By Juliet E. Compston, Clifford J. Rosen
Read or Download Osteoporosis (Fast Facts), 6 th ed PDF
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Additional info for Osteoporosis (Fast Facts), 6 th ed
Sample text
In general, the management of clinically evident osteoporosis should include a thorough evaluation of lifestyle, activity, diet and treatable risk factors, as well as measurement of BMD. Attention to risk factors for © 2009 Health Press Ltd. com Clinical manifestations falling is especially important in frail elderly individuals. Adopting a comprehensive approach such as this will help to prevent future fractures and minimize future morbidity. Key points – clinical manifestations • Colles’ (wrist) fractures occur mainly in young postmenopausal women following a fall onto the outstretched hand.
Non-pharmacological interventions 56 In addition to measures that reduce fracture risk, management of the patient with osteoporosis should include: • lifestyle advice • symptomatic treatment • psychological and social support. © 2009 Health Press Ltd. com Management: general considerations The risk of falling should be carefully assessed and modifiable risk factors must be addressed. Hip protectors, which reduce the impact of falling on the femoral neck and trochanter, are probably effective in institutionalized individuals, but their use is limited by poor compliance.
Since treatment is given over the long term (usually for at least 5 years), is not associated with symptomatic improvement and may cause side effects, it is essential that patient preference is carefully considered before deciding on a particular treatment option. Intermittent regimens may have an advantage in this respect for many women. © 2009 Health Press Ltd. com 53 Fast Facts: Osteoporosis Extraskeletal risks and benefits are potentially important when prescribing HRT or raloxifene, and these considerations are discussed in more detail in the following chapters.
