Generalized bone mineral density (BMD) may be used as a predictor of subsequent radiographic damage in African Americans who have recent-onset rheumatoid arthritis (RA).
Martial arts fall training may reduce the risk of hip fractures in persons with osteoporosis. Training is safe if they wear hip protectors that could attenuate the maximum hip impact force by at least 65%, perform the fall exercises on a thick mattress, and avoid
forward fall exercises from a standing position.
Women with osteoporosis who previously had fractures experience a significant reduction in health-related quality of life similar to or worse than that experienced by patients with diabetes mellitus
The most common secondary form of osteoporosis is corticosteroid-induced disease. Cases of endogenous corticosteroid excess are few compared with the large number produced by exogenous use of the drug for management of many diverse diseases.
Screening for osteoporosis should be conducted for all women 65 years and older and for younger women whose fracture risk is equal to or greater than that of a 65-year-old woman who has no additional risk factors, according to a US Preventive Services Task Force (USPSTF) recommendation statement draft.
Physical activity performed at an early age results in sustained improvement in bone health evidenced by higher bone mineral content (BMC).
The number of older persons in the United States who have osteoporosis is declining, according to findings from the National Institute of Arthritis and Musculoskeletal and Skin Diseases–supported National Health and Nutrition Examination Survey (NHANES).
Contrary to earlier reports, oral bisphosphonate use in older patients at high risk for osteoporosis does not appear to be associated with a significant risk of subsequent musculoskeletal pain.
Following the release of revised National Osteoporosis Foundation guidelines and of the World Health Organization’s fracture risk assessment tool, several pharmacological therapies have become available to help improve outcomes in patients with osteoporosis.
Throughout history, various forms of morphine have been the most effective medications in relieving pain. Opioid analgesics—the natural, semisynthetic, and synthetic derivatives of morphine—are used routinely in the management of acute musculoskeletal pain. However, myths and misunderstandings about these drugs often prevent primary care physicians from prescribing them for chronic pain, such as that seen in common musculoskeletal conditions (eg, rheumatoid arthritis, osteoarthritis [OA], osteoporosis, and low back pain [LBP]). Although pain is one of the most common symptoms that bring patients to the physician’s office, those with chronic musculoskeletal or other noncancer pain all too often are undertreated.