Brief Answer:
Severe OP patient;close medical assistance&rehab center suggested...

Detailed Answer:
Hello,

I have gone through the medical history of your mother and am sorry for the situation she is in.

In elderly osteoporosis (OP) is quite common especially in women. You mother is 90 years old and probably has other health conditions too. OP starts developing especially after menopause in women due to the hormonal changes that affect the bone metabolism too especially calcium.


The condition of your mother looks quite advanced as osteoporosis is associated with muscle loss and weakness which makes her unable to walk or move properly.

I would like to emphasize that you should watch her over in order to protect her from possible fractures. OP predisposes for fractures sometimes multiple ones may happen even in the cases of very light physical activity or just in a spontaneous way. Fractures cause a further damage to the life quality of the patient.


It is true that in your mother's case a specific long-term residential treatment is needed to manage her condition. You can find a residential center that treats and offers rehabilitation for this kind of disabilities and let your mother stay there for a long-time period as it is needed.

Generally, the treatment of OP disabilities must include a combination of various methods and strategies of treatment like physical exercise with physiotherapy, physical therapy which consists in using magnetic fields and vibration training.

Also, medication is very important in managing pain. The prescription of painkillers must be done by a pain doctor. If necessary stronger opioids can be used for example morphine-like drugs. These are stronger than oxycodone and others like fentanyl patches or morphine injections.

Also, psychological and psychiatric care is necessary to protect the patient's motivation. Your mother needs for people who understand her and help her get over this difficult period.

Nutrition and vitamin intake (especially vitamin D plus calcitonin) need special attention. Also, the management of co-existing medical conditions of any kind must be a priority too. Troubles with kidneys, hypertension, and diabetes need to be in supervision and in a regular treatment.

Now, you should get her back to her doctor and ask for a short time hospitalization (a couple of days) until you find a rehab center.
Next, you should be strong and prepared for the worst although it seems too sad to think to.

Get back to her doctor and discuss this further with him/her.
God bless to both of you.
Dr.Albana

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Brief Answer:
If won't hear from her doctor soon, send her to ER...

Detailed Answer:
Hi back,

Now, I will talk to you sincerely: If you send her at ER, I think they won't admit her to hospital.
That's why I suggested to discuss with her doctor. However, if the nurse came and evaluated her condition, then, she will discuss with her doctor too.
You can talk to doctor's office and ask when you can have news from them to admit her to nursing facility.
If it is not within a couple of days, then, send her to ER or call Emergency to take her for immediate evaluation and treatment.

Hope this answered your question.
Dr.Albana

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