Expert: Gerald Anzalone, D.C. - 1/8/2011

Question
Hi,

I sustained a compression fracture of my T9 vertebra in 1992 when I was 19.  I recently visted a chiropractor due to mid back pain for years.  X-rays showed a 70 percent decrease in my vertebral body height with extensive bone spurring to support that level.  I am apprehensive to receive any treatment in this area, due to concerns of it getting worse or more painful.
Just looking for some information, my chiropractor has explained things well, but he also said to get a second opinion if it makes me feel more comfortable.

thank you.

Answer
Brent,

Thanks for your question.

I could use some more information to better answer your question:

1. What is your current age?

2. Is the 70% in vertebral body height at the T9 level (the level of the initial compression fracture)?

In general, manipulation would be considered safe if confined to the levels above and below the area of the original compression fracture (now presumed to be significantly degenerative with osteoarthritis).

Additionally, beyond a thrust-type of manipulation, a low-force, low-amplitude manipulation technique known as flexion-distraction might be a good option for someone with spinal pain emanating from a degenerative vertebral level. The spine is gently tractioned slightly while the patient lays prone; the table is designed to bend toward the floor. The doctor maintains a hand contact above the spinal level in which traction (or intersegmental distraction) is desired, for stabilization. This procedure opens the joints, decompresses the disc, and stretches muscles and ligaments without applying a thrust force.

You might also consider trying stretching, yoga, or pilates, depending upon how you respond to those various modalities.

I hope this answers your question.