For a 60-year-old female with osteoporosis and an acute thoracic vertebral body compression fracture, which treatment is most effective for pain control?

• A. Education regarding posture and general exercise
• B. Bed rest and immobilization
• C. Medication management
• D. Traction therapy

Answer: (A)

In the case of a 60-year-old female with osteoporosis and an acute thoracic vertebral body compression fracture, education regarding posture and general exercise is the most effective treatment for pain control. This approach emphasizes the importance of maintaining proper posture and engaging in safe, gentle movements that can help distribute stress more evenly and prevent further injury.

Education plays a critical role in empowering patients to understand their condition and manage symptoms. Activities that focus on improving posture can alleviate pressure on the spine and surrounding muscles, which can significantly reduce pain perception. Additionally, encouraging general exercise helps to strengthen the core and back musculature, ultimately leading to better support for the spine and a decrease in pain over time.

While bed rest and immobilization might seem beneficial initially, prolonged inactivity can result in muscle deconditioning, worsening pain, and a risk of further complications related to osteoporosis. Medication management can provide symptomatic relief but may not address the underlying factors contributing to pain, such as posture and mechanical stresses. Traction therapy may not be suitable for all patients and is often not supported by strong evidence for lasting pain relief in this specific scenario. Thus, a focus on patient education and proactive management of daily activities is optimal for pain control in this context.