . Key Features of Central Sensitization Amplified pain responses (Allodynia) Pain is felt even with non-painful stimuli, such as light touch or gentle movement. Increased pain sensitivity (Hyperalgesia) Painful stimuli feel much more intense than usual. Persistent pain Pain can continue even after the original injury or inflammation has resolved. How Central Sensitization Develops Peripheral nerve injury or inflammation → Continuous transmission of pain signals to the spinal cord and brain → Hyperexcitab...
자세한 내용 보기
Why Is My Knee Swollen, and Why Does It Take So Long to Heal? by Son PMR(Physical medicine & Rehabilitation ) & Chiropractic Clinic in Seoul – Understanding Knee Swelling and Recovery Strategies Many people have experienced knee swelling and discomfort at some point. At first glance, it may seem like a minor issue, but in reality, it often takes longer than expected to heal. In this article, we’ll explore the common causes of knee swelling , why recovery tends to take time , and what treatment options may help . 1. What Causes Knee Swelling? Knee swelling is not a diagnosis itself—it’s a symptom with a variety of possible causes. Here are some of the most common: ✅ ① Trauma or Overuse Injuries from sports or prolonged walking can lead to inflammation in the knee joint, resulting in swelling. ✅ ② Meniscus or Ligament Injury Damage to structures like the meniscus or cruciate ligaments may cause internal bleeding or increased joint fluid, leading to visible swelling. ✅ ③...
자세한 내용 보기
  Upper Cervical Treatment for Refractory Musculoskeletal Pain: An Evidence-Based Approach by Son PMR(Physical medicine &Rehabilitation ) & Chiropractic Clinic in Seoul Chronic musculoskeletal pain can significantly reduce the quality of life, particularly for patients with refractory pain who do not respond well to conventional treatments. Recent research has highlighted the misalignment of the upper cervical spine (C1, C2) as a potential contributor to these challenging pain conditions. Upper cervical chiropractic care has emerged as a promising alternative based on increasing clinical evidence. The Relationship Between the Upper Cervical Spine and Musculoskeletal Pain The upper cervical spine consists of the first two cervical vertebrae, C1 (atlas) and C2 (axis), which play a crucial role in head movement and the function of the nervous system. Studies have shown that even minor misalignments in this area can affect the central nervous system and trigger pain (Ericks...
자세한 내용 보기