If osteoporosis-related fracture occurs, there may be localized pain over the fracture sites.
[elderly.gov.hk]
Deep somatic pain is initiated by stimulation of nociceptors in ligaments, tendons, bones, blood vessels, fasciae and muscles, and is dull, aching, poorly-localized pain.
[en.wikipedia.org]
Plain x-rays of the spine should be considered in older patients with severe back pain and localized vertebral spinous tenderness.
[merckmanuals.com]