Osteoporosis

WHAT IS OSTEOPOROSIS ?

It’s a disease characterized by decrease in bone density, mass and quality. Bones become increasingly porous and brittle thus increasing risk of fractures.

There are 2 types of Osteoporosis:

  • Primary- more common, not related to any disease or condition, affecting postmenopausal women and older men.
  • Primary- more common, not related to any disease or condition, affecting postmenopausal women and older men.

Osteopenia- is a term used to describe decrease in bone mass.

T-scores: are used to classify people as osteoporotic. Normal bone mineral density score is -1 or higher. -1 to-2.5 is osteopenia and -2.5 or lower is osteoporotic.

MAIN CAUSES OF OP :

  • Genes
  • Age
  • Gender

RISK FACTORS OF OP :

  • Smoking
  • Drinking more than 3 units/days
  • Inactivity

CLINICAL PRESENTATION :

  • Silent disease- no early clinical signs or symptoms
  • No symptoms till bone loss are advanced and result
    in fractures.
  • Common fracture sites include proximal femur, vertebrae, proximal humerus, hip and pelvis, distal radius and tibia.
  • Many develop secondary orthopedic problems
    related to posture, fractures and decrease in
    physical conditioning.

 

SIGNS AND SYMPTOMS :

  • Back pain- episodic, low thoracic/high lumbar
  • Compression fracture of the spine
  • Bone fractures
  • Decrease in height
  • Kyphosis
  • Dowagers hump
  • Decreases activity tolerance
  • Early satiety

 

PHYSICAL THERAPY MANAGEMENT :

  • Weight bearing exercises
  • Flexibility exercises
  • Strengthening exercises
  • Postural rehab
  • Balance exercises

HOW DOES PHYSIOTHERAPY HELP IN OP? :

  • Strengthens your bones and muscles
  • Prevents bone thinning
  • Helps reduce falls
  • Pain management

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