Orthopedic doctor or neurosurgeon in with experience in osteoporotic compression fractures

[humbleavo]

Hi all. I suffered a osteoporotic compression fracture in my thoracic spine last year. Recently I had a new incident where I feel a lot of pain in the back again. This was followed by an MRI which doesn't show a new fracture, but the compression had gotten worse from the last scan one year ago. I was not impressed by the doctor and would like another specialist to take a look at the MRIs and offer advice. Does anyone have any doctor to recommend for this situation? 

 

I would also like to ask if somebody has any recommendation for good physiotherapists to help with muscle spasms in the thoracic area (rhomboid and scapula strained due to kyphosis). So far doctors have been very reluctant to recommend me one and it actually seems pretty hard to find someone with knowledge of this particular situation. 

 

This is in Bangkok by the way.

 

Thank you

Edited May 29 by humbleavo

[Sheryl]

I recommend you see Prof. Wicharn at the BNH Hospital Spine Center

 

https://www.bnhhospital.com/search-doctor/entry/4093/

 

Bring CD of your MRI with you. He will do an Xray there (he has his own special protocol for Xrays).

 

As you might know, this condition is often treated by vertebroplasty which is a minimally invasive technique which injects liquid cement into the bone.

 

For physical therapy. get Prof Wicharn advice before starting it. You might then like to use the BNH hospital PT department or, if not, this stand alone PT place is recommended by many (but bring with you detailed instruction from doctor)

 

https://www.bpcphysio.com/

 

Prof Wicharn is available only twice a week and in high demand plus he often travels abroad so book early to see him.

[humbleavo]

I'll do that. Thank you for the advice Sheryl!

[thesetat]

On 5/30/2024 at 5:49 AM, humbleavo said:

Hi all. I suffered a osteoporotic compression fracture in my thoracic spine last year. Recently I had a new incident where I feel a lot of pain in the back again. This was followed by an MRI which doesn't show a new fracture, but the compression had gotten worse from the last scan one year ago. I was not impressed by the doctor and would like another specialist to take a look at the MRIs and offer advice. Does anyone have any doctor to recommend for this situation? 

 

I would also like to ask if somebody has any recommendation for good physiotherapists to help with muscle spasms in the thoracic area (rhomboid and scapula strained due to kyphosis). So far doctors have been very reluctant to recommend me one and it actually seems pretty hard to find someone with knowledge of this particular situation. 

 

This is in Bangkok by the way.

 

Thank you

I would suggest you go to Siriraj hospital. They actually took care of my back very good and I have had multiple procedures there. They imported a doctor from Australia when i needed laser surgery to sever some nerves in my back. Also, they have a pain management center specifically for the back. I was getting special massage therapy and heat therapy on my back at the hospital for several months. 

Their cost is not as much as private hospitals also. But they have very professional doctors and service being the Kings hospital. If you want to go in the evenings they also utilize the hospital next door which is private but not as costly. 

[newbee2022]

16 hours ago, Sheryl said:

As you might know, this condition is often treated by vertebroplasty which is a minimally invasive technique

I doubt it's often treated like that. At least not at hospitals I was working.

More important is treatment of osteoporosis. So first a lab test: vit D, Calcium, testosterone aso. 

Then medication with bisphosphonate or denosumab.

The fracture will be ok by itself within 3 months.

Some physio is a plus.

I would not recommend any operation.

[Sheryl]

3 hours ago, newbee2022 said:

I doubt it's often treated like that. At least not at hospitals I was working.

More important is treatment of osteoporosis. So first a lab test: vit D, Calcium, testosterone aso. 

Then medication with bisphosphonate or denosumab.

The fracture will be ok by itself within 3 months.

Some physio is a plus.

I would not recommend any operation.

 

Vertebroplasty is not an operation. It is a percutaneous procedure. And it is commonly done in cases where pain persists/worsens despite passage of time (a full year in this case) and   conservative measures.

 

Whether it (or any other intervention)  is appropriate in the OP's specific case has to be determined by a specialist. 

[newbee2022]

9 minutes ago, Sheryl said:

 

Vertebroplasty is not an operation. It is a percutaneous procedure. And it is commonly done in cases where pain persists/worsens despite passage of time (a full year in this case) and   conservative measures.

 

Whether it (or any other intervention)  is appropriate in the OP's specific case has to be determined by a specialist. 

Your described procedure is known but in many ways not effective if you don't know the reason for osteoporosis. For most people it's a kind of operation what you described. Anyway.

Btw you can have the sovereignty of opinion if it is that you're aiming at. I'm not interested. 

However, I'm free to post what I know for sure.

Nice weekend.

[Searat7]

21 hours ago, Sheryl said:

I recommend you see Prof. Wicharn at the BNH Hospital Spine Center

 

https://www.bnhhospital.com/search-doctor/entry/4093/

 

Bring CD of your MRI with you. He will do an Xray there (he has his own special protocol for Xrays).

 

As you might know, this condition is often treated by vertebroplasty which is a minimally invasive technique which injects liquid cement into the bone.

 

For physical therapy. get Prof Wicharn advice before starting it. You might then like to use the BNH hospital PT department or, if not, this stand alone PT place is recommended by many (but bring with you detailed instruction from doctor)

 

https://www.bpcphysio.com/

 

Prof Wicharn is available only twice a week and in high demand plus he often travels abroad so book early to see him.

Dr. Wicharn is the best. He operated on my back 14 years ago and I walked home 40 hours later. 

[Sheryl]

6 hours ago, newbee2022 said:

Your described procedure is known but in many ways not effective if you don't know the reason for osteoporosis. For most people it's a kind of operation what you described. Anyway.

Btw you can have the sovereignty of opinion if it is that you're aiming at. I'm not interested. 

However, I'm free to post what I know for sure.

Nice weekend.

I am not remotely intetested in "sovereignity of opin8on".

 

I am  as Moderator of this forum  responsible for correcting factual inaccuracies.

 

Vertebroplasty involves an injection through the skin into the spine. Not an "operation". 

[newbee2022]

55 minutes ago, Sheryl said:

I am not remotely intetested in "sovereigni5y of ppinoon".

 

I am  as Moderator of this forum  responsible for correcting factual inaccuracies.

 

Vertebroplasty involves an injection through the skin into the spine. Not an "operation". 

Have your own opinion. It doesn't matter to me.