Symptom guide
Back Pain with Noticeable Height Loss
Back pain that is associated with a visible loss of height, increased rounding of the upper back, or sudden onset of severe mid-back pain. More common in older adults and postmenopausal women.
When to seek emergency care
- Sudden onset severe mid-back or upper back pain in an older adult — seek urgent evaluation
- Height loss of more than 1–2 inches
- New neurological symptoms after a fall
Conditions commonly associated with this symptom
Patients describing back pain with noticeable height loss are commonly evaluated for these conditions. Only a clinician can determine which applies to you.
Which specialist typically evaluates this
The right provider depends on your specific situation. These are the specialties that commonly evaluate back pain with noticeable height loss.
Frequently asked questions
- What causes back pain with height loss in older adults?
- Vertebral compression fractures, often related to osteoporosis, are commonly associated with both back pain and height loss — especially in postmenopausal women or those with low bone density.
- Is height loss with back pain a sign of osteoporosis?
- Progressive height loss accompanied by thoracic pain warrants evaluation. Osteoporosis-related vertebral fractures can occur without a traumatic event, sometimes referred to as fragility fractures.
- Who evaluates back pain with possible vertebral fractures?
- Orthopedic spine surgeons and PM&R physicians commonly evaluate vertebral compression fractures. Pain management specialists may also be involved for symptom management.
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