Osteoporotic & Pathological Fractures

An osteoporotic (fragility) fracture happens from a minor fall — sometimes just a slip at home — because the bone has become thin and porous with age. A pathological fracture occurs through bone weakened by a disease process. Both signal that the underlying bone health needs treatment, not just the break.

Dr. Naik's approach treats the whole problem: fixation techniques designed for fragile bone, early mobilisation to protect elderly patients from the dangers of bed rest, and medical evaluation to prevent the next fracture.

• Sudden hip, wrist or back pain after a minor fall
• Inability to stand or walk after a seemingly small injury
• Loss of height, stooped posture or sudden back pain (spine fractures)
• Bone pain that was present even before the fracture
• A previous fragility fracture — the strongest warning sign

X-rays confirm the fracture; a DEXA scan measures bone density, and blood tests check vitamin D, calcium and other causes. For pathological fractures, further imaging and sometimes a biopsy identify the underlying condition.

Hip fractures in the elderly are usually treated surgically within 24–48 hours — fixation or replacement — because early mobilisation dramatically improves survival and independence. Fixation uses implants designed to grip weak bone. Bone-strengthening medication, vitamin D and fall-prevention advice follow every treatment.

The goal is standing and walking within days of surgery, not weeks in bed. With physiotherapy and family support, most elderly patients return home and regain their previous level of independence.