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At diagnosis Knochenbrchen without violence Rckenschmerzen decrease in Krpergre by 4 cm Krpergewichtsabnahme 10% within 1-2 years, or underweight (BMI below 20), osteoporosis should be a thought to. Clinically, an Rundrcken ("dowager's hump") or a so-called Tannenbaumphnomen exist. Rntgenaufnahmen In the thoracic and Lendenwirbelsule show a reduced and possibly Kalksalzgehalt Deckplatteneinbrche the Wirbelkrper. of bone density measurement in the Kalksalzgehalt decreased (T-score -2.0 Full-Size). Abklrung entzndlicher laboratory values are used to process and other bone diseases (BB, ESR, Ca, Phos, creativity, APH, gGT, TSH). The goal of therapy is the prevention of fractures. Osteoporosis is secured, according to guidelines of the DVO to: one of Knochendichtemesung measured in T-score of -2.5 or rntgenologisch visible fractures and a T-score of -2.0.Periodically to therapy in general (tgliche) adapted Krperliche to Do, 30 min mglichst. tglich outdoors, alternating rest-exercise (two hours movement, hour rest); tgliches bungsprogramm, walking, swimming. massages (massage verstrkt evident as the wine light or cause pain), thermal baths (for B. Bad Griesbach: fluoride basic source of sulfur) for older people recovering from "stumbling blocks" (eg Trschwellen) and wear a fall in Hftschutzes inclination. Sufficient National Employment, Abklrung a weight loss or underweight calcium rich foods (eg Dairy products, calcium-rich Mineralwsser, grnes chamois) reduction / avoidance of risk factors (eg alcohol, coffee, smoking) general metabolic control (blood glucose, blood lipids, blood pressure, etc.) potential reduction of osteoporosis drugs frdernder (especially cortisone (glucocorticoids) Calcium: 1000 mg po/ Day, Vitamin D3: 400 IU / day: at the very Mobilitt eingeschrnkten women> 65 years, lactose intolerance, celiac disease, long-term cortisone treatment, Schildrsenberfunktion etc. In women after menopause, may if no contraindications exist, a hormone replacement therapy is recommended. Drug, therapy in established osteoporosis Adequate pain management (WHO Schema), ggf.Akupunktur, therapeutic Lokalansthesie (neural therapy), muscle relaxants Frderung of calcium absorption and bone mineralization: calcium: 1000 mg po / day, Vitamin D3: 400 IU / day, vitamin D metabolites (only gestrter Vit.D3 activation by liver and kidney diseases): alfacalcidol (Adults: 1 pg. / kg / day). Inhibition of bone resorption with bisphosphonates: alendronate (70mg po/ Week), 3-5 years after discontinuation of the increase in T-score Residronat 35 mg / week, 3-5 years after discontinuation of the T-score increase in raloxifene 60 mg / day; 3-5 years after discontinuation of the increase in T Fast-score mobilization through physiotherapy, rtlich Wrme (hay sack, mud, electrotherapy) or Kltebehandlung (after Vertrglichkeit) if applicable. Stabilization by elastic Sttzmieder, Outpatient - Rehabilitation stationre calcitonin and fluorides are no longer recommended therapy assessment: Grenmessung every 6 months, Osteodensiometrie every 1-2 years is the movement of O and A in the prevention and treatment of osteoporosis. by treatment with alkaline substances (bases powder, Bullrich-Vital, etc.) can in particular affect Schmerzzustnde. As with the muscles by Milchsure pain caused mainly by bersuerung. Mineral buffers the acid molecules. These are primarily calcium, magnesium and potassium (cations).Our bodys these minerals can not be recycled. The mineral-memory - that is before all of the bones in the body not aufgefllt. It is far too little known that continuous supply of calcium and magnesium from the bones to buffer berschssiger Suren for osteoporosis and thus can contribute to the osteoporosis fhren. Our food is mostly sureberschssig ( mainly by Eiwei and sugar). Eiwei is degraded in the body to Harnsure. Sugar can be enlarged in the gastrointestinal tract Essigsure. Therefore Nahrungseiwei (meat, fish, Cheese) and sugar are reduced in the diet. An easily digestible food is recommended. The fluid intake should liters per day to reach second Source: Osteoporosis recommendations of the German Association of osteoporosis (DAGO), a doctor and therapy 1997 Issue 8, osteoporosis guidelines DVO 3 / 2003, www.osteoporose.com
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