Post-Procedure Pain Management After Vertebroplasty: What to Do? - Orthopedics

Share to:

Post-operative bone cement procedure?


Hello, my mother has undergone vertebroplasty for a compression fracture of the spine and it has been half a month since the procedure.
Initially, our family was very happy because her quality of life had improved.
However, today she suddenly complained of pain again.
She usually wears a back brace, even while sleeping, but suddenly turning over caused her discomfort.
The attending physician won't be available for a few days, and I really feel helpless.

Lin, 40~49 year old female. Ask Date: 2016/07/06

Dr. Shi Guozheng reply Orthopedics


You can lie down and rest for a while, and if necessary, take pain relief medication.
If you are still feeling very uncomfortable, it is advisable to go to the emergency room for evaluation and treatment.

Reply Date: 2016/07/06

More Info


Post-procedure pain management after vertebroplasty can be challenging, especially when unexpected pain arises after an initial period of improvement. It’s important to understand that while vertebroplasty can significantly alleviate pain associated with vertebral compression fractures, some patients may still experience discomfort due to various factors, including muscle strain, improper body mechanics, or even the healing process itself.

Firstly, it’s crucial to assess the nature of the pain your mother is experiencing. If the pain is localized to the area of the vertebroplasty, it could be due to muscle spasms or strain from movements, especially if she was wearing a brace and then moved suddenly. In such cases, gentle stretching and relaxation techniques may help alleviate muscle tension. Applying heat to the affected area can also provide comfort and promote blood flow, which may aid in healing.

Since your mother is already using a back brace, ensure that it is fitted correctly and provides adequate support. Sometimes, adjustments may be necessary as the body heals and changes. If she is experiencing pain while wearing the brace, it may be worth consulting with a physical therapist or the medical team to ensure that the brace is not too tight or improperly positioned.

In terms of medication, if your mother has been prescribed pain relief medications, ensure she is taking them as directed. Over-the-counter options like acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) can also be considered, but it’s essential to consult with her physician before making any changes to her medication regimen. If her pain is severe and not managed by her current medications, it may be necessary to reach out to her healthcare provider for advice on adjusting her pain management plan.

Physical therapy can be beneficial in the recovery process. A physical therapist can provide tailored exercises that strengthen the muscles supporting the spine, improve flexibility, and teach proper body mechanics to prevent further injury. It’s important to start with gentle movements and gradually increase intensity as tolerated.

If the pain persists or worsens, it may be necessary to seek an earlier appointment with her physician or a pain management specialist. They can perform a thorough evaluation, including imaging studies if needed, to rule out any complications such as hardware issues or new fractures.
In summary, managing post-procedure pain after vertebroplasty involves a combination of proper medication, physical therapy, and lifestyle adjustments. Encourage your mother to communicate openly about her pain levels and any changes she experiences. This will help her healthcare team provide the most effective care and support her recovery journey. Remember, patience is key, as healing can take time, and it’s important to monitor her progress closely.

Similar Q&A

Understanding Post-Procedure Pain After Bone Cement Surgery

Hello, I would like to ask about my grandmother. A few days after her vertebroplasty surgery, she experienced back soreness, and after a few more days, she still feels nerve pain in her back. What could be the reason for this? Shouldn't the pain decrease after the vertebropl...


Dr. Lai Zhaokang reply Neurosurgery
Hello: There are many types of spinal disorders in the elderly, and the spine consists of several vertebrae, not just one type of treatment like vertebroplasty. It is recommended to return for a follow-up examination. Wishing you all the best.

[Read More] Understanding Post-Procedure Pain After Bone Cement Surgery


Post-Operative Pain Management After Minimally Invasive Spine Surgery

My mother underwent minimally invasive vertebroplasty, and the pain from her injured vertebra has significantly improved after the surgery. The doctor mentioned that there would be some soreness post-operation, but it has been one and a half months now, and she is still experienc...


Dr. Chen Bochen reply Orthopedics
Hello, if a normal compression fracture does not compress the nerves, it usually has less impact on the hips and legs. You should consult the original surgeon again and get an X-ray to evaluate whether further MRI imaging is necessary.

[Read More] Post-Operative Pain Management After Minimally Invasive Spine Surgery


Understanding Pain After Vertebroplasty: Causes and Solutions

1. Yes, it is possible for bone cement to not fully coalesce and remain in separate pieces. This can occur due to various factors, including the technique used during the procedure, the quality of the bone, or the presence of osteoporosis, which may affect the cement's abili...


Dr. Chen Yongxue reply Orthopedics
Hello, 1. The bone cement should be a single mass; it is rarely divided into two pieces. 2. The cause of the pain should be identified, such as through palpation; it should not rely solely on X-ray examination. If the pain is due to inflammation of the muscles adjacent to the spi...

[Read More] Understanding Pain After Vertebroplasty: Causes and Solutions


Managing Pain After Vertebroplasty: Options for Seniors

Pain: My father, who is in his 70s and a liver transplant patient, underwent vertebroplasty in July 2022. However, he has been experiencing persistent pain and is unable to stand. He has seen many doctors during this time. A few days ago, he had a CT scan, and the doctor mentione...


Dr. Zhan Xian reply Orthopedics
Hello, your father's condition requires a comprehensive evaluation through imaging and physical examinations. If needed, please visit the outpatient clinic. Wishing you well.

[Read More] Managing Pain After Vertebroplasty: Options for Seniors


Related FAQ

Post-Spinal Surgery

(Orthopedics)

Post-Fracture Surgery

(Orthopedics)

Post-Clavicle Fracture Surgery

(Orthopedics)

Post-Spinal Surgery

(Rehabilitation)

Post-Fracture Rehabilitation

(Orthopedics)

Post-Tibial Fracture Surgery

(Orthopedics)

Vertebral Arch

(Orthopedics)

Post-Discectomy

(Neurosurgery)

Spinal Fracture

(Orthopedics)

Low Back Pain

(Orthopedics)