It is great news that your pain has improved. However, pain relief does not mean your bones are fully protected against fractures. Because your tests show a high risk of spinal fractures, bone-density injections (such as teriparatide or denosumab) are often recommended because they rebuild bone strength much faster and more effectively than oral medications. While oral bisphosphonates are available, they may not offer the same rapid protection needed for high-risk cases. Your elevated inflammatory markers also require careful management. I highly recommend discussing your financial concerns with your doctor to explore assistance programs or find a safe, effective, and affordable treatment plan.