@elizabeth17
I do not have osteoporosis so you will definitely want to take your medications and calcium/vitamin D supplements plus eat more dairy to strengthen your bones, especially in your spine. You would also benefit from weight bearing exercise which also helps your bones. If you smoke, you really need to quit.

If your bones are deteriorating in your spine from osteoporosis, they may be shifting due to struggling to bear weight on your spine. Discs may have bulged/herniated and causing pain if compressing your spinal cord/nerves. A MRI definitely will show a lot of what is happening in your neck and lower back. Your doctor should not just say “we will keep an eye on it.” That is dismissive of your pain and symptoms plus disruption of sleep which affect quality of life. Your doctor should have referred you for specialist assessment. Compression on spinal cord and nerve roots could cause permanent damage. Surgery may be recommended and spinal injections to manage pain. I was prescribed Cymbalta (generic is Duloxetine) for nerve pain, osteoarthritis and depression from chronic pain. Getting help from a nutritionist may be able to help review your diet to help you improve bone and nerve health.

Good luck getting proper diagnosis and treatment options. Make sure to advocate for yourself and don’t let doctors dismiss you or your symptoms.