Exercise program – three months after fracture:
Safe and gentle home exercise program (assuming no pain, no neurological symptoms, and after consulting your doctor or therapist):
Exercise Program (3+ months post-fracture)
Goal: Core stability, posture, muscle strengthening, fracture prevention
General recommendations:
- 3–5× per week
- 10–15 minutes per session
- Heat treatment (e.g., hot water bottle, warm shower) before training can help loosen muscles
- Breathe calmly and evenly, no straining or breath-holding
- Back mobilization – Pelvic tilts
Gently strengthens the lower back
- Lie on your back, knees bent
- Slowly tilt the pelvis back and forth (alternating between arch and flat back)
- Repeat 10–15 times
- Bridge (Pelvic lifts)
Strengthens glutes and lower back
- Lie on your back, knees bent
- Slowly lift your pelvis, vertebra by vertebra
- Hold at the top for 3 seconds, then slowly roll down
- Repeat 8–12 times
- Quadruped position – diagonal arm/leg lift (“Bird-Dog”)
Trains deep back muscles and balance
- Slowly raise your right arm and left leg, keeping them extended
- Hold for 5 seconds, return to start, switch sides
- Repeat 6–10 times per side
- Wall slide / “Wall roll”
Strengthens back muscles and posture alignment
- Stand with your back against the wall, heels about 10 cm (4 in) from it
- Press your back gently against the wall (light abdominal tension)
- Raise your arms to 90°, slowly slide them up and down the wall
- Repeat 8–10 times
- Isometric abdominal training
Gentle activation without pressure on the spine
- Lie on your back, hands on your belly
- Slightly draw in the abdomen (do not inhale), hold tension for 5 seconds
- Repeat 8–10 times
- Posture training while standing
Counteracts kyphosis – ideal for osteoporosis
- Stand tall, chin slightly tucked, shoulders relaxed
- Gently squeeze shoulder blades together (do not tense up)
- Practice 3× daily for 1–2 minutes with awareness
Optional: Theraband exercises
If you have a resistance band, I can show you exercises for the upper back (e.g., rowing, reverse flys) – ideal for preventing further fractures.
Safe and effective Theraband exercises designed for individuals recovering from osteoporotic vertebral fractures (3+ months post-injury). These focus on upper back strength, posture correction, and fracture prevention — key for long-term stability.
Theraband Exercise Program (Upper Back Focus)
Frequency: 3–4× per week
Reps: 8–12 repetitions
Sets: 1–2 sets to start
Band strength: Start with a light resistance (yellow or red)
Posture is crucial: Always keep your spine upright or supported, avoid spinal flexion (no forward bending). Sit or stand tall, or use a chair with back support.
- Seated Row
Muscles: Rhomboids, mid-back
- Sit upright, legs extended, band looped around feet
- Hold ends with both hands, palms facing each other
- Pull elbows straight back, squeezing shoulder blades together
- Slowly return
Keep spine neutral – no leaning back
- Reverse Fly
Muscles: Upper back, posterior shoulders
- Sit or stand tall, band held in front with slight tension
- Arms straight, pull band apart sideways to shoulder level
- Squeeze shoulder blades, then return slowly
Avoid shrugging – shoulders stay down
- Wall Angels with Band
Muscles: Postural stabilizers
- Stand with back flat against a wall
- Hold band in both hands at shoulder height, arms bent (like a goalpost)
- Slide arms up along the wall while gently pulling the band outward
- Lower again
Keep back and head gently touching the wall
- External Shoulder Rotation
Muscles: Rotator cuff, posture
- Sit with elbows bent at 90°, arms close to your sides
- Hold band with both hands, palms up
- Rotate forearms outward, keeping elbows tucked in
- Slowly return
Great for shoulder health and upright posture
- Diagonal Pull (Sword Draw)
Muscles: Rotator cuff, upper back
- Anchor the band low (e.g. under one foot)
- Grab with opposite hand (e.g. left foot, right hand)
- Pull band diagonally across the body, like drawing a sword
- Arm ends extended up/outside shoulder
Control the motion and keep torso still
Finish with:
- Gentle shoulder rolls (10x forward & backward)
- Neck stretches: tilt head side to side slowly
- Deep breathing (hands on lower ribs): 3–5 calming breaths