
When That “Pulled Muscle” Might Actually Be a Spinal Fracture

Many people may mistake their back pain for something minor when it’s actually a spinal fracture. The confusion is common because these conditions share similar symptoms, and honestly, many tend to “power through” the pain, believing everything will improve with time.
Dr. Benjamin Cohen treats these conditions and more, but he’s particularly invested in educating patients about how to spot fracture indications, since it’s a more serious condition. As a partner in your care, Dr. Cohen is committed to identifying the underlying cause of your pain and developing a personalized treatment plan tailored to your specific needs.
Pulled back muscle or spinal fracture?
Back pain and mobility problems plague millions of people per year. About 75-85% of people experience some type of back pain during their lives.
We can injure, strain, or sprain our backs doing many things, including overuse, lifting something heavy incorrectly, or a traumatic accident. Living with an underlying condition, such as being overweight or obese, also stresses the back.
Pulling, tearing, or twisting a muscle or tendon that supports your spine constitutes back strain.
You may experience muscle cramps or spasms, pain that worsens with activity, and mobility challenges. You might have trouble walking, standing up straight, or bending forward or sideways.
A back strain can cause you to be less active and experience reduced bone density, decreased flexibility, and weakened muscle strength in other parts of your body.
A spinal fracture is distinct from back strain, however, in substantial ways. We want to clear up any confusion because not seeking prompt treatment for a fracture has serious implications.
The cause of a spinal fracture is nearly always a major traumatic incident, like a vehicular accident, a fall from a significant height, or an injury suffered while playing sports. Gun injuries also cause spinal fractures.
Traumatic accidents cause about 150,000 spinal fractures yearly, but the bone weakening condition osteoporosis is linked to 1.5 million compression fractures (vertebral collapse) annually. An infection or a spinal tumor can also cause compression fractures.
Fractures cause more severe symptoms. The pain is worse and can be excruciating, and it intensifies over time. Your movement may be limited significantly. You can also experience:
- Swelling and increased sensitivity in the area surrounding the injury
- Posture changes and loss of height
- Numbness or tingling in your spine that can extend to your arms or legs
- Incontinence with either your bladder or bowels
In addition to spinal fractures causing more intense, noticeably different symptoms, another major difference between a simple pulled back muscle and a spinal fracture is that the pulled muscle often improves within about two weeks (though not always).
A spinal fracture, however, typically worsens if it isn’t treated, or the underlying condition causing it — such as osteoporosis — isn’t addressed.
How are spinal fractures treated?
Once Dr. Cohen evaluates you, orders and reviews imaging and neurological tests, and discusses your symptoms and any potential injuries with you, he devises a personalized treatment plan. He starts with conservative treatments, like immobilizing your back with a brace.
However, Dr. Cohen may recommend a surgical solution to realign your bones, stabilize your spine, or relieve pressure on your spinal cord.
Though Dr. Cohen is versed in diverse surgical procedures to treat spinal fractures, three types that he performs frequently are lumbar vertical body placement, kyphoplasty, and vertebroplasty:
- Lumbar vertebral body placement involves removing the fractured part of the vertebral body, which is the sturdy oval-shaped bone in every one of your vertebrae. This addresses substantial spinal instability and pinched nerves due to compression.
Dr. Cohen then places a small metal cage containing bone graft materials in the spot where the vertebral body was removed. While the vertebral body heals, new bone grows and extends outside the cage, gradually fusing with the natural bone.
- During a vertebroplasty procedure, which treats compression fractures, Dr. Cohen inserts a hollow needle into the collapsed vertebra and injects a special bone cement to stabilize the spine and strengthen the vertebra.
- A kyphoplasty procedure uses this cement application method too, except before injecting the cement, Dr. Cohen also places a balloon to expand the bone and restore its height.
Dr. Cohen is highly skilled in performing minimally invasive surgery, which involves small incisions and is less traumatic to the body. It’s associated with faster healing and less pain, bleeding, and scarring.
Contact our Garden City office at 516-246-5008, or reach out to us through our website to start a conversation.
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