@daisy17 I’m so sorry for what you’re going through. I am 68 and have had five vertebral fractures occurring over what I believe was about a two year period. I am unsure exactly when I first started to fracture. I had two falls during this time, but no back pain whatsoever immediately after those falls. It wasn’t until I had pain in my L-1, about a year ago that my PCP ordered X-ray that found two fractures at L-1, and L-3. When I saw my ortho surgeon I hadn’t related these fractures to those falls which happened months or more than a year earlier, so I would guess in his eyes he thought I was very fragile. The last DXA I had was 2 years prior to this and my lumbar was -2.8. To me, that didn’t seem all that bad. I had a moderately active lifestyle and no chronic conditions, except GERD. I’m small boned and I’ve had the notion that this fact probably skewed my DXA towards a more negative result than was actually reality. My PCP had suggested Reclast to me at that time, but knowing the long term side effects I decided to forgo it.
For treatment the ortho surgeon said no to kyphoplasty because of the risk of fractures occurring above and below the treated vertebra. He prescribed a TLSO brace I was in for 6 months. He also said no bending, lifting or twisting. I followed the advice, wore the brace, but over the next 2-3 months L-2 and L-4 fractured later. About a month after those T-11 fractured.
The brace was cumbersome and I wonder if it really helped? Wearing a brace weakens your muscles and strong muscles are bone protective. The brace was not fitted properly. I live in a rural area which can create challenges to finding or seeing competent providers in some cases. If you’re prescribed a brace, be sure you’re getting it from a knowledgeable and competent medical supply.
My PCP had prescribed Evenity and I have completed 11 doses with no side effects. I will have a DXA after I finish the Evenity and then will probably choose Reclast to lock in my gains. Im not crazy about having the Reclast, but I wouldn’t tolerate an oral biophosphonate because of GERD issues. I don’t believe I want to take Prolia based upon its side effects and long-term unknowns.
I also started using HRT last fall as a compounded topical cream with estrogen with testosterone, and a micronized progesterone pill. I had a late menopause at 58, so was able to begin these bone protective hormones at 68, since they’re now considered safe for most to begin them within ten years of menopause. The exceptions would be history of heart disease or certain cancers.

I came out of my brace in Feb of this year and started PT which I’ve continued on my own at home. There is a good program I follow for guided exercise by Dr. Lisa Moore , PT.
She has free videos on YouTube that start with very beginner level once you’re cleared to exercise. There is also a webinar called Journey to Fracture Proof through her site that has very good, current science based guidance.
I also try to get adequate protein, calcium, vitamin D, preferably from food but I do use some supplements.

My hope is with HRT, proper diet and exercise, I will not only hang onto my bone, but I will build more.

There’s a very current , comprehensive, science based article I found, on Medshadow, The Complicated Reality of Treating Osteoporosis. This site wouldn’t allow me to post the link.

I wish you well on your journey to healing and better health.