Treatments to restore function and relieve pain

A common and often overlooked cause of back pain

Vertebral compression fractures (VCFs) are among the most common spinal injuries, yet they are frequently underdiagnosed. Matthew Darlow, MD specializes in diagnosing and treating these fractures with advanced, minimally invasive techniques designed to relieve pain and restore mobility.

VCFs occur when a vertebral body in the spine collapses, often due to weakened bone structure. While they can happen suddenly, many develop gradually and worsen over time if left untreated.

How common are vertebral compression fractures?

Vertebral compression fractures are far more prevalent than many patients realize:

  • Hundreds of thousands of VCFs occur each year in the United States
  • Most are related to osteoporosis, especially in adults over age 50
  • Many fractures go undiagnosed or are mistaken for routine back pain
  • Women, particularly postmenopausal, are at higher risk—but men are also affected

Because symptoms can be subtle at first, patients often delay seeking care, allowing the condition to progress.

How disabling can vertebral compression fractures be?

VCFs are not just minor injuries—they can significantly impact quality of life:

  • Severe, persistent back pain that worsens with standing or walking
  • Loss of height and progressive spinal deformity (kyphosis or “hunchback”)
  • Reduced mobility and independence
  • Difficulty performing daily activities such as bending, lifting, or even sitting comfortably
  • Increased risk of additional fractures due to altered spinal mechanics

Untreated compression fractures can lead to chronic pain, decreased lung capacity, and overall decline in health and function.

What causes vertebral compression fractures?

The most common causes of VCFs include:

  • Osteoporosis (weak, brittle bones)
  • Trauma or injury (falls, accidents)
  • Cancer affecting the spine (pathologic fractures)
  • Long-term steroid use or other conditions weakening bone

Identifying the underlying cause is critical to effective treatment and prevention of future fractures.

Symptoms of vertebral compression fractures

Patients often report:

  • Sudden onset of back pain
  • Pain that worsens with movement or standing
  • Relief when lying down
  • Limited spinal mobility
  • Gradual loss of height

Any new or worsening back pain—especially in older adults—should be evaluated promptly.