Rehabilitation of orthopedic and rheumatologic disorders. 1. Osteoporosis assessment, treatment, and rehabilitation.
This self-directed learning module highlights a clinical vignette of a female patient with osteoporosis and addresses the clinical presentation, assessment, medical management, and rehabilitation approaches to a patient with an acute vertebral fracture. It is part of the study guide on osteoporosis in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This chapter emphasizes the differential diagnosis, clinical diagnostic considerations, current pharmacotherapy, invasive procedure options, and orthotic and exercise interventions for a patient with postmenopausal osteoporosis.


OBJECTIVE
To summarize the clinical evaluation, medical management, and rehabilitation strategies in women with postmenopausal osteoporosis and acute vertebral fracture presentation.
Kaplan
Robert J
RJ
Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Robert.Kaplan@msnyuhealth.org
Vo
Andrew N
AN
Stitik
Todd P
TP
Kamen
Leonard B
LB
Bitar
Ali A
AA
Shih
Vivian C
VC
D019386:Alendronate / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use; D016861:Cyclooxygenase Inhibitors / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D010024:Osteoporosis / Q000175:diagnosis* / Q000188:drug therapy / Q000534:rehabilitation / Q000628:therapy*; D015663:Osteoporosis, Postmenopausal / Q000175:diagnosis / Q000188:drug therapy / Q000534:rehabilitation / Q000628:therapy; D010146:Pain / Q000188:drug therapy; D012307:Risk Factors; D016103:Spinal Fractures / Q000175:diagnosis / Q000628:therapy; D014147:Tramadol / Q000627:therapeutic use
D000701:Analgesics, Opioid; D016861:Cyclooxygenase Inhibitors; D014147:Tramadol; D019386:Alendronate