How to treat back pain center of back - #10100
My grandmother is 80 years old she is suffering from back pain i did xray today dr told me that she have orestoprosis spinal one bone in center have compression bones are weak kindly give me advice to treat and get rid of this problem and how should she get relief from pain
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Doctors’ responses
Hello Masood I will help you with your problem.
RX 1) Tab Zerodol TH4 Max 1 tab twice daily after food for 5 days 2) Tab Gabapin AT 1 tab twice daily after food for 10 days 3) Tab Shelcal 500 1 tab daily once for 1 month 4) Tab Currn D 60k 1 tab once weekly for 12 weeks 5) cap Pan D 1 tab before breakfast for 7 days
Advice:
Lumbar Belt (LS Support Belt): Wear during daytime when moving or standing Avoid forward bending, lifting heavy objects, or prolonged standing . Bed rest with gradual Physiotherapy.
Monitor KFT
Thank You Dr Shayeque Reza MD
Do follow up
Hello dear Please be aware See you can take medication like zerodol sp/ cr or etorocoxeb for immediate relief In addition you take vitamin d sachets to arrest or slow down advancing osteoporosis For further details kindly consult orthopedic surgeon for long term benefits Regards
Managing osteoporosis with a compression fracture, especially at your grandmother’s age, requires a careful and comprehensive approach. First, it’s key to ensure her safety to prevent further falls or injuries. Home modifications like removing tripping hazards and installing grab bars can help. For pain relief, over-the-counter options such as acetaminophen or NSAIDs might be considered, but it’s crucial to watch for stomach issues or kidney concerns and consult with her doctor first. Sometimes, doctors may prescribe medications specifically for pain relief from fractures. Gradual physical therapy, once the acute pain improves, can play a significant role in strengthening her back muscles and improving mobility, enhancing her overall stability and reducing pain over time.
Calcium and vitamin D supplementation are typically recommended to support bone health; her doctor might also discuss bisphosphonates or other osteoporosis medications if suitable. These can help reduce the risk of future fractures by slowing bone loss. In some cases, specific procedures like vertebroplasty or kyphoplasty can be suggested if they feel it will provide relief from pain, though these are typically reserved when pain is significantly uncontrolled. It’s important to regularly follow up with her healthcare provider to monitor bone density and review medication effectiveness. Her diet should be rich in calcium and vitamin D, and spending moderate time in sunlight can help with vitamin D—this must be balanced with skin cancer risk, so aim for short periods.
Encouraging regular, weight-bearing exercises, like walking, once she’s comfortable, can help maintain bone strength and improve balance. Ensure she keeps well-hydrated, as dehydration can contribute to falls, and review any medications that may affect balance. Discuss with her doctor about any bone density scans to evaluate the progression of her osteoporosis more accurately. Prioritize a holistic approach that safeguards her quality of life and addresses both pain management and bone health simultaneously.
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