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Kyphosis
Kyphosis describes the progressive spine hump which is a result of physical changes in the spine and adjacent muscles, tendons, and ligaments occurring after vertebral fractures. The degree of kyphosis varies with the number of fractures and muscle strength. To minimize the curvature, you will need to learn flexibility and strengthening exercises for your back and torso. Specialists in physical medicine and rehabilitation at a rehabilitation clinic can work with you on these exercises.
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A back brace or support may be beneficial during the healing period for several reasons: 1) It helps the patient avoid strenuous bending; 2) it provides some pain relief by supporting the spine and distributing body weight; and 3) it helps reduce the degree of kyphosis. If a brace is used too much or for too long a time, the back muscles will weaken, which is actually worse for spinal osteoporosis because strong muscles help support the spine. Physical therapy, in the form of exercises to strengthen the back and torso, can be performed even while the individual is wearing the brace.
Another type of support you might find useful is a cane or walker. While you are recovering from the fracture, you may be a little unsteady on your feet, and a cane or walker will give you better balance. A very firm mattress is the best type for people with spinal osteoporosis. For comfort, you can cover it with synthetic sheepskin or an egg crate mattress pad. If you have a very soft mattress, you may have to buy a new one. But before you do that, try putting a piece of plywood on top of the box spring, beneath the mattress. This may provide the support your spine needs.
You will be able to resume nearly all of your normal activities, with minimal changes to your routine. You can still travel and still garden. In fact, being active is beneficial to your health.
The changes you do have to make involve the way you move and the safety of your environment. For example, no more bending from the waist to pick something up; instead, you'll have to learn to bend your knees. Activities that require a twisting motion of the torso, such as golf, put a heavy strain on the spine and should be avoided. And no lifting of anything heavier than a light bag of groceries, depending on the severity of the osteoporosis.
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