Methods for the diagnosis and treatment of primary osteoporosis (in aid of a practicing physician)
DOI: 10.32364/2587-6821-2021-5-5-288-293
L.R. Kadyrova1, I.B. Bashkova2,3, E.S. Akarachkova4
1Kazan State Medical Academy — Branch of the Russian Medical Academy of Continuous
Professional Education, Kazan, Russian Federation
2Chuvash State University named after I.N. Ulyanov, Cheboksary, Russian Federation
3Federal Center for Traumatology, Orthopedics and Arthroplasty, Cheboksary,
Russian Federation
4International Society "Stress under Control", Moscow, Russian Federation
Back pain is a common medical and social problem that requires a doctor of any speciality to conduct a careful differential diagnosis and appropriate therapy. Commonly, both the doctor and the patient underestimate the importance of metabolic bone diseases in the development of acute and chronic pain. The article presents a clinical case of primary (postmenopausal) osteoporosis in a 66-year-old patient, female, with a clinically manifest form of generalized osteoarthritis. A detailed analysis of the algorithm of standard and additional diagnostic manipulations was conducted, indications for the prescription and treatment tactics concerning a drug for pathogenetic therapy were considered. The presence of the metabolic bone disease was suspected by back pain in an elderly female patient who had an onset at a late age (older than 50 years), and a decrease in height by more than 4 cm compared to the height at 25 years. The diagnosis was made clinically on the basis of X-ray data ( vertebral compression fracture) and confirmed by the laboratory tests results. The risk of fracture was taken into account during treatment tactics determination. In particular, it was regarded as high in the presented case.
Keywords: osteoarthritis, back pain, osteoporosis, low-energy fracture, antiresorptive therapy, bisphosphonate.
For citation: Kadyrova L.R., Bashkova I.B., Akarachkova E.S. Methods for the diagnosis and treatment of primary osteoporosis (in aid of a practicing physician). Russian Medical Inquiry. 2021;5(5):288–293 (in Russ.). DOI: 10.32364/2587-6821-2021-5-5-288-293.
Aknowledgement
The technical edition is supported by LLC Pharm-sintez.
About the authors:
Lidiya R. Kadyrova — C. Sc. (Med.), Associate Professor of the Department of Neurology and Manual Therapy, Kazan State Medical Academy — Branch of the Russian Medical Academy of Continuous Professional Education; 36, Butlerov str., Kazan, 420012, Russian Federation; ORCID iD 0000-0002-9306-2715.
Inna B. Bashkova — C. Sc. (Med.), Associate Professor of the Department of Faculty and Hospital Therapy, Chuvash State University named after I.N. Ulyanov; 15, Moskovsky ave, Cheboksary, 428015, Russian Federation; rheumatologist of the counselling outpatient clinic Federal Center for Traumatology, Orthopedics and Arthroplasty; 33, Fedor Gladkov str., Cheboksary, 428020, Russian Federation; ORCID iD 0000-0003-3509-1072.
Elena S. Akarachkova — Dr. Sc. (Med.), Chairman of the International Society "Stress Under Control"; 40, Musa Jalil str., Moscow, 115573, Russian Federation; ORCID iD 0000-0002-7629-3773.
Contact information: Lidiya R. Kadyrova, e-mail: lidakad@gmail.com.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interests.
Received 10.06.2021.
Revised 06.07.2021.
Accepted 29.07.2021.
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