Osteoporosis

Symptoms

Symptoms of osteoporosis may include:

N

Pain in middle or lower thoracic or lumbar region

N

Increased pain on sudden movements, sitting, Coughing and sneezing

N

Back Pain

N

Loss of weight

N

Fractures

N

Brittle hair

Causes

The causes of osteoporosis include:

E

Disuse
– Prolonged bedrest or inactivity
– Prolonged casting or splinting
– Paralysis

E

Diet
– Low Calcium, Protein, Vitamin C in diet
– Alcoholism
– Smoking

E

Drugs whose prolonged use causes osteoporosis
– Heparin
– Methotrexate
– Ethanol
– Glucocorticoids

E

Genetic Role

E

Chronic Illness
– Rheumatoid Arthritis
– Cirrhosis
– Sarcoidosis
– Renal Tubular Acidosis

E

Bone Marrow Tumors

E

Hyperparathyroidism, Increased level of Estrogen

Diagnosis

E

Investigations include laboratory tests that are usually normal, plain X-rays of the affected bones show decreased bone density, but however the gold standard is the densitometry studies that show the extent of osteoporosis. It is most commonly performed using dual-energy X-ray absorptiometry (DXA or DEXA) or bone densitometry.

E

Bone X- ray- Produces images of bones within the body. It is to diagnose fractured bones, which are sometimes a result of Osteoporosis.

E

MRI of Spine- It is to evaluate vertebral fractures for evidence of underlying disease, such as cancer and to assess if the fracture is old or new.

E

CT Scan of Spine- To assess alignment and fractures, it can be used to measure bone density and determine whether vertebral fractures are likely to occur.

E

With your medical, family, medication, dietary and hormonal history the therapist will conduct a complete physical examination. With the assessment physical therapist may recommend for further testing like X-ray, MRI or CT scan. Back pain is the most common presentation of Osteoporosis. The physical therapist examines you thoroughly to understand the extent of involvement and to assign the proper rehabilitation program. This help to improve your overall bone and muscle health and help you to avoid further complications including fractures.

Treatments

E

Postural correction to protect from further spine issues, fractures and for back care.

E

Exercises to improve your activities of daily living.

E

Balance training to improve your balance and to avoid fall of risk.

E

Exercise program to improve your musculoskeletal system.

E

Pain management.

E

Lifestyle modifications including diet.

Our Arthritis Wellness & Rehabilitation Program incorporates an advanced modality called Pulsed Cell Repair Therapy (PCRT). PCRT directs a series of electromagnetic impulses through injured tissue. Each pulse induces a tiny electrical signal that stimulates cellular repair and harnesses the body’s own ability to heal itself. This natural signal promotes the body to repair damaged or worn tissues/cartilages and to maintain healthy and proper functioning of the joint.

Sometimes, because of aging, injury or disease, signals that are naturally produced by the body is disturbed. When this occurs, the body is unable to repair the damage itself. This results in pain, inflammation, and loss of proper function in the joint. PCRT is unique in that it mimics the body’s natural signal, activating the normal healing process and stimulates the growth and repair of the damaged tissue.

The treatment session is typically 9 to 12 days, first 9 days should be continuous without interval. Because of the regenerative process, patient is advised for rest without any vigorous movements in the joint. If the patient is in pain, we will manage with other electrical modalities and then start with PCRT. After the PCRT sessions, we begin with our muscle strengthening exercises and lifestyle modifications, approximately 3 to 4 weeks after completing the PCRT sessions, which helps the patient become functionally independent.

Elements of Arthritis Wellness Program

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Pulsed Cell Repair

N

Hyperbaric Oxygen Therapy

N

Cryo Therapy

N

Exercises

N

Nutrition & Diet Management

N

Lifestyle Management

N

Ergonomics Guidance

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