Patient presents with complaints consistent with L3 compression fracture.  Symptoms include moderate to severe low back pain localized to the L3 vertebral level, potentially radiating to the lower abdomen or groin.  Onset of pain may be acute following a traumatic event such as a fall or lifting heavy objects, or insidious in cases of osteoporosis or pathologic fracture.  Physical examination reveals tenderness to palpation over the L3 spinous process, possible paraspinal muscle spasm, and restricted lumbar range of motion.  Neurological examination may demonstrate normal findings or reveal deficits depending on the severity of the compression and any associated nerve root impingement.  Differential diagnosis includes lumbar strain, herniated disc, spinal stenosis, and other vertebral fractures.  Imaging studies such as X-ray, CT scan, or MRI of the lumbar spine are indicated to confirm the diagnosis of L3 compression fracture and assess the degree of vertebral body collapse.  Initial treatment focuses on pain management with analgesics, NSAIDs, and possibly opioid medications for severe pain.  Bracing may be recommended for stabilization.  Physical therapy is often prescribed to improve strength, flexibility, and range of motion.  Surgical intervention such as vertebroplasty or kyphoplasty may be considered in cases of severe pain refractory to conservative management, progressive vertebral collapse, or neurological compromise.  Patient education regarding proper body mechanics, fall prevention, and osteoporosis management is crucial.  Follow-up appointments are scheduled to monitor healing, assess pain control, and adjust the treatment plan as needed.