Sometimes osteoporosis develops because of the inability to absorb nutrients in the G.I. tract, mainly calcium and phosphorus. This can occur in celiac disease, where gluten is not tolerated and causes changes in the intestinal tract that prevent absorption of nutrients there are a couple of blood tests that can be done to rule out celiac, that would be a simple thing to do. I would also find a pain management doctor that’s willing to give you something stronger for pain than tramadol tramadol is the weakest of the narcotic pain medication and something like oxycodone may be needed to give you some relief. The Evenity injections are good to continue so the osteoporosis doesn’t worsen and further fractures occur in the spine. Discs degenerate and herniate and that’s different than the actual vertebrae fracturing. An MRI of the spine would differentiate between the two. sometimes with compression fractures a substance like bone cement can be injected into the bone to stabilize it. That is done by a spinal surgeon. I am sorry you are suffering so and your health declined so rapidly. That is unusual, and I think an underlying cause of the rapid osteoporosis must be sought. A parathyroid hormone blood test would also be helpful to make sure your calcium is not leaking from your bones, causing that rapid onset of osteoporosis. Celiac and parathyroid blood test can be done by your primary care doctor. I do hope you get the help you need and can continue with the injections until the cause of the osteoporosis is determined a good muscle relaxant like Robaxin could give you relief if muscle spasm is present, causing the swayback situation , please keep us posted on your progress