Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for routine follow-up of senile osteoporosis. Denies acute bone pain, recent falls, or symptoms suggestive of pathological fracture. No history of height loss or kyphotic deformity progression. Adherent to current calcium and vitamin D supplementation.
Clinical Examination Findings
General appearance: Alert and oriented. Musculoskeletal: Gait is steady and non-antalgic. Spine: No midline tenderness, no evidence of acute vertebral collapse or new kyphosis. Extremities: Full range of motion without focal tenderness. Neurological: Intact sensation and motor strength, no signs of cord compression.
Treatment Protocol
Continue daily supplementation of Calcium (1200mg) and Vitamin D3 (800-2000 IU). Initiate/Continue anti-resorptive therapy (e.g., Bisphosphonates) as per bone mineral density (BMD) trends. Schedule annual DEXA scan to monitor T-score progression. Fall prevention counseling provided.