Osteoporosis


Related Terms

  • Brittle Bone Disease

Differential Diagnoses

Specialists

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

Comorbid Conditions

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

Return to Work (Restrictions / Accommodations)

Work restrictions include precautions to prevent falls, such as no work at heights (ladders, ropes, scaffolds) and removal of throw rugs or other objects in the work environment that could cause an individual to trip. Decreased repetitive bending, twisting, and turning may be important in fall prevention for individuals with postural hypotension. Accommodations should allow for rest periods. Individuals recovering from hip fracture may need crutches, canes, or wheelchairs, and a work space that accommodates such devices. Use of pain medications may necessitate review of company drug policies and safety issues.

Once a diagnosis of significant osteoporosis is made, heavy and very heavy work is usually not feasible. Individuals with severe osteoporosis on imaging should be given prophylactic restrictions based on risk

Source: Medical Disability Advisor






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