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Osteoporosis - The Brittle Bone Disease

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Osteoporosis , a disease in which our bone's internal architecture is damaged so much so that bones becomes internally weak. Such bone can crumple under very trivial loadings and lead to insufficiency fractures. The effect of osteoporosis is most pronounced into the human spine because of its axial position and due to the internal structure of it's vertebrae. Mostly a disease of elderly. This fractures can be silent. Meaning some vertebral fractures are without symptoms. We recognize such fractures only when we take an X-ray for some other reasons or when we notice bent (stooped) posture of the patient. However, most are significantly symptomatic. Patients comes with history of very trivial fall, like missing a step, getting up from the ground, lifting a bucket of water etc.. following which the patient is in back pain. Pain is mostly continuous or occurs while loading conditions (standing, getting up from bed, walking, twisting, turning in bed etc). Most patients do ver