Management of Pain in Patients with Osteoporotic Fractures

Abstract

Our study explores the demographic profile, pain characteristics and treatment outcomes of a cohort 80 patients with clinically diagnosed osteoporosis (Mean age: 69.2 years). Eighty-eight point eight percent of individuals were female and the majority used anti- osteoporotic treatment (86.2%). Pain therapy: bisphosphonates, denosumab and teriparatide; 28.7% of patients with vertebral fractures were analyzed. Further it was revealed that significant differences between pain detection and symptom evaluation with deep discrepancies in the assessment of thoracic vs. lumbar pain according to statistical analysis (pain detection p < 0.0001, symptoms assessing p = 0.005) was present. Trends in the evolution of Numerical Rating Scale (NRS) scores for resting and moving pain were assessed. The results showed a slow decrease in pain intensity in both the resting and movement states. There was a statistically significant difference between rest and movement pain scores at the time of paired t-test (mean diff = 3.0375, t-value =14.1972, p value <0·0001).