By Reiner Bartl, Bertha Frisch (auth.)
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Extra info for Osteoporosis: Diagnosis, Prevention, Therapy. A Practical Guide for all Physicians — from Pediatrics to Geriatrics
Example text
We have to acknowl edge that ce rtain risk factors can not be changed and must be accepted. But there are crucial risk factors that can and must be avoided! Until recently, the diagnosis of osteoporosis was made only when the patient presented with painful fractures. Today, with a greater consciousness of health and healthy living we realise that recognition and avoidance of risk factors can prevent many chronic illnesses. A 50year-old-postmenopausal woman who goes to her physician for a yearly "checkup" expects to have her blood pressure taken, her cholesterol measured, and a mammography performed - that is good medical practice.
A very simple test can be used to evaluate a patient's coordination and thereby the risk of falling and of fractures: the "rise and walk" test. The patient gets up from a chair, walks to a wall 3 meters away, touches it, and returns to sit on the chair again. If this takes longer than 10 seconds, then there is an increased risk of fracture. Protection against blows to the side of the hip is afforded by pads which are sewn into the underwear or worn underneath it. These disperse the impact of the fall and thus protect the hip joint.
Moreover, with the introduction of improved biopsy needles and the latest immunohistological techniques as well as increasing interest in bone and its cells, bone biopsies will also acquire greater significance in the investigation of disorders of bone including osteoporoses, especially secondary and drug-induced. Histology and immunohistology: detection of causes of secondary osteoporoses. Osteoporosis does not choose its victims at random. We have to acknowl edge that ce rtain risk factors can not be changed and must be accepted.