Management of chronic pain in osteoporosis: challenges and solutions

作者: Teresa Paolucci , Vincenzo Saraceni , Giulia Piccinini

DOI: 10.2147/JPR.S83574

关键词:

摘要: Osteoporosis (OP) is a pathological condition that manifests clinically as pain, fractures, and physical disability, resulting in the loss of independence need for long-term care. Chronic pain multidimensional experience with sensory, affective, cognitive aspects. Age can affect each these dimensions experienced. In OP, chronic appears to have sensory characteristics properties nociceptive neuropathic pain. Its evaluation treatment thus require holistic approach focuses on specific this population. Pain management must therefore include pharmacological approaches, physiotherapy interventions, educational measures, and, rare cases, surgical treatment. Most rehabilitative treatments patients OP do not evaluate or function, there no consensus effects rehabilitation therapy back quality life women OP. Pharmacological usually insufficient. The complicated regard its diagnosis, search reversible secondary causes, efficacy duration oral bisphosphonates, function calcium vitamin D. aim review discuss most appropriate solutions

参考文章(104)
Aleksandrova En, Sharapova Ep, Taskina Ea, Smirnov Av, Demin Nv, Alekseeva Li, Zaitseva Em, [Evaluation of the efficacy and tolerance of ibandronic acid in patients with osteoarthrosis in the knee joints concurrent with osteoporosis: a pilot study]. Terapevticheskii Arkhiv. ,vol. 85, pp. 30- 36 ,(2013)
Małgorzata Dziechciaż, Luiza Balicka-Adamik, Rafał Filip, The problem of pain in old age. Annals of Agricultural and Environmental Medicine. ,vol. 20, pp. 35- 38 ,(2013)
Frederick Christopher, Compression fractures of the spine American Journal of Surgery. ,vol. 9, pp. 424- 429 ,(1930) , 10.1016/0002-9610(30)90113-4
Francisco Rodolfo Spivacow, Armando Luis Negri, Healing of subtrochanteric atypical fractures after strontium ranelate treatment. Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases. ,vol. 9, pp. 166- 169 ,(2012)
Dursun N, Yalçin S, Dursun E, Comparison of alendronate, calcitonin and calcium treatments in postmenopausal osteoporosis International Journal of Clinical Practice. ,vol. 55, pp. 505- 509 ,(2001)
Li-qun HUANG, Hong-chen HE, Cheng-qi HE, Jian CHEN, Lin YANG, Clinical update of pulsed electromagnetic fields on osteoporosis. Chinese Medical Journal. ,vol. 121, pp. 2095- 2099 ,(2008) , 10.1097/00029330-200810020-00028
Tracey E Howe, Beverley Shea, Lesley J Dawson, Fiona Downie, Ann Murray, Craig Ross, Robin T Harbour, Lynn M Caldwell, Gisela Creed, None, Exercise for preventing and treating osteoporosis in postmenopausal women Cochrane Database of Systematic Reviews. ,vol. 7, ,(2011) , 10.1002/14651858.CD000333.PUB2