i have a compression fracture, could lead to osteoporosis or tumor?

[toomuchpain408]

ive had back pain since august, steadily has gotten much worse over time, within the last 2 months ive had an x ray showing a narrowing of the vertebrae, a ct scan showing a compression fracture.
i had an mri done sunday and i have a bone scan on friday.
i have severe back pain, very dull/burning feeling in my lumbar, sharp back spasms in my mid back and a very DEAD feeling in my arms and shoulders, with pain in my neck as well.
my doctor is concerned because my fracture came from no trauma, like he was expecting.
he said its possible that i may have osteoporosis or a tumor, among other possibilities.
im a 27 year old male, who has been very active within in my life, so with the possibility of osteoporisis baffles me, though id rather have it than cancer.
ive read a lot online regarding compression fractures, and odds are i dont have cancer, but since trauma is ruled out in my situation ive read that metastic cancer is a very real possibility, given the fact that pain came all of a sudden, and among other things, one of the symptoms of metastic cancer is sudden back pain....id like to get others opinions on this matter and would greatly appreciate it, thank you

[Nassim Abi Chahine, MD]

Hello ma
Somebody who takes for example cortisol (steroids) for asthma since childhood can induce osteoporosis in his skeleton.
Even without any trauma people can experience "marche fracture" caused by long duration work or walk or other hard activities... misholding of a weight even a small weight but for a time and bad position can inducefractuers of the vertebra... dont forget the baseline structure and architectony of some vertebras which can include a large hemangioma inside making it really weak and fragile under normal for other vertebras pressure..
But you SHOULD EXCLUDE TUMORS, PET scan Would be ideal for such wide screening act. I hope they can biopsy it through a Jamshidi needle and make you  (moreover) a kyphoplasty to restore the anatomical a shape and resolve your problem. Post Kyphoplasty (which I do frequently) you can stand up and walk directly.
please inform about me about all your results
best of luck
Dr Nassim

[Nassim Abi Chahine, MD]

please tell me which vertebra is affected !

[toomuchpain408]

none of that affected my back, i woke up and immediately my back started to hurt, just as soon as i woke up, and its been getting worse and worse, today i started and still do feel EXCRUTIATING pain in my calf area, i would say slightly above and to the left of the calf, its definately a muscle, not bone, unlike my back but i feel like the pain is absolutely relating to my back, because when i lean backwards/forwards, depending on how far i want to go the pain gets worse and worse in my callf region, so much so that unless i was stupid i would immediately stop and the pain in my calf would stop, its hard to walk to sometimes, sometimes i need to walk with crutches because its just too much pain to deal with and the vicodin my doc gave me is useless, it helped with the pain in my back  for a little bit, a month or so but now it doesnt work for anything!

OHHH, and also i dont know which part of the vertebra is affect, believe it or not my doctor didnt tell me, but from my guess, i would say L1, maybe L2, but then again im also feeling pain in my neck and upper back now too

[Nassim Abi Chahine, MD]

1- Please forget about your neck, it s totally unrelated and soon it will resolve spontaneousely.

2- Where is the compresion fracture about which you did a research !
maybe you were exagerating !

3- Now it is too clear to me that your pain on walk is related most most probably with a vertebral listhesis (sliding).
You should do a dynamic view X-ray (lumbar flexion and extension).
If Listhesis is confirmed, go for a neurosurgeon who will fix with arthrodesis.
please do the mentioned axam I suspect a L5-S1 listesis
be in contact
best wishes

[toomuchpain408]

exagurating? i dont like to hear those kind of terms from anybody, makes me feel like im lying about my pain, if my doc told me this in my face, id walk out of his office.
i went to the docs on an urgent visit because of my leg pain, got to see a different doc other than my pcp, but while i was there i got my results from all the tests i took

my compression fracture is at the L9 vertebra
the results mentioned something about osteophytes and schmorls node....dont know exactly what that means but im seeing my regular pcp this week, but none of these results explain why i have a compression fracture which bothers me the most

[Nassim Abi Chahine, MD]

please dont be nervous my friend,  the fracture could be "marche fracture " from an overwork, not osteoporotic.
  in neural pain nobody has lied