SlideShare a Scribd company logo
Paget's disease of bone Known as osteitisdeformans A chronic disorder that typically results in enlarged and deformed bones Paget's disease can cause bone to weaken, Bone pain The excessive breakdown and formation of bone tissue arthrites  deformities,
cause Virus infections Canine distemper virus Respiratory syncytial virus Paramyxovirus
Symptoms Bone pain is the most common symptom  Headaches and hearing loss may occur when Paget's disease affects the skull  Pressure on nerves may occur when Paget's        disease affects the skull or spine.   Drowsiness
Symptoms Increased head size Curvature of spine may occur in advanced cases Hip pain may occur when Paget's disease affects the pelvic or thigh bone Damage to joint cartilage may lead to arthrities Teeth may spread intraorally Chalkstik #: Chalkstick fractures are fractures, typically of long bones, in which the fracture is transverse to the long axis of the bone, like a broken stick of chalk.
Diagnosis
Diagnosis
Skull radiograph cotton wool" appearance of the cranial vault
Radiograph of  left femur Bone with cortical thickening
Treatment ,[object Object]
Surgery
Diet & Exercise,[object Object]
Bisphosphonates Skelid (tiludronate disodium) -- Tablet; 400 mg (two 200 mg tablets) once daily for 3; Actonel (risedronate sodium) -- Tablet; 30 mg once daily for 2 months;
Calcitonin Miacalcin is administered by injection; 50 to 100 units daily or 3 times per week for 6-18 months
Surgery ,[object Object],[object Object]
Diet and Exercise Patients with Paget's disease should receive 1000-1500 mg of calcium Adequate  sunshine At least 400 units of vitamin  D daily This is especially important in patients being treated with bisphosphonates.
Exercise      Avoiding weight gain  Maintaining joint mobility     Flexibility exercises, such as stretching, improve the range of motion of muscles and joints Undue stress on affected bones should be avoided     Relieve of pain
         SHOULDER  EXERCISE The shoulder shrug is another technique that may improve posture and reduce back pain  Begin by standing erect with dumbbells or water bottles held at the sides of the body Lift the shoulders toward the head by elevating the shoulder girdle, and slightly retract the scapulae to rotate the shoulders back
      SHOULDER  EXERCISE Pause, and then return to the starting position.  Avoid rocking or using the legs to initiate the exercise by slightly bending your knee  Repeat   the exercise three to five times
             KNEE EXCERCISE A good starting point is the squat which targets the gluteals, hamstrings, and quadriceps Start by standing erect with a neutral spine and feet shoulder-width apart Slowly lower the body, with the hips moving back as if sitting in a chair.
             KNEE EXCERCISE ,[object Object]
 Lower to approximately 90 degrees of knee flexion.
Pause, and then slowly return to the starting position
Remember to keep the weight over the back portion of the foot rather than the toes; raise the arms to shoulder height to counterbalance.,[object Object]

More Related Content

What's hot

Ankle sprain
Ankle sprainAnkle sprain
Ankle sprain
Aaron Saund
 
Postural hygiene
Postural hygienePostural hygiene
Postural hygiene
Obeth Miranda
 
Knee exercises
Knee exercises Knee exercises
Knee exercises
Prabhat Tandon
 
MUSCULOSKELETAL PROBLEMS IN SITTING & STANDING
MUSCULOSKELETAL PROBLEMS IN SITTING & STANDINGMUSCULOSKELETAL PROBLEMS IN SITTING & STANDING
MUSCULOSKELETAL PROBLEMS IN SITTING & STANDING
geo michael
 
Mechanical principles sg
Mechanical principles   sgMechanical principles   sg
Mechanical principles sg
nmcquade
 
Knee strengthening exercise
Knee strengthening exerciseKnee strengthening exercise
Knee strengthening exercise
Kumar Rakesh Chandra
 
Squat pages from acsm's foundations of strength training and conditioning
Squat   pages from acsm's foundations of strength training and conditioningSquat   pages from acsm's foundations of strength training and conditioning
Squat pages from acsm's foundations of strength training and conditioning
CHINO Orlando Muñoz
 
Care of THR & TKR
Care of THR & TKRCare of THR & TKR
Care of THR & TKR
Cikbungazafieya Zawani
 
Spina bifida
Spina bifidaSpina bifida
Spina bifida
Shreya Sahasrabudhe
 
TKA chinese version
TKA chinese versionTKA chinese version
TKA chinese version
Kwong Lam
 
Back Safety Training
Back Safety TrainingBack Safety Training
Back Safety Training
riskmanagement
 
Exercise after Total Knee Replacement Surgery
Exercise after Total Knee Replacement SurgeryExercise after Total Knee Replacement Surgery
Exercise after Total Knee Replacement Surgery
Kunal Shah
 
Back/Spine examination
Back/Spine examinationBack/Spine examination
Strength Core Conditioning for Triathlon
Strength Core Conditioning for TriathlonStrength Core Conditioning for Triathlon
Strength Core Conditioning for Triathlon
Tony Fahkry
 
Exercises for spine - Guide 2 - Stabilising and strengthening
Exercises for spine - Guide 2 - Stabilising and strengtheningExercises for spine - Guide 2 - Stabilising and strengthening
Exercises for spine - Guide 2 - Stabilising and strengthening
Michał Wszołek
 
Patellar femoral syndrome
Patellar femoral syndromePatellar femoral syndrome
Patellar femoral syndrome
Aaron Saund
 
Back pain 4 everhealthy
Back pain   4 everhealthyBack pain   4 everhealthy
Back pain 4 everhealthy
Michelle McNeil
 
Kin191 A.Ch.6.Knee.Patellofemoral.Evaluation
Kin191 A.Ch.6.Knee.Patellofemoral.EvaluationKin191 A.Ch.6.Knee.Patellofemoral.Evaluation
Kin191 A.Ch.6.Knee.Patellofemoral.Evaluation
JLS10
 
Spine examination
Spine examinationSpine examination
Spine examination
Sachin Ranvir
 

What's hot (19)

Ankle sprain
Ankle sprainAnkle sprain
Ankle sprain
 
Postural hygiene
Postural hygienePostural hygiene
Postural hygiene
 
Knee exercises
Knee exercises Knee exercises
Knee exercises
 
MUSCULOSKELETAL PROBLEMS IN SITTING & STANDING
MUSCULOSKELETAL PROBLEMS IN SITTING & STANDINGMUSCULOSKELETAL PROBLEMS IN SITTING & STANDING
MUSCULOSKELETAL PROBLEMS IN SITTING & STANDING
 
Mechanical principles sg
Mechanical principles   sgMechanical principles   sg
Mechanical principles sg
 
Knee strengthening exercise
Knee strengthening exerciseKnee strengthening exercise
Knee strengthening exercise
 
Squat pages from acsm's foundations of strength training and conditioning
Squat   pages from acsm's foundations of strength training and conditioningSquat   pages from acsm's foundations of strength training and conditioning
Squat pages from acsm's foundations of strength training and conditioning
 
Care of THR & TKR
Care of THR & TKRCare of THR & TKR
Care of THR & TKR
 
Spina bifida
Spina bifidaSpina bifida
Spina bifida
 
TKA chinese version
TKA chinese versionTKA chinese version
TKA chinese version
 
Back Safety Training
Back Safety TrainingBack Safety Training
Back Safety Training
 
Exercise after Total Knee Replacement Surgery
Exercise after Total Knee Replacement SurgeryExercise after Total Knee Replacement Surgery
Exercise after Total Knee Replacement Surgery
 
Back/Spine examination
Back/Spine examinationBack/Spine examination
Back/Spine examination
 
Strength Core Conditioning for Triathlon
Strength Core Conditioning for TriathlonStrength Core Conditioning for Triathlon
Strength Core Conditioning for Triathlon
 
Exercises for spine - Guide 2 - Stabilising and strengthening
Exercises for spine - Guide 2 - Stabilising and strengtheningExercises for spine - Guide 2 - Stabilising and strengthening
Exercises for spine - Guide 2 - Stabilising and strengthening
 
Patellar femoral syndrome
Patellar femoral syndromePatellar femoral syndrome
Patellar femoral syndrome
 
Back pain 4 everhealthy
Back pain   4 everhealthyBack pain   4 everhealthy
Back pain 4 everhealthy
 
Kin191 A.Ch.6.Knee.Patellofemoral.Evaluation
Kin191 A.Ch.6.Knee.Patellofemoral.EvaluationKin191 A.Ch.6.Knee.Patellofemoral.Evaluation
Kin191 A.Ch.6.Knee.Patellofemoral.Evaluation
 
Spine examination
Spine examinationSpine examination
Spine examination
 

Viewers also liked

General electric:The GE culture
General electric:The GE cultureGeneral electric:The GE culture
General electric:The GE culture
InterGlobe Enterprises
 
Ge Presentation
Ge PresentationGe Presentation
Ge Presentation
Mcudworth
 
GE Case Study
GE Case StudyGE Case Study
GE Case Study
Lauren D. Perry
 
General Electric Presentation
General Electric PresentationGeneral Electric Presentation
General Electric Presentation
scholarballer51
 
GE's Growth Strategy
GE's Growth StrategyGE's Growth Strategy
GE's Growth Strategy
Eric Moon
 
Case Study Analysis on General Electric
Case Study Analysis on General ElectricCase Study Analysis on General Electric
Case Study Analysis on General Electric
Subhi Pradhan
 

Viewers also liked (6)

General electric:The GE culture
General electric:The GE cultureGeneral electric:The GE culture
General electric:The GE culture
 
Ge Presentation
Ge PresentationGe Presentation
Ge Presentation
 
GE Case Study
GE Case StudyGE Case Study
GE Case Study
 
General Electric Presentation
General Electric PresentationGeneral Electric Presentation
General Electric Presentation
 
GE's Growth Strategy
GE's Growth StrategyGE's Growth Strategy
GE's Growth Strategy
 
Case Study Analysis on General Electric
Case Study Analysis on General ElectricCase Study Analysis on General Electric
Case Study Analysis on General Electric
 

Similar to Nishant prestation 1

Neck &
Neck &Neck &
Sciatica
SciaticaSciatica
Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...
Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...
Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...
Aastha Joints Clinic
 
Best workouts to strengthen your legs.pdf
Best workouts to strengthen your legs.pdfBest workouts to strengthen your legs.pdf
Best workouts to strengthen your legs.pdf
aditi agarwal
 
spondylosis-121211015354-phpapp02.pdf
spondylosis-121211015354-phpapp02.pdfspondylosis-121211015354-phpapp02.pdf
spondylosis-121211015354-phpapp02.pdf
YashikaGupta97
 
Spondylosis
SpondylosisSpondylosis
Spondylosis
Monster Gaga
 
Cervical Spondylosis.ppt
Cervical Spondylosis.pptCervical Spondylosis.ppt
Cervical Spondylosis.ppt
Shama
 
Exercise & rom exercise
Exercise & rom exerciseExercise & rom exercise
Exercise & rom exercise
KHyati CHaudhari
 
Handout of Parkinson's Exercises
Handout of Parkinson's ExercisesHandout of Parkinson's Exercises
Handout of Parkinson's Exercises
Chelsea Zemmin
 
Pelvic fracture by Dr.Ushma saini
Pelvic fracture by Dr.Ushma sainiPelvic fracture by Dr.Ushma saini
Pelvic fracture by Dr.Ushma saini
ushma Saini
 
All About The Back
All About The BackAll About The Back
All About The Back
San Diego Continuing Education
 
All about the back
All about the backAll about the back
All about the back
San Diego Continuing Education
 
All about the back
All about the backAll about the back
All about the back
San Diego Continuing Education
 
Lumbar
LumbarLumbar
Lumbar
Hugo Pinto
 
Lumbarr.pdf
Lumbarr.pdfLumbarr.pdf
Lumbarr.pdf
Fitoont
 
POSTURE AND YOU.pptx
POSTURE AND YOU.pptxPOSTURE AND YOU.pptx
POSTURE AND YOU.pptx
OladeleOyatope1
 
BACK PAIN
BACK PAINBACK PAIN
BACK PAIN
jeremiahosumah
 
Osteoarthritis
OsteoarthritisOsteoarthritis
Osteoarthritis
Akshay Shah
 
Changing positions and giving exercises for bed ridden.pdf
Changing positions and giving exercises for bed ridden.pdfChanging positions and giving exercises for bed ridden.pdf
Changing positions and giving exercises for bed ridden.pdf
Provincial Health Training Center , North Central Province
 
Lower Back Pain
Lower Back PainLower Back Pain
Lower Back Pain
gueste2d727
 

Similar to Nishant prestation 1 (20)

Neck &
Neck &Neck &
Neck &
 
Sciatica
SciaticaSciatica
Sciatica
 
Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...
Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...
Rehabilitation Guidelines for Arthroscopic Knee Surgery Specific to ACL Recon...
 
Best workouts to strengthen your legs.pdf
Best workouts to strengthen your legs.pdfBest workouts to strengthen your legs.pdf
Best workouts to strengthen your legs.pdf
 
spondylosis-121211015354-phpapp02.pdf
spondylosis-121211015354-phpapp02.pdfspondylosis-121211015354-phpapp02.pdf
spondylosis-121211015354-phpapp02.pdf
 
Spondylosis
SpondylosisSpondylosis
Spondylosis
 
Cervical Spondylosis.ppt
Cervical Spondylosis.pptCervical Spondylosis.ppt
Cervical Spondylosis.ppt
 
Exercise & rom exercise
Exercise & rom exerciseExercise & rom exercise
Exercise & rom exercise
 
Handout of Parkinson's Exercises
Handout of Parkinson's ExercisesHandout of Parkinson's Exercises
Handout of Parkinson's Exercises
 
Pelvic fracture by Dr.Ushma saini
Pelvic fracture by Dr.Ushma sainiPelvic fracture by Dr.Ushma saini
Pelvic fracture by Dr.Ushma saini
 
All About The Back
All About The BackAll About The Back
All About The Back
 
All about the back
All about the backAll about the back
All about the back
 
All about the back
All about the backAll about the back
All about the back
 
Lumbar
LumbarLumbar
Lumbar
 
Lumbarr.pdf
Lumbarr.pdfLumbarr.pdf
Lumbarr.pdf
 
POSTURE AND YOU.pptx
POSTURE AND YOU.pptxPOSTURE AND YOU.pptx
POSTURE AND YOU.pptx
 
BACK PAIN
BACK PAINBACK PAIN
BACK PAIN
 
Osteoarthritis
OsteoarthritisOsteoarthritis
Osteoarthritis
 
Changing positions and giving exercises for bed ridden.pdf
Changing positions and giving exercises for bed ridden.pdfChanging positions and giving exercises for bed ridden.pdf
Changing positions and giving exercises for bed ridden.pdf
 
Lower Back Pain
Lower Back PainLower Back Pain
Lower Back Pain
 

Nishant prestation 1

  • 1. Paget's disease of bone Known as osteitisdeformans A chronic disorder that typically results in enlarged and deformed bones Paget's disease can cause bone to weaken, Bone pain The excessive breakdown and formation of bone tissue arthrites deformities,
  • 2. cause Virus infections Canine distemper virus Respiratory syncytial virus Paramyxovirus
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Symptoms Bone pain is the most common symptom Headaches and hearing loss may occur when Paget's disease affects the skull Pressure on nerves may occur when Paget's disease affects the skull or spine. Drowsiness
  • 8. Symptoms Increased head size Curvature of spine may occur in advanced cases Hip pain may occur when Paget's disease affects the pelvic or thigh bone Damage to joint cartilage may lead to arthrities Teeth may spread intraorally Chalkstik #: Chalkstick fractures are fractures, typically of long bones, in which the fracture is transverse to the long axis of the bone, like a broken stick of chalk.
  • 11. Skull radiograph cotton wool" appearance of the cranial vault
  • 12. Radiograph of left femur Bone with cortical thickening
  • 13.
  • 15.
  • 16. Bisphosphonates Skelid (tiludronate disodium) -- Tablet; 400 mg (two 200 mg tablets) once daily for 3; Actonel (risedronate sodium) -- Tablet; 30 mg once daily for 2 months;
  • 17. Calcitonin Miacalcin is administered by injection; 50 to 100 units daily or 3 times per week for 6-18 months
  • 18.
  • 19. Diet and Exercise Patients with Paget's disease should receive 1000-1500 mg of calcium Adequate sunshine At least 400 units of vitamin D daily This is especially important in patients being treated with bisphosphonates.
  • 20. Exercise Avoiding weight gain Maintaining joint mobility Flexibility exercises, such as stretching, improve the range of motion of muscles and joints Undue stress on affected bones should be avoided Relieve of pain
  • 21. SHOULDER EXERCISE The shoulder shrug is another technique that may improve posture and reduce back pain Begin by standing erect with dumbbells or water bottles held at the sides of the body Lift the shoulders toward the head by elevating the shoulder girdle, and slightly retract the scapulae to rotate the shoulders back
  • 22. SHOULDER EXERCISE Pause, and then return to the starting position. Avoid rocking or using the legs to initiate the exercise by slightly bending your knee Repeat the exercise three to five times
  • 23. KNEE EXCERCISE A good starting point is the squat which targets the gluteals, hamstrings, and quadriceps Start by standing erect with a neutral spine and feet shoulder-width apart Slowly lower the body, with the hips moving back as if sitting in a chair.
  • 24.
  • 25. Lower to approximately 90 degrees of knee flexion.
  • 26. Pause, and then slowly return to the starting position
  • 27.
  • 28. KNEE EXCERCISE The heel raise is another good exercise that targets the gastrocnemius and soleus Plantarflex up (stand on the toes) pause, then slowly lower to the starting position. Lastly the knee to chest technique is a great maneuver to help stretch the lower extremity and prevent cramping
  • 29. KNEE EXCERCISE Lie on your back and pull one knee to your chest. Perform 1-2 sets of 3-5 repetitions per side Each repetition should last 15-30 seconds