ABSTRACT
Osteoporosis is a reduction in bone mass and density that leads to increased risks of fracture, back pain and curvature of the spine. The main consequence of osteoporosis is the increased tendency to fracture with minor trauma and the subsequent loss of function and quality of life. Colles' fracture affects 15% of women and vertebral fractures affect up to 20%. Education about osteoporosis for patients, carers and relatives is very helpful and the National Osteoporosis produces relevant material as well as a patient helpline. The National Osteoporosis Society has produced useful guidelines for the prevention and management of corticosteroid-induced osteoporosis, and might use these to evaluate own standards of care. Pain relief is mainly achieved by analgesic medication working up from paracetamol in full dosage to opiates. Remember that opiates or opiate-like drugs may increase the risk of falling.
