Home | Health News | Themes | Search | Blog | Testimonials | Blood Bank | About Us
 
   
   
   
   
   
   
   
 
testing

 
   
 
Disease OSTEOPOROSIS
   
Quotation Old Mrs. Dumpty sat on a wall
Old Mrs. Dumpty had a small fall
All the world’s Calcium  
And Oestrogens ad nauseum,
Could not put her ghostly Spine Together again.
   
Definition A multifactorial bone disease characterized by low bone mass (osteopenia) with increase in bone fragility with susceptibility to pathological fractures of the spine, upper femora, distal radius, proximal humerus, pubic rami and ribs.
   
Prognosis In 70% of cases, treatment will lead to stabilization of skeletal manifestations. There could be small increases in bone mass. Treatment leads to reduced pain and increased mobility as well.
   
Treatment For Fracture:

Bed rest till the pain is controlled. Then early mobilization with walker support.

Brace or Corset to support the spine No plaster cast or Traction.

Avoid back strain, bending, jumping, traveling.

Back exercises after the fracture is healed.

For Osteoporosis:

Inj. Arachitol 3 lacs i.u. IM (loading dose) Or
Calcirol 1gm. Sachet (60,000iu)
Inj. Calcium gluconate 10ml x slow I.V. x daily x 5-10 days
Tab. Sandocal 500mg 1 daily x 23 months Or
Tab. Calcimax forte 1 daily x 2-3 months.
Ink. Calsynar 100 i.u IM x every week x 5.
In Post-menopausal females-
Tab. PREMARIN 0.625 mg x 1 bd.
Tab. Osteofos 10mg x 1 OD.
In renal rickets,
Tab. One Alpha 0.25mg x 1-2 tabs/day.

Inj. Arachitol
Calcirol 1gm
Inj. Calcium gluconate
Tab. Sandocal
Tab. Calcimax forte
Ink. Calsynar 100 i.u IM
Tab. OsteofosPREMARIN ONE ALPHA 
   
General Measures Diet, exercise and ensuring adequate exposure to sun.
Increased calcium (1500 mg/day) and vitamin D (400-800 IU/day) intake.
Minimum immobilisation/Spinal corset not generally recommended due to adverse effect on spinal musculature
   
Advice to Patient Maintain ambulation by walking daily. Avoid maneuvers that increase compressive forces on spine and peripheral bone sites.
Reduce weight by dieting, if over weight.
   
Follow Up Check up every 2-4 months.
X-ray of spine every 3 years or earlier if there is pain or even minimal trauma.
Gynaecologic and mammographic check for those on HRT, annually.
   
Inadequate Response Try editronates or biphosphonates.
   
Prevention (All woman to be advised as detailed below, preferably before menopause)
Walking daily, stair climbing, low impact aerobic exercise, gentle weight bearing exercise 3 times a week.
Post menopausal women-calcium intake 1000-1500 mg daily, Vitamin Done 800 IU daily.
Avoid excess coffee intake (negative calcium balance), avoid tobacco, alcohol.
Hormone Replacement Therapy in minimum effective dose; ideal within 5 years of menopause, but efficacy demonstrated even in women over 70.
   
Reference From www.mja.com.au/public/issues/172_05_060300/samrook.html
   

 

SocialTwist Tell-a-Friend
 
 
Home  |   Privacy Policy   |   News Lettter   |   Site Map   |  Disclaimer  |  About Us
   copyright@totalhealthneeds.com   Webmaster:- o3sa.co.in