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Osteomalacia - the softening of the bone

Osteomalacia is a disease also known as the softening of bones or, less frequently, the rickets adults. Its occurrence and development is caused by defective bone mineralization and an inadequate deposition of calcium salts in the bone tissues, which leads to a significant weakening of the bones , the loss of strength and the increasing fragility of bones.

 

WHAT CAUSE THE SOFTENING OF THE BONE

The causes of this condition is a vitamin D and calcium deficiency, improper diet, insufficient sunlight exposure and the coexistence of other diseases, such as cirrhosis of the liver or kidney failure. Osteomalacia is a relatively frequent disease, but it is rarely detected and diagnosed correctly.

 

Osteomalacia - the softening of the bone

Osteomalacia - the softening of the bone

 

COURSE OF ILLNESS

The course of clinical osteomalacia is divided into the initial and the advanced stage. The initial phase of development of the disease is characterized by the occurrence of such symptoms as:

  • diffuse
  • generalized bone pain
  • rapid fatigue of the muscles
  • the reduced muscle strength
  • difficulty in moving from a lying to a standing position
  • general difficulties in moving, especially during walking up the stairs
  • the myopathic or wadding gait, also called 'duck walk'.

In the next, advanced stage of the disease, the bone deformation occurs, along with the distortion caused by the occurrence of spontaneous fractures, kyphosis of spine, varus deformity of the lower limbs, lowering of height and a significantly reduced bone strength manifesting itself as a greater susceptibility to injuries.

 

DIAGNOSTICS

Osteomalacia is diagnosed primarily on the basis of carefully conducted medical interview, especially taking into account the comorbidities. The interview is then followed by the radiology and laboratory examinations, as well as performing a bone biopsy and densitometry. In the radiographic images the changes are seen only in the advanced stage of the disease.

 

TREATMENT OF BONE DENSITY

The treatment of osteomalacia is based mainly on an appropriate diet rich in vitamin D, the ultraviolet irradiation, and the proper treatment of the co-existing diseases (especially those connected with liver and kidney). It is also important to prevent all kinds of falls which could lead to injuries and fractures.

 

The classification of osteomalacia includes two forms. The first one - the deficiency form is associated with the insufficient supply of vitamin D in the diet, its disturbed absorption in the gastrointestinal tract or the excessive excretion of calcium in case of the coexistence of kidney disease. The other form is the metabolic form, associated with the abnormal enzymatic conversion of vitamin D.

 

Osteomalacia is a disease which occurs in adults. Its analogous form in children is the rickets, which also leads to the development of serious deformations of bones.

 

PREVENTION

Shortages of phosphates because the cause of osteomalacia is vitamin D deficiency, you must firstly take care of regularly providing the right amount to your body. The dose is best to be determined individually. It is also worth to benefit from exposure to sunlight, it naturally provides vitamin D.

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