На сегодняшний день заболевания the musculoskeletal system became younger. If several decades ago it was thought that people of age are affected by similar problems, now quite a few young people can be seen near the offices of osteopaths, vertebrologists and orthopedists. Diffuse osteoporosis is also considered a "rejuvenated" disease requiring comprehensive diagnosis and treatment.
Потеря плотности костей, хрупкость и ломкость total skeleton, thinning of bone tissue - all these are the main manifestations of diffuse osteoporosis. In comparison with the usual form of the disease, changes do not concern any one area, but the body as a whole. The disease is characterized by pronounced pain syndrome, which disturbs a person not only during movement or physical exertion, but also at rest. In parallel, the tendency to damage and fractures increases.
Diffuse osteoporosis is dangerous because it is diagnosed already during a period of severe changes from the side of the skeleton, because the initial manifestations are not specific, or even completely absent.
Normal work of the body is associated with twoparallel processes: the formation of bone tissue and its destruction. Violation of this balance and acceleration of catabolism leads to brittleness and a decrease in bone density. This process is facilitated by the following factors:
For a long time, the symptomatology of the disease is nothas manifestations, which complicates early diagnosis. In most cases, the patient learns about his condition after traumatization. Diffuse osteoporosis of the spine is accompanied by the following symptoms:
Diffuse osteoporosis of the joints is manifested by swelling, restriction of mobility, aching pains, muscle cramps of the lower limbs.
Not only patients, but also specialists withmany years of practice, can confuse osteoporosis with inflammatory joint diseases. Often, these pathologies appear simultaneously, but these are two completely different ailments that require separate consideration.
Unfortunately, diffuse osteoporosis of the bones givesknow yourself after fractures. The most characteristic damages are the compression fractures of the spine, as well as the femoral or radius bone, arising after the minimal impact of the traumatic factor. According to statistics, half of the patients who received compression injuries are unaware of their appearance. In addition to aching pain in the back, no symptoms can disturb.
In a few months, even pain syndromedisappears, and the patient does not suspect about his problems until the next traumatization. Persistent soreness has nothing to do with such specific fractures and may be indicative of myeloid leukemia or bone metastases.
X-ray examination to determine the initial manifestations of the disease is shown to all persons who are at risk. This includes people who differ in the following states:
Diffuse osteoporosis requires a full-fledgedcomplex treatment, but it is possible only after a complete examination of the body, which allows to determine the state of all bones of the skeleton. After collecting an anamnesis of life and disease, the specialist directs the patient to an X-ray examination, which makes it possible to evaluate the following signs of diffuse osteoporosis:
X-ray is an informative methodsurveys, however, changes are determined without clarification of nuances. You can see only the general picture. For a more in-depth diagnosis, bone densitometry is used to determine the "amount" of bone tissue.
A similar study can be carried out usingany of the standard methods of diagnosis, but the most common is X-ray absorptiometry, which allows to determine bone mineral density. The patient is placed on a special table along which the scanner moves. The procedure does not require special preparation. RA has two methods of diagnosis: peripheral allows you to clarify the density of the bones of the hand, wrist or calcaneus, and the central - femoral and bones of the spine.
The following method used for differentiationdisease, is a computed tomography. The results of the survey make it possible to calculate specific density indices, depending on the body weight and age of the patient.
Diffuse osteoporosis, the treatment of which shouldis conducted in specialized centers of a narrow focus, requires the participation of several specialists (endocrinologist, rheumatologist, neurologist). The choice of doctors' participation depends on the cause of the disease. The most frequently involved specialist is an endocrinologist.
Therapy of osteoporosis must be carried outsimultaneously with the treatment of the disease that caused his appearance (thyrotoxicosis, hypothyroidism, hypogonadism, etc.). Diffuse osteoporosis requires the use of the following groups of medicines:
The use of physiotherapy is allowed, in particular, phonophoresis, ultrasound, magnetic therapy, massage, elements of therapeutic gymnastics.
Proper nutrition is considered one of the factorsprevention of not only diffuse, but also other types of osteoporosis. Along with the products should be sufficient amount of vitamins and trace elements, especially calcium. Refusal from tobacco smoking and alcohol abuse also occupy an important place in prevention.
Older people and those who are at risk for this disease should undergo periodic examinations to determine the progression of the disease in the early stages.
Treatment of diffuse osteoporosis is complex anda long process that may not always have a favorable result. It is easier to prevent the disease, following the advice of experts, than to spend a huge amount of money, time and effort to fight it.
