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"Osteoporosis: compression fracture, DEXA -2

a- treatment? antiresorptive therapy - indications?
b- contraindication for Bisphosphonate?
c- Denosumab: what to follow?
d- other tx?"

User Neil Lunn
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Final answer:

The treatment for osteoporosis compression fractures includes rest, pain management, and in severe cases, surgical interventions. Antiresorptive therapy, such as bisphosphonates, is indicated for osteoporosis treatment. Denosumab is a medication used for osteoporosis and should be monitored for its effectiveness. Other treatment options include hormone replacement therapy, calcitonin, teriparatide, and raloxifene.

Step-by-step explanation:

a- The treatment for compression fractures in osteoporosis depends on the severity of the fracture. Mild fractures may not require any specific treatment other than pain management and rest. However, for more severe fractures, treatment options can include:

  • Bed rest and pain management
  • Bracing or external support
  • Physical therapy to improve muscle strength and balance
  • In some cases, surgical intervention may be necessary, such as vertebroplasty or kyphoplasty

b- Antiresorptive therapy is indicated for the treatment of osteoporosis. This therapy aims to slow down the rate of bone loss and decrease the risk of fractures. Bisphosphonates are a common type of antiresorptive medication used for osteoporosis treatment.

c- Denosumab is a medication used for the treatment of osteoporosis. It is a monoclonal antibody that works by inhibiting bone resorption. When prescribing Denosumab, it is important to monitor the patient's bone density and assess their response to the medication.

d- In addition to antiresorptive therapies like bisphosphonates and Denosumab, other treatment options for osteoporosis may include:

  • Hormone replacement therapy (estrogen) for postmenopausal women
  • Calcitonin
  • Teriparatide (parathyroid hormone analog)
  • Raloxifene (selective estrogen receptor modulator)

User Tarun Dholakiya
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