DX, Mx - Osteoarthritis/? Osteomalacia

Question

76/F HTN/DM/Hypothyroid
Pain both knee+hip, decrease ROM, no local inflamm.
Xray: age related degeneration
Osteoarthritis/?Osteomalacia
25-OH-VitD: 20.4( decrease )
DX, Mx?

Vijay Kant-- · Answer

Osteoarthritis both knee joints and lumbar spine.

Garima Srivastava · Answer

Physiotherapy evaluation, assessment of ROM(active,passive)of all the limbs along with spine flexion,extension .Flexion,rotation exercises only after assessment and core muscle strengthening. 
 Spinal alignment gradually with manual therapy or Chiropractic adjustor. The tight paraspinal muscles on one side also need to be relaxed along with strengthening of other side muscles. But the SI joint,knee n foot,upper limb alignment important to assess

Garima Srivastava · Answer

Degenerative changes in spine with osteophytes.L2,L3,L4 not aligned( increased lateral curvature) probably due to structural changes in the spine,L5-S1 lysthesis, Sacroiliac joints and the levels of ilium not clear .

Garima Srivastava · Answer

B/l O.A. knee with degenerative changes and osteophytes,medial compartment more involved,

Riju N · Answer

Tricompartmental OA knee bilateral 
Will benefit from bilateral TKR 
Listhesis grade 1 L5/S1 
Lumbosacral corset 
Calcium vitD 
Gabapentin will help

Shivraj Agarwal · Answer

Severe osteoarthritis both knees as degenerative changes with osteophytes and decreased articular spaces are evident
LS region also shows osteophytes and lumbar spondylitis with osteoporosis

DX, Mx - Osteoarthritis/? Osteomalacia

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1

Thank u so much sir

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7

Thank you doctor

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