In general, treatment depends on the cause and severity.
Treatment options for a sacral stress fracture include:
Extra support may be needed to protect, support, and keep the back in place while it heals. Supportive steps may include a
Fractures due to
osteoporosis are treated with partial weight bearing.
or other device
will be used for this.
Prescription and over-the-counter medications may be advised to reduce inflammation and pain.
People with osteoporosis may be advised to take medications that will increase bone density and reduce the risk of another fracture.
Rest and Recovery
Fractures caused by physical
rest, but complete rest is rarely required. Ice may be recommended to help with discomfort and swelling.
also be used to
Physical therapy or rehabilitation can help to strengthen the area.
There are some treatments that are not invasive that may help reduce healing time by stimulating bone growth. These treatments include:
—Electrical and magnetic impulses stimulate enzymes to increase bone cell formation.
Extracorporeal shock wave therapy
—High-energy shock waves are passed through body tissues. The waves stimulate growth factors to increase bone cell formation.
—Small amounts of bone cement are injected into fracture lines guided by CT scan. It is not known what the long-term side effects of the cement are. Because of this, vertebroplasty is used on a limited basis.
If other treatment does not work, surgery may be required. Surgery is generally indicated if the break is unstable, there are nerve problems, or the sacrum is not properly aligned. Bones are reconnected and held in place with screws or a plate.
To help reduce your chance of a sacral stress fracture, take these steps:
Make gradual changes in intensity when exercising.
Use proper equipment and technique when playing sports.
Talk to your doctor about how to prevent osteoporosis.
To help reduce falling hazards at work and home, take these steps:
Clean spills and slippery areas right away.
Remove tripping hazards such as loose cords, rugs, and clutter.
Use non-slip mats in the bathtub and shower.
Install grab bars next to the toilet and in the shower or tub.
Put in handrails on both sides of stairways.
Walk only in well-lit rooms, stairs, and halls.
Keep flashlights on hand in case of a power outage.
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Spondylolysis and spondylolisthesis. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00053. Updated September 2016. Accessed September 1, 2017.
Stress fractures. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00112. Updated October 2007. Accessed September 1, 2017.
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