19Feb

Senile Osteoporosis: Treatment, Causes and Symptoms

Contents:
  • Features of senile osteoporosis
  • Features of senile osteoporosis
  • Features of senile osteoporosis
  • Features of senile osteoporosis

    Density of bone tissue reaches a maximum by 30 years, it keeps at this level for about 10 years. But with age, there is a gradual loss of bone mass. By the age of 80, almost half of people have been diagnosed with senile osteoporosis. And, in women, it occurs twice as often.

    Bone strength is provided by the presence of calcium, phosphorus and other minerals in them. In order to maintain a sufficient number of them, you need a constant supply of micronutrients with food. For the normal absorption of calcium, vitamin D and certain hormones are needed: calcitonin, estrogen, testosterone. That is why in old age bone tissue is more sparse and fragile.

    Senile osteoporosis according to ICD 10 refers to diseases of the musculoskeletal system. This disease is given special attention, since it is quite common and is considered dangerous. If you do not stop the destruction of bone tissue, this can lead to serious consequences.

    Reasons for its development

    Senile osteoporosis develops due to a lack of minerals and a slowdown in the processes of bone repair. It is caused by the following factors:

    • with age reduces the synthesis of vitamin D, which leads to a violation of calcium absorption and its lack of bone tissue;
    • in the elderly there are few sex hormones that prevent the processes of bone destruction;
    • slows the regeneration of tissues;
    • decreases the production of calcitonin, which inhibits the activity of osteoclasts - cells that destroy bone tissue;
    • increases the content of parahormone, which worsens the absorption of calcium.

    But not all elderly people become brittle with age. It depends on the characteristics of a person's lifestyle, his nutrition, hereditary predisposition and the presence of chronic diseases. In the risk group are those people who consume few products containing calcium, do not go to the sun and move little. Renal failure, gastrointestinal and endocrine disorders can also provoke the development of osteoporosis.

    Older patient on consultation with a doctor
    With age, deformation of the spine due to a lack of calcium in the bone tissue

    Manifestation of the disease

    The danger of the disease is that it is practically asymptomatic. Loss of bone mass occurs gradually, practically without pain. Therefore, in most cases, the disease is diagnosed at a late stage, when the deformity of the spine or bone fracture has already occurred.

    It is possible to suspect the development of senile osteoporosis in the elderly by such signs:

    • the growth decreases by 10-15 centimeters, while its normal decrease with age should not be more than 5 cm;
    • there is a violation of gait and progression of stoop, in the thoracic spine there is kyphosis;
    • sudden fractures, possibly even without a strong external impact;
    • sharp back pain, which is worse after walking or other physical exertion;
    • early gray hair, brittle hair and nails, tooth loss also indicate a lack of calcium.
    Fracture of the neck of the hip
    The most dangerous consequence of osteoporosis is a fracture of the femur neck

    Consequences of osteoporosis

    In some cases senile osteoporosis does not give the patient any unpleasant sensations. But the rarefaction of bone tissue is very dangerous in that the risk of fractures increases. Elderly people fall often: due to dizziness, poor vision, abnormal gait and other reasons. Even from a slight physical impact in a patient with osteoporosis, a fracture occurs. And the fusion of bones in these patients takes a very long time.

    The most dangerous consequence of senile osteoporosis is a fracture of the neck of the thigh. Such a trauma in the elderly often leads to disability. There are also wedge fractures. Most often, elderly people break a ray.

    Deformation of the spine is also dangerous. Compression fractures occur with minor damage or even without any cause. Splicing of the front walls of the vertebrae and their subsidence leads to a decrease in the volume of the thorax. This negatively affects the work of all internal organs. The patient often experiences respiratory failure, weakness and dizziness.

    Diagnosis of senile osteoporosis

    Read more: a girl at a doctor Causes of osteoporosis in women

    If a bone tissue is suspected, the doctor directs the patient for examination. Usually do a radiograph of the pelvis in a direct projection and lateral shots of the spine. On them it is possible to see:

    • reduction of length of a spine;
    • compression fractures;
    • subsidence of vertebral bodies;
    • wedge-shaped destruction.

    When introducing a special contrast agent into the body, it is possible to identify old fractures.

    To start treatment of the disease in time, it is recommended after 50 years of regular densitometry. With its help, you can determine the density of bone tissue in any part of the skeleton. Modern models of such devices also measure the amount of minerals, hormones and enzymes involved in bone metabolism.

    Treatment of the disease

    Pathological processes in the bone tissue with senile osteoporosis occur gradually, but they are irreversible. Therefore, treating the disease is very difficult. All the methods of therapy are aimed primarily at slowing down bone loss and preventing fracture risk. We need to start treatment as early as possible. It should include:

    • reception of special medications depending on the individual characteristics of the disease, most commonly assigned "Calcitonin";
    • special diet, including foods with high calcium and vitamin D content: cottage cheese, yogurt, fish liver, legumes, greens, buckwheat porridge, eggs, dried fruits, nuts and others;
    • therapeutic walking in the open air, special sparing exercises;
    • sunbathing.
    Woman drinking milk
    It is very important to follow a diet with a high calcium content in products

    Drugs used in senile osteoporosis

    All medications are prescribed taking into account possible side effects and contraindications. Therefore, treatment of senile osteoporosis should be carried out only under the supervision of a doctor. He according to the results of the survey individually selects the drugs and their dosage. The most commonly prescribed drugs are:

    • with strong pain in the back or after fractures apply usual painkillers: "Analgin", "Paracetamol" or non-steroidal anti-inflammatory drugs: "Diclofenac", "Ibuprofen";
    • to remove muscle spasms and release the pinching of the nerve in the vertebra, prescribe muscle relaxants;
    • it is very important to use drugs containing calcium, most commonly prescribed "Calcitonin", as well as vitamin D.

    Prevention of complications

    With senile osteoporosis it is very important to teach the patient to lead such a lifestyle in order to prevent fractures. To do this, he must adhere to such rules:

    • does not lift weights, do not bend;
    • in time to treat diseases that can lead to a fall;
    • gently use public transport;
    • not take sleeping pills, sedatives and antidepressants during the day;
    • regularly undergo sanatorium treatment;
    • perform special exercises of physical therapy.

    For many elderly people, senile osteoporosis is inevitable. But you can reduce its unpleasant manifestations and consequences. The main thing is to make a diagnosis on time, and then follow all the doctor's recommendations.

Osteoporosis in women