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The scoring system will assess loss of bone density which could range from normal to osteopenia wheel bearings Suppliers (mild loss) to osteoporosis (severe loss).Three commonly used drugs — steroids, medications for epilepsy and hypothyroidism — may induce bone loss. Vitamin D deficiency if any should be corrected. If the fracture risk is high, subjects should receive appropriate treatment.Presence of osteoporosis can be confirmed with Dual Energy X-ray Absorptiometry (DEXA) Scan.(The author is a consultant in geriatrics and was instrumental in starting the geriatric unit in Trivandrum Medical College). Multiple vertebral fractures slowly result in stooping of the posture, loss of height and persistent pain restricting daily activities.

DEXA is similar to X ray but with lower radiation. Have you ever thought of the reasons and preventive strategies of fractures in old age Even a simple fall can result in bone fractures in old age. Take home message: Fractures in the elderly are preventable. Vertebral compression fractures are a common cause of severe back pain. Have you ever thought of the reasons and preventive strategies of fractures in old age Osteoporosis or reduction in the bone mineral density decreases bone strength, making the elderly much more prone for broken bones.Even a simple fall can result in bone fractures in old age. Treatment includes oral medications (Alendronate), Tereperatide injection etc. Excessive alcohol intake, cigarette smoking are independent risk factors. It is more common in women especially with the loss of estrogen after menopause.The commonest sites of osteoporotic fractures are wrist, vertebra and the hip. However, it affects both sexes and prevalence is 50-60% above the age of 70. Common reasons for osteoporosis are deficiency of oestrogen (women) and testosterone (men), Asian ancestry, early menopause or surgical removal of uterus or thin build

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