Osteoporosis And Lower Back Pain

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

91% (41326 ratings)

Ask Free Question

Psoriatic spondylitis psoriatic spondylitis is the medical term for a type of psoriatic arthritis that affects the spine and the joints in the pelvis. The symptoms may develop anywhere between the pelvis and the neck. People with psoriatic spondylitis may experience pain, inflammation, and stiffness in their neck and lower back. Symptoms •back pain. •pain and swelling in other joints (including hips, knees, shoulders, ankles, feet, elbows, hands, and wrists) •dactylitis (the sausage-like swelling of the toes and fingers) •reduced range of motion of the low back, spine, and pelvis. •psoriasis. •chronic fatigue. •osteoporosis. The most common medications for psa are often also used to treat ankylosing spondylitis, including nonsteroidal anti-inflammatory drugs (nsaids), disease-modifying antirheumatic drugs (dmards), sulfasalazine (azulfidine), immunosuppressants, and biologic medications, such as tnf inhibitors. 

0 person found this helpful

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

91% (41326 ratings)

Ask Free Question

Psoriatic spondylitis psoriatic spondylitis is the medical term for a type of psoriatic arthritis that affects the spine and the joints in the pelvis. The symptoms may develop anywhere between the pelvis and the neck. People with psoriatic spondylitis may experience pain, inflammation, and stiffness in their neck and lower back. Symptoms •back pain. •pain and swelling in other joints (including hips, knees, shoulders, ankles, feet, elbows, hands, and wrists) •dactylitis (the sausage-like swelling of the toes and fingers) •reduced range of motion of the low back, spine, and pelvis. •psoriasis. •chronic fatigue. •osteoporosis. The most common medications for psa are often also used to treat ankylosing spondylitis, including nonsteroidal anti-inflammatory drugs (nsaids), disease-modifying antirheumatic drugs (dmards), sulfasalazine (azulfidine), immunosuppressants, and biologic medications, such as tnf inhibitors. 

0 person found this helpful

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

91% (41326 ratings)

Ask Free Question

Do’s and don’ts for neck pain: do’s •do turn to one side while getting up from supine position. •use hot pack for your neck. •use towel roll under the neck during supine lying. •use pillow of normal thickness in side lying position. •do isometrics for neck. •arms should be supported in one of the three positions:•™ hands in pocket ™ •hands on thighs/or on table. •™ hand behind back with elbow straight. •in order to avoid holding the head in the same position for long periods, take break while driving, watching tv or working on a computer. •use a seat belt when in a car. •use cervical collar in case of giddiness. •retraction of shoulders every hour: move shoulders backward. Don’t’s •don’t sleep straight. •don t’ bend your neck. •avoid hanging of arms. •avoid sitting sitting for prolonged prolonged period of time in stressful stressful postures postures. •do not lift heavy weights on head or back. •do not drive for long hours; take breaks. •avoid habit of holding the telephone on one shoulder and leaning at it for long time. •do not take many pillows below the neck and shoulder while sleeping, •in order to turn around, do not twist your neck or the body; instead turn around by moving your feet first. Many people experience neck pain because of poor posture and muscle strain. In these cases, your neck pain should go away if you practice good posture and rest your neck muscles when they’re sore. The most common types of mild to moderate neck pain usually respond well to self-care within two or three weeks. If you have minor neck pain or stiffness, take these simple steps to relieve it: apply ice for the first few days. After that, apply heat with a heating pad, hot compress, or by taking a hot shower. Exercise your neck every day. Slowly stretch your head in side-to-side and up-and-down motions. Use good posture. Avoid cradling the phone between your neck and shoulder. Change your position often. Don’t stand or sit in one position for too long. Get a gentle neck massage. Use a special neck pillow for sleeping. Short-term immobilization. Use a soft collar that supports your neck may help relieve pain by taking pressure off the structures in your neck. However, if used for more than three hours at a time or for more than one to two weeks, a collar might do more harm than good. Forward and backward tilt this can be done while you're seated or on your feet. Keep your moves slow and smooth. Start with your head squarely over your shoulders and your back straight. Lower your chin toward your chest and hold for 15-30 seconds. Relax, and slowly lift your head back up. Tilt your chin up toward the ceiling and bring the base of your skull toward your back. Hold for 10 seconds, then return to the start position. Repeat the set several times. Do it every day. Side tilt do this while standing, with your feet hip-width apart and arms down by your sides. Gently tilt your head toward your right shoulder and try to touch it with your ear. Stop when you feel the stretch. Don't raise your shoulder. Hold the stretch for 5-10 seconds, then return to the start position. Repeat on your left side. You can do several sets and work your way up to 10 repetitions. For extra stretch, put the hand on the same side of your tilted head on top of your head, and press lightly with your fingertips. Side rotation you can do this while seated or standing. Keep your head squarely over your shoulders and your back straight. Slowly turn your head to the right until you feel a stretch in the side of your neck and shoulder. Hold the stretch for 15-30 seconds, and then slowly turn your head forward again. Repeat on your left side. Do up to 10 sets. Press your palm against your forehead. Resist with your neck muscles. Hold for 10 seconds. Relax. Repeat 5 times. Do the exercise again, pressing on the sides (both the sides (right & left side) of your head. Repeat 5 times. Switch sides. Do the exercise again, pressing on the back of your head. Repeat 5 times.Hot or cold compresses. Applying heat or cold may help. "some people like heat, some like cold, deal says. "whatever feels best. Tens (transcutaneous electrical nerve stimulation). A tens system includes a small, battery-powered machine, connected by wires to a pair of electrodes. The electrodes are connected to your skinnear the pain source. A mild electrical current travels through your skin and goes along your nerve fibers. It may reduce pain by changing the way your brain perceives pain, experts say. One session takes about 15 minutes. "tens is sometimes helpful -- not a game-changer but worth a try, deal says. Massage. This may give your muscles relief. Get your doctor's approval first, only get massage from a qualified therapist, and make sure the therapist knows about your osteoporosis and your fracture. Osteoporosis exerciseexercisingregularlybuildsandstrengthensbones. Weight-bearingexercises—wherebonesandmusclesworkagainstgravity—arebest. Theseincludeaerobics,dancing, jogging,stairclimbing, tennis,walking, andliftingweights.peoplewhohaveosteoporosismaywant to attemptgentleexercise, such as walking, ratherthanjogging or fast-pacedaerobics, whichincreasethechance of falling. Exercisingthree to fourtimesperweekfor 20-30 minuteseachtimehelps. Osteoporosis treatmentthe treatment of osteoporosis involves reducing any of the factors contributing to poor bone health. Yosur doctor may advise you to address current exercise regime, review your medications or review current lifestyle factors that predispose you to osteoporosis. Your doctor may also advise you to increase your: calcium intake via your diet or with supplements. Calcium is used to build and maintain bone health. vitamin d intake via supplements or exposure to low levels of sunlight. Vitamin d is used to absorb calcium in the bone and regulate calcium in the blood. Tips for osteoporosisweight bearing exercise, such as walking, can help to strengthen bonesexercises to improve your balance and strength will help to prevent falls follow a healthy diet that includes enough calcium and vitamin duse this handy calculator to make sure you are getting enough calcium. Wear sensible, well-fitting shoes to avoid fallsavoid rugs and sloppy slippers – both can cause tripshave good lighting on your stairsget your eyesight checked regularly (free for people over 60) try to avoid heavy lifting – consider home delivery grocery shoppingthis is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. 

1 person found this helpful

Dr. Jayasree RameshMBBS, MD - Physical Medicine & RehabilitationOrthopedic Doctor

89% (590 ratings)

Ask Free Question

Your back pain could e due to age related spondylitis changes and osteoporosis. The medicines you have mentioned is meant for osteoporosis (first one) and calcium You have to get DEXA scan first before starting such medications. or osteoporosis and get blood.investigations.done Initially take a Xray of tha painful area þo rule out compression.fracture and assess the osteoporotic and wear and tear changes 

0 person found this helpful

Dr. Karuna ChawlaBHMSHomeopathy Doctor

95% (121284 ratings)

Ask Free Question

Below are exercises that strengthen the lower back and help manage lower back pain: 1. Bridges—lie on the ground and bend the knees, placing the feet flat on the floor hip-width apart. Press the feet into the floor, keeping the arms by the sides. Raise the buttocks off the ground until the body forms a straight line from the shoulders to the knees. Squeeze the buttocks with the shoulders remaining on the floor. Lower the buttocks to the ground and rest for a few seconds. Repeat 15 times and then rest for 1 minute. Do 3 sets of 15 repetitions. 2. Knee-to-chest stretches— lie on the back on the floor. Bend the knees, keeping both feet flat on the floor. Use both hands to pull one knee in toward the chest. Hold the knee against the chest for 5 seconds, keeping the abdominals tight and pressing the spine into the floor. Return to the starting position. Repeat with the opposite leg. Repeat with each leg 2–3 times twice a day. 3. Lower back rotational stretches—lie back on the floor with bent knees and feet flat on the ground. Keeping the shoulders firmly on the floor, gently roll both bent knees over to one side. Hold the position for 5–10 seconds. Return to the starting position. Gently roll the bent knees over to the opposite side, hold, and then return to the starting position. Repeat 2–3 times on each side twice a day. 4. Draw-in maneuvers— lie back on the floor with knees bent and feet flat, keeping the arms by the sides. Breathe in deeply. While breathing out, pull the bellybutton toward the spine, tightening the abdominal muscles and keeping the hips still. Hold the position for 5 seconds. Repeat 5 times. 5. Pelvic tilts— lie back on the floor with knees bent and feet flat, keeping the arms by the sides. Gently arch the lower back and push the stomach out. Hold for 5 seconds, then relax. Flatten the back and pull the bellybutton in toward the floor. Hold for 5 seconds, then relax. Increase the number of repetitions daily, building up to 30. 6. Lying lateral leg lifts— lie on one side with the legs together. Keep the lower leg slightly bent. Draw the bellybutton into the spine to engage the core muscles. Raise the top leg about 18 inches, keeping it straight and extended. Hold the position for 2 seconds. Repeat 10 times. Turn onto the other side of the body and repeat, lifting the other leg. Perform 3 sets on each side. 7. Cat stretches— get onto the hands and knees with the knees hip-width apart. Arch the back, pulling the bellybutton up toward the spine. Slowly relax the muscles and allow the abdomen to sag toward the floor. Return to the starting position. Repeat 3–5 times twice a day. 8. Supermans— lie face down on the ground and stretch both arms out in front of the body, keeping the legs stretched out and flat on the ground. Raise both the hands and feet, aiming to create a gap of about 6 inches between them and the floor. Try to pull in the bellybutton, lifting it off the floor to engage the core muscles. Keep the head straight and look at the floor to avoid neck injury. Stretch the hands and feet outward as far as possible. Hold the position for 2 seconds. Return to the starting position. Repeat 10 times. 

2 person found this helpful

Dr. Vipin GuptaM.S. Orthopaedics, DNB Orthopaedic Surgery, MRCS, FELLOWSHIP OF JOINT REPLACEMENT & ARTHROSCOPY, Shoulder Replacement & Shoulder Arthroscopy Fellowship, Fellowship in Arthroscopy & Arthroplasty Hip & KneeOrthopedic Doctor

88% (50 ratings)

Ask Free Question

Hello dear summarising your case: your mother is a postmenopausal female with 2 weeks old injury to lower back leading to a pain which gets worse by sitting and forward bending and relieved by walking. Additionally has got a problem defaecating which probably is not a true defaecation problem but is probably because of increased pain related to the posture during the activity. Now, I feel you have provided a meticulous history but does lack a few points: 1. Has she had low back pain problem previously? 2. When did she attain menopause? 3. Has she had bone pains after the onset of menopause? 4. Does she have any medical illness and is she on any medicines currently and for how long if yes? Although it seems more of a mechanical pain, but x-rays of her lumbar spine are a must before putting her on any kind of treatment. She might need additional investigations for osteoporosis or an mri lumbar spine if the x-rays are suspicious. Contact me in case you need additional help. 

0 person found this helpful

Dr. PoornanandOrthopedic Doctor

91% (119 ratings)

Ask Free Question

First of all I’m so sorry to hear about your mum. As she already had metastatic cancer before and there is a high likely chance of pretty much the same in the Thoracic spine which can give symptoms in the lower back spreads to the ribs. I looking in the picture now she definitely needs an MRI scan of her spine to rule out further metastasis. Depending on the MRI scan we can decide what will be the best treatment for her. Most likely to treatment might be like a palliative care. I know it’s very difficult situation from your point. 

1 person found this helpful

Dr. Kunal Ajitkumar ShahMS - Orthopaedics, DNB (Orthopedics)Orthopedic Doctor

92% (136 ratings)

Ask Free Question

Get x-rays done of her spine to rule out osteoporosis i.e weak bones. Also get a knee x-ray done. Do some blood investigation like serum calcium, serum phosphorus and alkaline phosphatase also do vitamin d3 levels get back to me with reports. 

0 person found this helpful

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

91% (41326 ratings)

Ask Free Question

Ankylosing spondylitis (pronounced ank-kih-low-sing spon-dill-eye-tiss), or as, is a form of arthritis that primarily affects the spine, although other joints can become involved. It causes inflammation of the spinal joints (vertebrae) that can lead to severe, chronic pain and discomfort. Symptoms of ankylosing spondylitis •pain and stiffness. You may have constant pain and stiffness in the low back, buttocks, and hips that continues for more than 3 months. Ankylosing spondylitis often starts around the sacroiliac joints, where the sacrum (the lowest major part of the spine) joins the ilium bone of the pelvis in the lower back region. It might hurt more at night and get better when you wake up. You might also feel pain in other joints such as your knees, shoulders, and jaw. •bony fusion. Ankylosing spondylitis can cause an overgrowth of the bones, which may lead to abnormal joining of bones, called "bony fusion. Fusion affecting bones of the neck, back, or hips may affect your ability to perform everyday things. Fusion of the ribs to the spine or breastbone may limit your ability to expand your chest when taking a deep breath. •pain in ligaments and tendons. Spondylitis also may affect some of the ligaments and tendons that attach to bones. Tendinitis (inflammation of the tendon) may cause pain and stiffness in the area behind or beneath the heel, such as the achilles tendon. •bent posture. If as has gone undiagnosed and untreated, you might have a stooped posture from changes to your vertebrae. •breathing problems. Changes in posture can lead to changes in your lungsthat make it hard to breathe. •heart trouble. The inflammation can also affect your heart. •eye problems. As is linked to uveitis, a condition that causes inflammation in your eyes. Symptoms include pain, light sensitivity, and blurry vision. •inflammatory bowel disease. The inflammation can also affect your digestive system. You might notice diarrhea, belly pain and cramps, bloody poop, less appetite, and weight loss without trying. •psoriasis. About 10% of people with as have this immune system disease that causes scaly, itchy red patches on their skin. •fatigue. You could feel run down because of lack of sleep due to pain or as a part of the disease process itself. •dactylitis. You may get swollen toes or fingers. •fever. You might have a mild fever. Over many years, as can cause new bone to grow on your spine, fusing the vertebrae and making it harder to move. This can cause severe stiffness. About half the people who have as get osteoporosis, or brittle bones. Exercises for the back, neck and. 

1 person found this helpful

Dr. MandakiniBamsAyurveda

93% (1531 ratings)

Ask Free Question

Most common cause of low back pain is muscle or ligament strains. But you are indicating specially to spinal cord it may be due to osteoporosis, osteoarthritis, Herniated discs, fibromyalgia, ankylosing spondylitis, and spinal stenosis can cause back pain. You did not mentioned aggravating factor like it increases on sneezing ,coughing ,body weight, sleeping with too many pillows, soft beds also causing back pain, always use firmer mattress, pillow should not be highy, many no. Sleeping habit etc so try to correct them till give mssage to back, do some yoga like cobra posture mountain posture etc or exercise wee need more history to make diagnosis, consult in chat box. 

0 person found this helpful