Diffuse osteoporosis is a common form of the degenerative-dystrophic process, which is characterized by involvement in the pathological process of not any specific bone / bone tissue parts, but the skeleton as a whole. As the disease progresses, there is an increasingly pronounced weakening of the bone tissue, against which the bones become less durable and are much more susceptible to fracture risk.
Diffuse osteoporosis
Next you are invited to familiarize yourself with the basic information about the disease, the causes of its occurrence, the features of manifestation and progression, diagnosis and treatment.
material Content
- 1 Causes of
- 2 disease Key features and
- 3 symptoms Features progression
- 4 diagnosis methods
- 5 Principles of treatment
- 5.1 Medicines
- 5.2 Lifestyle
- 5.3 Power
- 6 Preventive recommendations
- 6.1 Video - Osteoporosis is a diffuse
Causes of
diffuse diseaseosteoporosis belongs to the category of age-related diseases, diagnosed mainly in patients who have overcome the 50-year-old agea borderline. Pathology is of a physiological nature and develops against the backdrop of natural changes taking place in the aging organism.
Diffuse osteoporosis in old age
As osteoporosis progresses, the patient's skeleton is evenly involved in the pathological process. It is this distinctive characteristic of the studied form of the disease that makes it rather difficult to diagnose at the initial stages - there are no external manifestations at the first stages, except perhaps a decrease in bone mass, but this moment is very difficult to track.
Stages of development of osteoporosis of the spine
Thus, many patients simply do not notice the unfavorable changes in their condition, but the pathology does not care - it continues to progress, gradually and confidently worsening the patient's condition. At advanced stages, bone density becomes very low. On X-ray, they have the form of translucent shadows, circled by contours. The mass of bone tissue is significantly reduced. As a result - fractures, even with minimal damage.
Injuries and fractures in osteoporosis
Key signs and symptoms
As noted, the manifestations of the studied ailment are becoming more noticeable as it progresses.
First, this is a reduction in growth. On average, a person with diffuse osteoporosis becomes 3-4 cm lower when compared with indicators relevant to his 25-30-year-old age.
Secondly, this is a pronounced change in posture - there is a so-called."Widow's hump".
Water hump on the photo
Thirdly, there are painful sensations, mainly localized in the back.
Back pain
Fourth, this is an increased vulnerability of bones, which makes them less sturdy and more prone to fractures.
Bones are very vulnerable
Serious problems with the spine develop. First of all, compression fractures are formed. The subjective sign of this condition is pain, mainly in the lower back. The change in the body of the vertebrae is so severe that the vertebral column undergoes significant deformations right up to the formation of the hump. There is a possible occurrence of scoliosis. In parallel with external changes, internal problems develop - a change in the shape of the chest, which in turn leads to irregularities in the normal functioning of the heart, lungs and other internal organs - they are squeezed, shifted and begin to work incorrectly.
In case of osteoporosis, the thoracic vertebral body can not withstand the load.
Patients with diffuse osteoporosis often encounter such trauma as a femoral neck fracture. Getting such a damage with a high probability will make a person disabled, unable to move independently.
Fracture of the femur neck
No less frequent are wrist fractures. At the same time, the older a person becomes, the higher the risk of such damage for him.
Features of the progression of
As noted, in the initial stages of diffuse osteoporosis almost does not make itself felt. The maximum that a patient may encounter during this period is inessential cramps of the leg muscles, aching sensations in the back and faster, fatigue compared to normal conditions. As a rule, back pain, even when they become noticeably stronger, patients do not associate with the existing pathological factor, but write off something else, for example, fatigue, "age-related", etc.
Back pain in osteoporosis
Along with this, with the timely access to a qualified specialist pathology can be detected even at the initial stages of the disease, when it does not have time to give significant complications. For example, ultrasound allows you to see changes in the state of bones and joints at the earliest stages of the pathology - with a decrease in bone mass by a relatively insignificant 2-4%.
Ultrasound as a diagnosis of osteoporosis
X-ray begins to clearly "see" the disease with a decrease in bone mass by more than 20%.When diffuse osteoporosis is neglected, thin plates are formed in the bone tissue, which are located with sufficiently wide intervals.
Radiography for diagnostics and osteoporosis
Next you are invited to read information about the key methods of diagnosing such a disease as diffuse osteoporosis.
Diagnosis methods
Having heard complaints of the patient and having performed a primary examination, the doctor will give directions to the necessary laboratory and instrumental diagnostic measures. The fight against the problem will be started only after the specialist is convinced of its availability.
The key diagnostic tools are ultrasound and X-rays. The results of the surveys are described in the table.
Table. Diagnostic signs of diffuse osteoporosis
| Symptoms of | Description |
|---|---|
 Decreased bone density | Actually, the more progressive osteoporosis, the more pronounced this feature will be. |
 Thinning of the vertebrae | As the diffuse osteoporosis progresses, those become thinner in the vertical plane. |
 "Fish vertebrae" | The essence of the trait is as follows: intervertebral discs are pressed into the body directly by the vertebrae. |
 Deformations of wedge-like type | Marked in the presence of broken vertebrae. Often accompanied by the emergence of reactive changes and the growth of osteophytes. |
The key advantages of radiographic research are its wide availability, simplicity and high speed of carrying out. Along with this, the X-ray is considered to be quite outdated and relatively uninformative. For a deeper and full evaluation of the patient's condition, the doctor can refer him to additional examinations, for example, CT, dual-energy X-ray absorptiometry, MRI.
Dual Energy X-ray Densitometry( Absorptiometry)
Based on the results of the above studies, it is possible to add the most complete picture of the bone tissue condition and to select the most optimal and effective treatment for a particular case.
Principles of treatment
To combat diffuse osteoporosis are suitable in a complex. About this further.
Medications
Important! Any medicine can be taken exclusively for medical purposes after passing the necessary diagnostic tests. Uncontrolled independent treatment can give the opposite effect to the expected treatment, provoking a variety of complications.
The condition of patients with osteoporosis, for example, is favorably influenced by the following drugs:
- calcium complex + vitamin D3;
Mineral complex Ca with vitamin D3
- bisphosphonates - this group of drugs helps to inhibit the processes of reducing bone mass.
Bisphosphonates
In the presence of severe pain and signs of inflammation, analgesics and non-steroidal anti-inflammatory drugs may be prescribed. Female patients can be recommended hormone replacement therapy.
Drug therapy
Lifestyle
To successfully combat diffuse osteoporosis, the patient must make a number of changes to his habitual way of life.
First, you need to become a physically active person. No one forces you to go straight to the rocking chair or head off to the sport - everything is done gradually. Start with walking, fitness, physical therapy, etc. Jumping, bending / twisting and excessive loads are contraindicated.
Active treatment of osteoporosis
Secondly, you need to put yourself in shape - excess weight, as well as its lack, is one of the primary provoking factors in the case of osteoporosis, as well as with other diseases of the musculoskeletal system.
Need to deal with excess weight
Third, you need to carefully study the situation of their homes and save it from anything that could lead to injury.
Fourth, you should give up uncomfortable shoes, especially on high heels.
MBT shoes, helps relieve tension from the back and is recommended for patients with osteoporosis.
. Fifth, if necessary, use crutches, walking stick and other aids - it's clearly not in your best interests to be shy.
If necessary, use crutches or cane
Power
First of all, the body must receive sufficient amounts of calcium and vitamin D. The daily dosage of the first, depending on the age and sex of the patient, can reach 1500 mg, the second - up to 800 mg.
Foods rich in calcium
The diet should be rich in protein - this element is the basis of bone tissue. Normally, a person should consume up to 1.2 grams of protein per 1 kg of body weight per day.
Proteins in products
Coffee is either completely discarded or drunk to a minimum - an excessive amount of caffeine contributes to the washing out of calcium, and this is clearly not necessary for a patient with osteoporosis.
Coffee removes calcium from the body
Prophylactic recommendations
It is impossible to completely protect yourself from the risk of developing diffuse osteoporosis, but it is quite possible to reduce the probability of such an unfavorable state.
Osteoporosis is better to warn than to treat
First of all, eat right and lead an active lifestyle - the recommendations on this issue were described in detail earlier.
Give up bad habits. Alcohol, nicotine, drugs - all this does not benefit a healthy person, and a patient with osteoporosis doubles.
Control your overall condition. Patients of the middle and older age groups are advised to undergo such an examination every 6-12 months as an ultrasound or x-ray densitometry. By its results it will be possible to follow the dynamics of changes in density and mass of bone tissue.
Densitometry for the diagnosis of osteoporosis
Especially attentive should be patients with thyroid gland pathologies, as well as women who have reached menopause - in similar situations, the hormonal background undergoes not the best changes, due to which the risk of development of musculoskeletal problems in particular and deterioration of health inthe whole noticeably increases.
Be Healthy!
