Fractured Vertebrae

What is a fractured vertebra?

A fractured vertebra in the neck refers to a break or crack in one or more of the seven cervical bones that support the head and neck. While often considered a serious injury, a broken neck does not always involve spinal cord damage. However, early intervention is critical. A structured physiotherapy program should be started as soon as it is medically safe to help restore function, reduce pain, and improve overall recovery outcomes.

Above: Passive stretch of trapezius muscle by experienced physiotherapist

What Can Cause a Fractured Vertebra?

A fractured vertebra in the neck is typically the result of high-impact trauma. This can happen during motor vehicle accidents, significant falls, or contact sports injuries. In some cases, conditions like osteoporosis or cancer can weaken the bones, making them more susceptible to fractures even with minor force.

What are the symptoms of a fractured vertebra?

The symptoms of a fractured vertebra vary depending on the extent of the damage. Common symptoms include:

  • reduced range of movement
  • swelling/inflamation
  • stiffness
  • weakness
  • numbness
  • spasm
  • tingling / pins and needles

Above: Mobilisations of the cervical vertebrea to reduce stiffness and any nerve impingement

What Should I Do If I Suspect a Fractured Vertebra?

A fractured vertebra is a medical emergency. If you suspect a neck fracture—due to trauma or severe neck pain—seek immediate attention at your nearest accident and emergency (A&E) department. Avoid moving the neck or spine unnecessarily, as improper handling can increase the risk of spinal cord injury.

Medical management of a fractured vertebra.

After conducting X-rays or CT scans, a healthcare professional will assess whether the vertebral fracture is stable or unstable. Unstable fractures carry a risk of bone fragments shifting, which could endanger the spinal cord. To prevent this, the neck is typically stabilised using a hard cervical collar or a halo brace for several weeks. In some cases, surgical intervention may be necessary to secure the vertebrae. For stable fractures, gentle neck movement is generally allowed as tolerated, under proper medical guidance.

Above: Soft tissue massage of the muscle and connective tissues in the neck by specialist MSK therapist

Physiotherapy for a Fractured Vertebra

Your orthopaedic specialist will guide you on the appropriate time to begin physiotherapy based on the nature of your fracture and recovery progress. The primary goals of physiotherapy are to relieve pain and stiffness, restore normal movement, and gradually rebuild strength and function for daily activities. Over time, the focus shifts toward helping you return to your usual lifestyle or activity level. Treatment is predominantly exercise-based, and you'll be provided with a tailored home exercise program to support your recovery between sessions. Depending on your needs, additional treatments may include:

  • Manipulation / Mobilisation
  • Exercise Programmes
  • Massage
  • Postural Realignment
  • Acupuncture

Above: Mobilisations of the vertebrea in the cervical spine to reduce pain and stiffness

Can a Fractured Vertebra Cause Long-Term Effects?

In many cases, vertebral fractures heal successfully with proper medical care and rehabilitation, without any lasting issues. However, long-term effects can occur, especially if the fracture was severe, involved spinal cord injury, or was not treated appropriately. Potential outcomes may include chronic neck pain, reduced mobility, postural changes, or neurological symptoms. Early diagnosis, adherence to treatment, and guided physiotherapy significantly reduce the risk of complications.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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