Osteoporotic compression fractures of the vertebrae represent a serious health difficulty for any patient, but they are a particularly pronounced problem in the elderly population. The recovery journey significantly benefits from physiotherapy, which aids in diminishing pain, boosting mobility and functional abilities, and preventing complications like muscle loss and imbalance. The use of specific exercises to strengthen trunk muscles, stabilize the spine, and improve posture, together with educating patients about proper movement and bone preservation, contributes to a significant improvement in quality of life. Pain-relieving techniques, such as manual therapy, electrotherapy, and kinesitherapy, can help reduce symptoms and enable a quicker return to daily activities. Early intervention and a multidisciplinary approach, which includes collaboration between doctors, physiotherapists, and other specialists, are key to the successful treatment of osteoporotic vertebral fractures. The long-term goals of physiotherapy should be aimed at preventing further fractures by promoting an active and healthy lifestyle, adapted exercises, and regular monitoring of bone density and the general condition of patients. With a comprehensive approach, it is possible to significantly reduce the risk of repeated fractures and improve their quality of life. It's essential to inform family members and relatives to ensure they can provide significant support to the patient, helping enhance their mental and physical health.