T12 Compression fracture

75 y/o Male
Location: mid to lower lumbar spine
Provocative: most things
Palliative: advil

In interest of time. We got some imaging and he has a new stable t12 compression fracture, 70-80% loss in height. No neuro deficit. He has no primary care physician, and went to two urgent care facilities before coming to see me.

Injury occurred just over 2 weeks ago during a workout in which he “overextended” his lumbar spine while doing curls, heard a couple loud thumps, dropped the weights and crawled around for a little bit.

I need some direction here. This is not a case I want to manage, but would like to give some appropriate instruction as to where he might seek someone who will manage it for him. Under normal circumstances, I would send him back to his primary with his images and dx. My initial thought is to just send him back to urgent care, would this be better managed through an ortho? This is not my sweet spot, so other than recommending rest and load management, I’m not ordering any braces or making further recommendations.

Thanks,