I have 4 compression fractures in my thoracic spine, the newest being 2 years ago. I had another MRI last November and they are all stable and no nerve compression. I was pretty much pain free until last year when I started Evenity. After the first injection I have had almost constant and increasing pain mid-back, tingling and burning. I've been told it's probably nerve related, either compressed in a muscle or from inflammation due to osteoarthritis. I get massages twice a week, use resistance bands to exercise my back, stretch and take Meloxicam daily which give me some relief. Unfortunately the increased pain has affected my activity level. Last Fall I was able to walk/run, play with my grandkids, do some gardening, etc. Now I walk some and do my exercises. Depressing. I only have two more Evenity injections (hoping the back pain decreases?) and then a DEXA to see if there's been improvement. I'm going back and forth between Fosamax or Reclast when I'm done.