OSTEOPOROSIS



.OSTEOPOROSIS IS ONE OF THE COMMONEST METABOLIC DISORDER.
.IT OCCUR DUE TO REDUCTION IN BONE DENSITY AND BECAUSE OF THAT THERE IS REDUCTION IN BONE MASS.
CAUSES:
-SENILITY
-POST MENOPAUSAL
-PROTEIN DEFICIENCY
-MALNUTRITION
-MALABSORPTION
-EXCESS PROTEIN LOSS 
-ENDOCRINE:
.CUSHING SYNDROME
.HYPERTHYROID STATE 
-DRUG INDUCED:
.LONG TERM STEROID THERAPY
.PHENOBARBITONE THERAPY
*OSTEOPOROSIS IS ASYMPTOMATIC DISORDER UNLESS COMPLICATION OCCUR.
*LOSS OF BONE MASS LEAD TO LOSS OF STRENGTH SO THAT MINOR TRAUMA IS SUFFICIENT FOR FRACTURE.
*DORSAL LUMBAR SPINE IS THE MOST COMMON SITE.
*MOST COMMON SYMPTOM OF OSTEOPOROSIS IS BACK PAIN AND SECONDARY THERE IS VERTEBRAL COMPRESSION.
*HOWEVER IN SOME CASES THERE IS FRACTURE OF AXIAL SKELETON WITH MINIMAL TRAUMA.
*DUE TO THIS THERE IS LOSS OF HEIGHT.

*WRIST FRACTURE,FRACTURE OF NECK OF FEMUR,VERTEBRAL FRACTURES OCCUR DUE TO TRIVIAL TRAUMA.
DIFFERENCE BETWEEN NORMAL BONE VS OSTEOPOROTIC BONE:
HOW TO MANAGE OSTEOPOROSIS??????????
-HIGH PROTEIN DIET
-REST & ANALGESICS
-MUSCLE RELAXANTS
-BIOPHOSPHONATE ALENDRONATE SODIUM IS MOST COMMONLY USED.
-ESTROGEN SUPPLIMENTATION IS ONLY  METHOD WHICH IS EFFECTIVE IN PREVENTING TYPE 1.
-ADEQUATE VITAMIN D & CALCIUM INTAKE.
 PHYSIOTHERAPY:
WEIGHT BEARING

FLEXIBLITY EXERCISE

STRENGHTENING EXERCISE
POSTURE STABILITY
BALANCE EXERCISE 












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