Osteoporosis is a major global health problem that is increasing dramatically as the population ages. It has been defined as a progressive systemic skeletal disease characterised by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk. The World Health Organization (WHO) estimated that 200 million people worldwide have osteoporosis. Hip and spine fractures are the most severe consequences of osteoporosis. The condition mostly affects women in their post-menopausal stage.
There are two major types of osteoporosis:
Primary osteoporosis can be:
Secondary osteoporosis: In this type, there can be underlying causes which can be:
Chronic liver disease
Chronic kidney disease
Prolonged bed rest
Fractures are the most dangerous aspect of osteoporosis. Osteoporotic fractures occur in situations where healthy people would not normally break a bone. They are therefore regarded as fragility fractures. Debilitating acute and chronic pain in the elderly is often attributed to fractures from osteoporosis and can lead to further disability and early mortality. Typical fragility fractures occur in the vertebral column, rib, hip and wrist. Due to osteoporosis, bones become very soft, a union is delayed, and there are more chances of non-union & implant loosening.
The common causes of osteoporosis are bone cancer, smoking, low calcium diet, genetic disorders, age and thyroid problems.
Loss of height
Reduction in mobility
Increased risk of falling
Abnormal drop in blood pressure on standing up
Additionally, your chances of developing osteoporosis increases when you:
Are above 40 years of age
Have undergone menopause
Have back pain, height loss, or a bone that fractures easily
The Max Institute of Musculoskeletal Sciences at Max Hospitals, India offers comprehensive care for several orthopaedic afflictions including knee, hip and joint problems. It is one of the largest chains of orthopaedic care centres in North India, with presence in Delhi NCR (Saket, Patparganj, Shalimar Bagh, Vaishali, Greater Noida & Gurgaon), Mohali, Dehradun and Bathinda. Known as the top orthopaedic hospital in India, it is equipped with a wide array of specialities ranging from sports medicine, paediatric orthopaedic services, arthritis diagnosis to treatment and pain management. The centres are also equipped with a digital Orthopaedic operating suite.
When it comes to osteoporosis, the doctors at Max Institute of Musculoskeletal Sciences at Max Hospitals, India have the required expertise. In terms of investigation, we have all kinds of investigative tools to diagnose osteoporosis early. In terms of treatment, we have all the modern techniques & equipment to deal with all kinds of osteoporotic fractures (including Vertebroplasty & Kyphoplasty). Also, the joint implants are planned pre-operatively for perfect size and positioning as per the anatomy of the patient, thereby safeguarding the patients.
Facilities available at Max Institute of Musculoskeletal Sciences:
Diagnosis of arthritis and treatment
Traumatic orthopaedic management
Procedures available at Max Institute of Musculoskeletal Sciences:
Computer-assisted Joint Replacement Surgery
Total Knee & Hip Replacement Surgery
Foot & Ankle Surgery
Hand, Shoulder & Elbow Surgery Spine Surgery
Articular Surface Replacement Hip Surgery
Shoulder Replacement Surgery
Traumatic Orthopaedic Surgery
Rest assured, Max Institute of Musculoskeletal Sciences at Max Hospitals, India, are fully equipped to deal with early as well as later stages of the disease. We focus on providing the highest level of patient care with professional expertise for early mobilisation and have taken orthopedic treatment to an altogether different level.
Osteoporosis weakens the bones and makes them susceptible to unexpected and sudden fractures. The condition often progresses without any painful and visible symptoms. Which is why it is necessary that treatment start as early as possible. Accordingly, our experts choose to treat it at the early stages so that further progression of the disease is delayed.
At Max Institute of Musculoskeletal Sciences at Max Hospitals, India, the treatment for osteoporosis starts by diagnosing it early. This involves taking a medical history, performing physical examinations & other investigations. Usually, osteoporosis can be detected at an early stage with a routine ‘Bone Density Test’, also called Bone Densitometry. This may be recommended as a routine test after menopause.
When treating osteoporosis, a team approach is taken in coordination with an orthopedician, neurosurgeon, radiologist, physician & anesthesiologist. Upon diagnosis, our doctors begin the treatment by recommending lifestyle changes, medications and/or therapies. Weight-bearing exercises, estrogen therapy, vitamin D and calcium supplements all improve bone density.
Initially, follow up is required once a week for three weeks. Then, once in every month. Any other support is usually not required, except for patients with multiple comorbidities.
Early-stage osteoporosis involves medical treatment while in the advanced stages, patients require medicines & injectables. In cases of severe, grade-like fractures, it requires surgical treatment.
Max Institute of Musculoskeletal Sciences at Max Hospitals, India offers the following treatment options for osteoporosis:
Kyphoplasty surgery: This is a vertebral augmentation surgery. It is performed to treat vertebral compression fractures. It involves injecting bone cement into a fractured vertebra via a small hole in the skin. The aim is to relieve back pain caused by the fracture.
Treating femoral neck fractures (FNF): FNFs are intracapsular fractures. The capsule is an area that contains the fluid that nourishes and lubricates the hip joint. A fracture in this area is categorised based on the location of the fracture along the femoral neck. Treatment usually involves surgery, medication and rehabilitation. Pain medication provides short-term relief from pain.
Treating distal radius fractures: The radius is the larger of the two bones that comprise the forearm. The end toward the wrist side is the distal end. A fracture of the distal radius occurs when the area of the radius near the wrist breaks. Several options for treatment are available, including Closed Reduction and Casting, Pins and Plaster technique, Open Reduction & Internal Fixation (ORIF) and External Fixation.The treatment chosen depends on the condition of the fracture.