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October is Menopause Awareness Month, a perfect time to shine a light on how menopause is about more than hot flashes, night sweats, and mood swings.
Coastal Spine, with five state-of-the-art locations in New Jersey, is a multitiered medical practice specializing in conditions that affect the spine and joints.
As spinal care specialists, our team is pleased to offer guidance on the increased risk of spinal fractures associated with menopause and steps you can take to protect your spine.
The basics of spinal fractures
A spinal fracture (compression fracture) linked to menopause happens when one of the bones (vertebrae) in your spine collapses or “compresses.” Imagine the spine as a stack of sturdy building blocks. If one block weakens and cracks, it can affect the stability of the entire stack.
Compression fractures may result from a fall or accident, but most are caused by osteoporosis. This condition makes bones more fragile and increases the likelihood of fractures. Even a minor bump or an awkward movement can fracture the vertebrae affected by osteoporosis.
Common symptoms include sudden back pain, loss of height, and, in some cases, a stooped or hunched posture (kyphosis). Sometimes, however, the symptoms are mild and mistaken for normal backaches, but untreated fractures can lead to chronic pain and mobility issues.
The connection between menopause and spine fractures
During menopause, the body experiences a sharp drop in estrogen. This hormone plays a key role in maintaining bone density. Without enough estrogen, natural bone loss accelerates, leaving the skeleton more fragile.
The spine is particularly vulnerable. When bone density decreases after menopause, vertebrae can become brittle and prone to compression fractures. Even bending forward, lifting groceries, or coughing forcefully can sometimes trigger a spinal fracture in women with low bone density.
Why it matters
Although it’s enough to seek treatment, spine fractures aren’t just about pain. They can affect overall quality of life in several ways:
Loss of height
Multiple compression fractures can cause a woman to appear shorter.
Postural changes
Excessive curvature of the spine, sometimes called a dowager’s hump, can occur.
Reduced mobility
Ongoing back pain and spinal instability caused by compression fractures may limit everyday activities and independence.
Increased fracture risk
One spinal fracture increases the risk of future spine fractures.
Treating compression fractures
Treatment depends on the severity and number of fractures. Options range from rest, pain relief, and bracing to specialized, minimally invasive procedures (kyphoplasty or vertebroplasty) that help stabilize the spine.
The key is early diagnosis and treatment, giving you the best opportunity for avoiding the most significant complications of spinal compression fractures. Just as important is addressing the underlying condition, like managing osteoporosis to prevent future fractures.
The good news is that women can take proactive steps to reduce their risk:
Bone density testing
A DEXA scan can reveal bone strength and help track changes over time.
Nutrition
Eating foods rich in calcium, vitamin D, and protein supports strong bones. Your doctor may also recommend supplements when necessary.
Exercise
Weight-bearing activities, such as walking, light strength training, and yoga, help maintain bone density and improve balance.
Lifestyle changes
Quitting smoking and limiting alcohol can reduce bone loss.
Medical treatment
In some cases, your physician may recommend medications that help strengthen bones and reduce the risk of fractures.
Wondering about your spine health?
If you experience pain or other symptoms of spinal compression fractures, schedule a consultation at Coastal Spine today. Call us or request an appointment online. We’re here to help.
