You can have osteoporosis and not even know it. In fact, about two-thirds of spinal compression fractures are never diagnosed because many people think the back pain is just a part of aging and arthritis. But if osteoporosis isn't treated, it can lead to more fractures. It’s important to see your doctor if you’re in pain. Osteoporosis treatment won’t guarantee that you’ll never get another compression fracture, but it will significantly lower your odds.