In April, 2006 on an impromptu snow trip to Tahoe with my family, I fractured my spine in two places while sledding. I sustained a compression fracture of L1 and a burst fracture of L2. A small piece of bone broke off of my L2 fracture and impacted my spinal column by 25%. Thankfully, I did not experience any nerve damage and did not have to have surgery. I did, however, have to wear a TLSO (aka "clamshell" or "turtleshell") body brace for 12 weeks and had to do minor physical therapy. I am now practicing yoga regularly and continuing to recover. I created this lens to help other folks who have experienced spine fractures or similar injuries. Please feel free to email me if you have anything helpful to add.
Disclaimer
the not-so fine print...
- ** PLEASE NOTE: I created this page to help folks with back injuries and pain. I am NOT a medical professional and all of the following information is my opinion alone. Please consult your doctor before doing any activities or exercises, and use common sense. **
Back Pain News
from the Back Pain Relief blog...
Fetching RSS feed... please stand bySpecific Info about Spine Injuries
filling in the blanks...
- Anatomy and Function of the Spine
- Spine University's excellent (and easy-to-understand) general spinal reference.
- Spinal Injury FAQ's
- Very general article on spinal injuries.

- Compression and Wedge Fractures
- An overview of the compression fracture.
- Compression and Wedge Fractures: Treatment and Recovery
- Another follow up article - this one on compression fractures.
- Burst Fractures: Defined & Diagnosed
- Short but concise article on Burst Fractures - with some helpful diagrams.
- Burst Fractures: Treatment & Recovery
- A good follow-up article.
- Mayfield Neurological Clinic Spine Resources
- Excellent list of articles from the Mayfield Clinic on variety of different types of back pain. Very straightforward and well-written.
- Spine Universe
- A site chock full of great spinal resources and links.

- BBC Health: Back Pain
- Comprehensive BBC article on back pain including causes and treatments...
- Sex and Back Pain
- When the doc first broke the bad news (no pun intended) about my 3-6 month 24/7 sentence in what threatened to be a half inch thick chastity belt (the TLSO body brace), the thoughts of my boyfriend and myself inevetibly turned to our sex life. Sex is often the first thing to end up at the end of the list, but you (and your partner) need the reassurance and physical closeness more than ever! This very sensitive article discusses how to get groovin' when you're ready.
- Sex and the Back: Taking the Pain Out of Sex
- Another excellent article on sex and back pain. This one also includes several recommended positions - sort of like the Kama Sutra for back injuries...
Related Reading
related resources...

- Vitamin Shoppe: HealthNotes Safety Checker
- Today I went to my favorite vitamin store - the Vitamin Shoppe. I love it there bcz the people really know what they're talking about (rare in this day and age), and the prices are really good. Anyway I was talking to the gal about how these damn painkillers were melting my brain and my memory wasn't working like it should (not that I had that great a memory to start with but still). Also I haven't been sleeping well either. She recommended Recall Support (a blend of Ginko, Phosphatidylserine, Ginseng and some other good stuff I can't remember - ha!), and Super Snooze (a blend of valerian, chamomile, passionflower and some other stuff) but they were all out of the latter, so instead I got Nerve Blend SP-14 which has a lot of the same stuff in it.
Anyway, I told the gal that I was also taking some pretty heavy-duty painkillers and she told me that they had access to a system for checking drug/supplement interactions just to make sure I wasn't going to spontaneously combust if I mixed this stuff together. She tapped my prescriptions into the system and it listed potential herbal/supplement interactions (and here's the cool part), both bad and good. Meaning that in addition to letting you know if you're slowly turning your innards to sludge, they also tell you which herbs/supplements might actually benefit you by minimizing side effects or helping your drugs to work better! For example, the database told me that "Taking 3 grams vitamin C with acetaminophen (one of the ingredients in Vicodin) has been shown to prolong the amount of time acetaminophen stays in the body. This theoretically might allow people to use less acetaminophen, thereby reducing the risk of side effects..." WOW! And guess what...they have the database available for public use on the Vitamin Shoppe's website:
"Safety Checker covers over 10,500 drug interactions and depletions related to nutritional supplements, herbal remedies and food. Includes the top 400 over-the-counter and prescription drugs." Yay for smart things that make us feel better! - RxList: The Internet Drug Resource
- Serious back injuries are nearly always accompanied by equally serious drugs. Side effects from narcotic painkillers, heavy muscle-relaxers, etc, can do a number on your body, mind, and even your spirit (painkiller depression is very common). Plug your drugs into this online database and read up on the side effects - you might be stuck with them for now, but at least you'll know what's causing you to feel out-of-sorts!
- Mayfield Clinic: Pain Management
- Very good page including an explanation of pain dynamics, and a list of common management systems (including alternative systems).
- Mayfield Clinic: Self Care for Back & Neck Pain
- Fantastic resource for when you want to do anything, anything at all, to speed along the healing process or just to feel better.
- Computed Tomography (CT Scan)
- If you have a serious spinal injury, you'll certainly experience several x-rays and Cat (CT) scans. This is an interesting wikipedia reference on how the "CAT scan" works.


- Spine Universe: CAT Scans (Computer Assisted Tomography)
- Explanatory article discussing the purpose of the CAT scan, how it differs from a regular x-ray, and what to expect.
- All About the X-Ray
- Wikipedia reference on the x-ray including history.
- Spine Universe: Diagnostic Tests: X-Ray, CT Scan, MRI
- Another very good rundown of how these tests are done, what the show, and what to expect.
- Mayfield Clinic: Exercise for a Healthy Back
- Very good overview of typical back exercises - with some somewhat creepy graphics (see right)...
- Back Pain Exercises
- Videos with instructions on various exercises for the prevention and treatment of back pain. ** As with anything on this page, PLEASE consult your doctor before performing any activities or exercises with a back injury!! **
- Del.icio.us/popular/backpain
- A list of popular links for 'backpain' on the del.icio.us social bookmarking service - enough to fill your brain full and keep you busy for hours...
- About.com: Back and Neck Injuries - Chronic Pain
- About.com page chock full of additional reading resources.
- Narconon: Vicodin Withdrawal
- If you've paid attention you could probably tell that I have been adding links to this page as I experience the process of dealing with my own spine fracture(s). Well today I'm adding some resources dealing with painkiller withdrawal. Two days ago I decided I didn't need them anymore and wanted to be off the pk's before my bro's wedding (I was down to only 2 doses/day anyway - one before bed and one in the morning so I could deal with my horribly uncomfortable pile-of-rocks bed) ...shortly after I quit them completely I noticed I couldn't sleep, hot/cold flashes, runny nose, irritability, massive mood swings (like giddy one minute and sobbing the next), spontaneous goosebumps and a general feeling of what I can only explain as a kind of 'drained antsyness' accompanied by a fabulous twitchiness that makes me feel a little like Michael J. Fox with a crack problem...looked up "vicodin withdrawals" online and here's what it says:
* restlessness
* muscle pain
* bone pain
* insomnia
* diarrhea
* vomiting
* cold flashes
* goose bumps
* involuntary leg movements
* watery eyes
* runny nose
* loss of appetite
* irritability
* panic
* nausea
* chills
* sweating
Well, there ya go. The good news is, of course, that I haven't been on them that long so the w/d shouldn't take too long (I read something about 24-72 hrs and then steady improvement over the following 1-2 weeks) but the last two days have been pretty brutal. So for your reading pleasure, the next few links are resources for painkiller withdrawal...I focused on Vicodin bcz along with being my prescribed drug it is also one of the most common prescriptions for this type of injury. If you are curious about other drugs that you might be taking, feel free to do a search on any of the following websites. - National Hotline: Vicodin
- VERY in depth and full article on Vicodin addiction. Less about withdrawal than the drug itself and associated effects. This website is an excellent resource for learning 'all there is to know' about addictive drugs out there.
- Med Help Forums: Vicodin withdrawal symptoms - how long?
- This is a snippet of a forum conversation from 2003 (now closed) but I really got a lot out of reading the responses and the experiences of various folks that have dealt with this issue in a much bigger way than myself - some had been taking Vicodin and other painkillers for over 10 years and were asking pertinent questions about withdrawal. There are some pretty funny posts as well.
Advice & Message Boards
asking specific questions...
- HealthBoards: Back Problems Forum
- High visitation rates on this medical message board make it an extremely helpful resource. You do not need to register to view the forum, but you will need to sign up if you want to post a question/topic.
- eHealth Forum: Back Pain Forum
- Well-visited medical message board. Forum viewing is registration-free, but you will have to sign up (free) if you want to post a question/topic.
- Back Pain Support Group Message Board
- Fairly low-tech board, with mandatory registration to view OR post questions/topics.
Surviving a TLSO back brace
some helpful hints...
So as I mentioned above, I was lucky and did not have to have surgery. I was, however sentenced to 12 weeks in a Thoracolumbar Sacral Orthosis (TLSO, "clamshell" or "turtleshell") brace like the one to the right. This is a form-fitting plastic brace able to limit approximately 50% of the motion in the spine. Though it can be hot, itchy, chafing, and uncomfortable (and not exactly the sexiest thing in the world), the TLSO brace provides badly-needed support while your bones heal. It is quite literally the only thing between you and a wheelchair and since the alternative is a Frida Kahlo-style body cast...I suppose we can deal with it. Below are some tips on surviving your 24/7 sentence in the back brace: This Too Shall Pass
top 5 ways to survive a TLSO back brace...
- Undershirts - the FIRST thing to do after being fitted for the brace (the brace people usually measure and custom-fit it for you), is to pick up an "under armour" or other similar moisture-wicking t-shirt or tank top. I listed the exact one that I use on the Amazon list below. These space-age shirts will keep you cool and dry and will minimize your 'itch-factor' (which will subsequently minimize your insanity factor)
- Skin Care - I was sentenced to the body brace for 24 hrs a day/7 days a week. The first 3 weeks I couldn't even take off the brace to SHOWER (only sponge baths were allowed). So being that the brace is in such close proximity to the skin 24 hrs a day, it is IMPERATIVE that you take care of your skin. This means make sure that you stay moisturized but DRY and clean. Below on the Amazon list are some products that I used. I recommend a hefty bottle of BABY POWDER that you should use LIBERALLY to prevent chafing, stickiness, and odor. Also pick up a super-sensitive fragrance-free non-comedogenic (doesn't clog pores) body lotion. Once I was allowed to shower without the brace, I also used a gentle body scrub to help get rid of all the dead skin cells and minimize itch.
- Brace Care - much as you might hate it, your brace is your best friend while you heal. The last thing you need is for it to get smelly or even MORE uncomfortable. Each time you bathe, be sure that you clean the brace thoroughly. If you have a brace like mine above, the material is non-pourous so will not absorb liquid (or odor thank goodness). The straps will get wet, however. You can use a hair dryer or fan on LOW to dry the brace after you wash it (DON'T put it on high as custom-fit braces are designed to be malleable under heat). Be sure to use something antibacterial on it every so often depending on the heat, weather, etc - antibacterial soap will work.
- Brace Fashion - yeah, it's not exactly the sexiest accessory you've ever worn. When I first got out of the hospital I could care less what I looked like, however when the pain began to become more manageable and I was taking daily walks per my Doc's instructions, I got tired of the 'Igor' looks from little kids. It was also just irritating that the first thing people noticed was my brace, then I had to go into the whole story, which sounded less and less glamourous with each telling (I started making up alternative accounts - claiming I had saved a bus full of babies or hurt myself while mountain climbing). I found out after a quick trip to Old Navy that I could actually disguise the brace quite easily with some large t-shirts and some light button-down overshirts or blouses. If I wore the overshirt you couldn't even tell that I was wearing the brace. I also considered getting the brace officially decorated. At a friend's recommendation I contacted a local sign maker who called me back with several ideas for getting the brace airbrushed. Only problem was that the thing would have to be OFF to paint it...hrm...maybe someone else out there would have better luck if they were so inclined.
- Mental Health - 12+ weeks of sitting at home, not being able to drive (if you're on narcotic pain killers), and relying completely on the aid and kindness of others can result in an overwhelming feeling of powerlessness and frustration. Adding to that is the fact that many heavy medications (like pain-killers and muscle relaxers) can result in sedation, lethargy, and even depression. Many have said that a positive mental state can have a reciprocal impact on the healing process. In any case, the better you feel, the easier you'll make it through and the better you'll cope with pain and frustration, so mental health should be a high priority on your list.
Keep your friends, family members and/or caretakers updated on how you're feeling daily. In addition to being able to offer you additional support, if you communicate your mood on a regular basis, they will be less likely to take things personally if you happen to be extra grumpy or sensitive.
Stay busy, do what makes you feel productive and happy, try to avoid Jerry Springer ;)
TLSO Web Resources
brace care, etc...
- Spine Universe: Spinal Bracing
- Concise article explaining different types of braces and has photos!
- TLSO Brace: Home Care Instructions
- Home care instructions in .pdf form from the Vanderbilt Spine Center - my hospital didn't send me home with ANY written instructions so these were helpful
- Home Care for the Thoracic-Lumbo-Sacral-Orthosis (TLSO)
- This is a how to designed for children's braces from the Cincinatti Children's Medical Center but still has some good info.
- Braces for your neck and back
- Comprehensive list and instructions for several different types of neck and back braces - including our favorite the TLSO...
Helpful products
stuff to help you cope...
Raised Toilet Seat - Plastic
Absolutely essential for the first 3 weeks or so after my injury. Less pain while sitting (and getting up off of) the pot...
Johnson's Baby Powder 22 oz (624 g)
Oh my love, my baby powder - I use this liberally both under and on top of my "under armour" shirt (under the brace). Helps prevent sweat, itchiness and resulting chafed and irritated skin.
Cetaphil Gentle Skin Cleanser (16 oz)
I used this before I was allowed to shower. This soap is so gentle that if you don't rinse it off all the way, it still won't irritate your skin (i.e. crummy sponge baths).
Cetaphil Fragrance Free Moisturizing Lotion, 16-Ounce Bottles (Pack of 2)
I use this after washing with the cleanser to moisturize and BEFORE I put on the powder.
Sleep Better 3-Inch Visco Elastic Memory Foam Mattress Topper, Full
I actually haven't bought a memory foam mattress, but I am very strongly considering it. Tempur-pedic is the brand-name variety, but there are actually quite a few alternative brands that are MUCH more reasonably priced. If you're interested in learning more, look for reviews at epinions.com or elsewhere.
** 6/14/06 UPDATE: My new Serta memory foam bed is being delivered tomorrow! I have determined that the main source of my pain these days is my pile-of-rocks bed and after much research (and a great deal at a local furniture store) I bought the Serta. I'll post a review and a link to it here once I try it out!
Back Pain Remedies for Dummies
It's a 'Dummies' book - of course it's great!
7 Steps to a Pain-Free Life: How to Rapidly Relieve Back and Neck Pain
Ranked highly on Amazon...
Feedback
praise, boos, thoughts, comments, suggestions from visitors...
Got something to say? Want to post a comment or a suggestion or report a dead link? Dying to tell me that my lens saved your life or that you hate my guts? ;) Well why are you still reading this? Send me some feedback already!
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- Concerned BF Concerned BF Dec 6, 2008 @ 4:58 pm
- Well I am sitting in a hospital room w/ my poor GF. She has a L1 burst fracture, and has TLSO brace. Your site is very informative, so thank you for the information. I LOVE MYGIRLFRIEND!!!
-Nate
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- Steven Steven Dec 2, 2008 @ 5:03 pm
- I sustained an L2 burst fracture with a 40% occlusion of the spinal cord canal. The spinous process on L1 was broken off, as well. The neurosurgeon said it was a pretty bad fracture, but stable. That will teach me for falling into an elevator shaft.
I had a level 2 back fusion, basically fusing L1 through L3.
Now for the good news. I was off pain meds (Lorcet) after 2 weeks and was back to work, part time, in one month. I went back to full time work after 2 months. The doctor credits the fact that I started walking a mile a day since the day after my surgery. I am relatively pain free, one or two Ibuprofen's a week, and only have a 3"x3" area about my belt line that is numb. I am about to get to take my turtleshell off after 16 weeks. The doctor said he would normally require 24 weeks. Attitude is everything. I didn't let this get the better of me and I didn't let my back muscles atrophy.
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- bowlingblue bowlingblue Oct 7, 2008 @ 12:16 pm
- Destiny, thanks for the info on your site. I had my surgery 6 wks ago & have already had the TLSO cut down to a LSO-what a relief. One hint that made it easier to move around in the bed (no brace) was to put a piece of flannel backed satin fabric as a drop sheet on the bed. I can turn over very easily & sit up without twisting after the brace is put on. I have to wear the brace full time except when in bed. Thanks again for your great site. Also long handled tongs help in the bathroom!!
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- backpainhelp backpainhelp Oct 4, 2008 @ 4:48 pm
- Thanks for putting together this very helpful lens!
Back Pain Relief During Pregnancy
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- Linda Linda Sep 20, 2008 @ 4:14 pm
- Hi, I'm 51 yrs old.I survived a fall from a 10 ft. high deck on 06-22-08. Landed on my head and back. I was fused from C3 - T7. T8 collasped a couple of weeks after my first surgery. At first Dr.said pain was normal & gave me more meds. A few weeks went by then I had more xrays . Back to the OR on 08-28-08, now fused from C3- T12. Very lucky no spinal cord damage. Lost 22 lbs no interest in food after surgery, now my TLSO is too loose . I also have to wear a neck brace. It seems like the 2 are always fighting each other for position because they over lap when I sit. I'm feeling pretty good now. Will be starting PT next week and hope to be off the pain pills soon and back to driving. I hate depending on others to take me every where. Lucky for me I have a great husband that takes good care of me.
Good luck to all and I hope everyone feels better real soon.
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- Kendra Kendra Sep 4, 2008 @ 9:46 am
- I had a L1 burst fracture in April 1999 and wore a TLSO brace for 4 months. Your website is extremely helpful and I wish it had been around 10 years ago! Keep up the good work!
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- Bill H. Bill H. Jul 22, 2008 @ 12:43 pm
- Great resource - well written. I have been in my TLSO about 6 weeks now. I found the "Under Armour" to be very uncomfortable - and just used a T-shirt. Oh- fractures from a fall - T5, T6, T7, T8, T9, T10, T11 (worst), T12, L1 and L2. I fell from my roof onto my central air conditioning unit (smack-dab square). The impact was spread out over about 1/3 of my spine - no surgery - just TLSO and time to heal. The hospital has me on Darvon for pain killer. I am now down to 1 per day and looking forward to living without the barce. God bless all the nurses, therapists, etc that worked with me!!
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- worried mom worried mom Jun 2, 2008 @ 3:46 am
- Thank You, Thank You,
My daughter is lying in the hospital right now with a newly diagnosed burst fracture of L-1. At this time and I pray never, does she have any neuro deficit. She is in tremendous pain and will be fitted for her brace in the morning, which is now a few hours away. When I got home from the hospital I hopped on-line to figure out what in the world a burst fracture is? Every site was so frightening and had little information. Then I found yours. What a wealth of good information. Again, thank you. Hope your health continues to improve and please keep my daughter in your thoughts.
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- caro caro Apr 22, 2008 @ 12:22 pm
- Oh my gosh this is brilliant i had my accident 4th April 2008 im in my delightful brace presently and will be for the 12 weeks i have 2 fractures of my spine caused by horse riding accident hospital discharged me 4 th April said i was badly bruised!!!!!!!!!got called back the following thursday for a review to be told my back was actually fractured in 2 places so im not a happy camper with them but coming across yoour website has shone a bit of light on what to expect as the hospital told me very little.thanks again ver informative
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- the-secret the-secret Apr 3, 2008 @ 8:11 pm
- You've got some great links here!
Caregiver Carrie
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- Bobby Bobby Jan 17, 2008 @ 9:51 am
- Great site !!I sufferd a L1 L2 compresion fracture while hunting. Fell 20 feet out of a tree stand,when the stand broke.After spending 2 months in a brace now the docs want to do surgery.While looking for info on the web and not having much luck. I found your site and found a real usefull link on your site . Thank you for the site it answered a lot of questions .Allthough im still not sure I want to have surgery.
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- downtownlee downtownlee Jan 6, 2008 @ 10:58 pm
- Just got back from the hospital after three days. I'm wearing a clamshell brace and need information. Having osteoporosis and spondylolysthesisthesis, I had no business on a ladder, but we moved and I was arranging things on a shelf. Can't get comfy, can't sleep, dislike the drugs. Any help?
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- BarryKrost BarryKrost Jan 3, 2008 @ 12:30 pm
- Very complete and informative. Thanks for sharing your story and lessons.
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- Mike Biondi Mike Biondi Nov 15, 2007 @ 2:21 am
- got an L1 compression fracture as well, it really isnt fun, worst pain i ever felt, but i have to say this was really helpful, i thought one fracture was bad, but a burst fracture as well? man thats extreme.
thank you very much for the info!
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- Tahnee Tahnee May 12, 2007 @ 6:15 am
- I have a relatively new injury as a result of a fall, pain killers are helping me to cope at the moment. Trying to learn as much as I can. Thanks for the info.
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Message from the Captain of the Anti-Sledding Brigade
pass it on...
On April 14th I broke my back in two places while sledding in Tahoe with my family. After hitting a bump on the hillside and catching some air on my tobbogan, I sustained a compression fracture of L1 and all but shattered L2, leaving a bone fragment in my spinal column. I am VERY fortunate as I did not sustain any nerve damage but will be in a body brace for 3 months followed by several months of physical therapy.What surprised me the most was that when I was taken by ambulance to Barton Memorial Hospital in Tahoe, the docs and nurses said that they see my spinal injury from sledding nearly EVERY DAY, particularly in children and adults over the age of 8, because our spines are no longer flexible. Sledding seems so innocent - people do not realize how dangerous this activity is.
According to data provided by the U.S. Consumer Product Safety Commission, sledding accounts for over 55,000 emergency room visits each year. Most of the injuries are children under the age of 15 suffering head injuries - in fact, TWICE AS MANY head injuries occur from winter SLEDDING accidents than downhill skiing!
According to Dr. John Tongue, an Oregon othopedic surgeon, "Younger kids, they have larger heads, their head weight is (proportionately) three times that of an adult, they don't have the strength or coordination to protect their heads and they're having very high injury rates."
I ask you all to please pass this information to everyone you know. IF you choose to take your family sledding (trust me, I won't be going sledding any more), the following are some recommendations from Children's Hospital Boston:
1. Avoid sledding on icy or hard-packed snow - try to sled on fresh powder ONLY (to avoid spinal injuries like mine).
2. Choose a hill to sled on that is away from trees, rocks and other obstacles. Beware of crowded areas.
3. Make sure there is no street traffic or frozen water anywhere near the bottom of the sledding hill - a sled may not always come to a stop exactly where you want it to.
4. Check the sled to make sure it is in good condition with secure handholds and steering that works - no discs or tobbogans.
5. Never ride on a sled that is being pulled by a car or snowmobile.
6. Always sled while sitting up with feet forward. Lying on a sled increases the chance of head injuries.
7. Have your child wear a helmet while sledding.
Thanks everyone - be safe.
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