The Back Pain That Is Not a Strain
Most back pain is mechanical, settles with sensible management, and does not need investigating. There is one presentation that is different, it is commonly missed, and recognising it matters. Sudden back pain, in an older adult, after something trivial or nothing at all. That pattern can indicate a vertebral compression fracture, and it is one of the few back pain situations where getting the diagnosis right promptly genuinely changes what happens next.