I have had 3 compression fractures (or more now) over the past 3 years. All have been extremely painful, and now knowing more about it, I cannot imagine any asymptomatic fractures occurring. They are detected by xray, depending on what type of care you are getting, you could always request. Also MRI, but xrays are much less expensive. In my case, none of mine were associated with an injury or trama events, just every day type of actions/movements. I have been diagnosed with osteoporosis and MGUS, within the past 8 months. I am 55. I haven't chosen a specific treatment yet for the osteo due to trying to figure some other issues out as well so I can best address the whole health picture. My endocrinologist recommended Prolia, but my bone density is normal, so the overall picture is not clear. Best of luck to you!