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Medical Disability Advisor  >  Osteoporosis  >  Failure To Recover

Osteoporosis

Related Terms

  • Brittle Bone Disease

Differential Diagnoses

Specialists

  • Emergency Medicine Physician
  • Endocrinologist
  • Family Practice Physician
  • Gynecologist
  • Internal Medicine Physician
  • Nephrologist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist
  • Rheumatologist

Comorbid Conditions

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Factors Influencing Duration

Site of fracture (e.g., hip, wrist, etc), type and treatment of fracture, underlying medical conditions, and job requirements will affect the disability period. Individuals diagnosed with osteoporosis are not generally disabled. Treatment of fractures and any underlying disease could create a disability period ranging from several days to permanent disability. Poor physical functioning is related to increased number of fractures and delayed recovery. Length of disability is influenced by the time required for the fracture to heal and job demands. Fractures in younger individuals generally heal faster.

Medical Codes

ICD-9-CM:
733.0 - Osteoporosis
733.00 - Osteoporosis, Unspecified
733.01 - Senile Osteoporosis; Postmenopausal Osteoporosis
733.02 - Idiopathic Osteoporosis
733.03 - Disuse Osteoporosis
733.09 - Osteoporosis, Other; Drug-induced Osteoporosis

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • What are individual’s risk factors for osteoporosis?
  • Does individual have signs and symptoms of osteoporosis?
  • Has individual had adequate testing to confirm the diagnosis?
  • Has the role of underlying medical conditions been evaluated?
  • Have conditions such as osteomalacia, metastatic cancer involving the bone, and Paget's disease, and secondary causes such as malignancies, hyperparathyroidism been ruled out?

Regarding treatment:

  • Is the individual receiving appropriate prevention and/or treatment?
  • Were calcium and vitamin D prescribed for the individual?
  • Is individual taking other pharmacologic therapy?
  • Does the individual use any over-the-counter or dietary supplements that may interfere with treatment?
  • Was weight-bearing exercise recommended to the individual?
  • Has individual’s risk for falls been assessed?
  • Has individual received education in prevention of falls?

Regarding prognosis:

  • Did individual make lifestyle changes to reduce risk factors (e.g., stopped tobacco and alcohol use)?
  • Is individual compliant with the treatment program?
  • Does individual take calcium and vitamin D as prescribed?
  • Does individual get enough sunlight (necessary for vitamin D formation)?
  • Does individual exercise as recommended by the physician?
  • Does individual practice proper body mechanics?
  • Has individual received nutritional counseling?
  • Is individual's employer able to accommodate any necessary restrictions?
  • Does individual have any conditions that might delay recovery?
  • Does individual have any complications?

Source: Medical Disability Advisor


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