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Contraindications It is not recommended for use in people with certain skin conditions or disorders, due to insufficient safety data

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Clinical Evaluation History of pain following a fall, sudden bend, or minimal trauma Localized spine tenderness Neurologic exam to rule out sensory or motor deficits (e.g., foot drop, weakness) Check for symptoms of bowel/bladder dysfunction (red flag for spinal cord compromise) Imaging X-rays : Identify vertebral height loss, kyphosis, and alignment changes MRI : Essential to assess fracture acuity, edema, and soft tissue involvement CT Scan : Helpful for surgical planning or complex fractures Bone Scan : Assesses activity in cases of multiple or unclear-age fractures Laboratory Testing When underlying osteoporosis or malignancy is suspected, additional labs may include: Calcium, Vitamin D, CBC Serum protein electrophoresis (rule out myeloma) Testosterone levels (in men) Parathyroid hormone, thyroid function Non-Surgical Treatment Options Surgery is rarely the first optionand often not needed at all

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