Pain and quality of life in postmenopausal osteoporotic women without vertebral fractures

Depression, Quality of Life, and Self-Esteem of Moroccan Postmenopausal Women with Osteoporosis before the Occurrence of Fractures

“…Theoretically, before the occurrence of fractures, osteoporosis is considered as a silent disease with no pain. However, we found, as other authors [1,[22][23][24][25], that osteoporotic patients can complain from generalized and back pain. Even without known fractures, patients suffered not only from pain but also from proximal muscle weakness, postural instability and skeletal deformities, due to concomitant vitamin D deficiency, osteomalacia and musculoskeletal injuries [1,[22][23][24][25].…”

“…However, we found, as other authors [1,[22][23][24][25], that osteoporotic patients can complain from generalized and back pain. Even without known fractures, patients suffered not only from pain but also from proximal muscle weakness, postural instability and skeletal deformities, due to concomitant vitamin D deficiency, osteomalacia and musculoskeletal injuries [1,[22][23][24][25]. Postural alterations, muscle atrophy and skeletal deformities contribute to induce chronic pain in osteoporotic patients before fractures [23][24][25] and in absence of other painful comorbidities.…”

“…Our result joins that reported by Bianchi et al [1] (42%) and Drosselmeyer et al [16] (33%). As other findings, depression severity correlated significantly with spine BMD and T-score [8,[19][20][21][22]. There was no significant relationship with depression severity and femoral neck BMD and T-score.…”

“…This unrecognized pain can lead to subclinical or clinical depression. Consequently, chronic pain must be considered in the management of osteoporosis even without fractures or concomitant active osteoarthritis [1,[22][23][24][25]. Furthermore, researches show that PMW with depression, experience both fatigue and sleep disturbance [14,15].…”

“…This disease can induce pain and reduce physical activity leading to social isolation, depression and altered QoL [ 5 6 12 13 14 15 16 17 ]. Many studies are focused on assessing the QoL and depression in osteoporotic elderly women with fractures but few researches are published about physical and psychological status in PMW with osteoporosis in absence of fractures [ 8 17 18 19 20 21 22 23 24 25 ]. Previous researches indicated a higher probability of depression in osteoporotic elderly women.…”