Non-Pharmacological Therapies in Pain Management for Osteoporosis Patients

Running head: EVIDENCE-BASED NURSING RESEARCH 1
Evidence-Based Nursing Research
Name
Institution

EVIDENCE-BASED NURSING RESEARCH 2
NON-PHARMACOLOGICAL: THERAPIES IN PAIN MANAGEMENT FOR A
PATIENT WITH OSTEOPOROSIS
Clinic Scenario
A seventy-year-old man came to the hospital with osteoporosis disease. He had been
receiving treatment/ medical therapy using the drug bisphosphonates. The drug had very harmful
side effects such as kidney diseases for quite a while. However, there was no improvement in his
body at all. The drug added to him having many other side effects then the doctors decided to
use the nuclear magnetic resonance on bone mineral density if this would benefit his disease and
have an improvement in his health.
PICO Question:
Inpatient with osteoporosis does treatment with nuclear magnetic resonance help in pain
management or the use of exercise program compared to therapy with medical therapy using the
bisphosphonates, raloxifene, and osteoporosis in patients with osteoporosis.
Articles:
 Krpan, D., Stritzinger, B., LUKENDA, I. L., Overbeck, J., & Kullich, W. (2015). Non-
pharmacological treatment of osteoporosis with Nuclear Magnetic Resonance Therapy
(NMR-Therapy). Periodicum biologorum, 117(1), 161-165.
 Jeremiah, M. P., Unwin, B. K., Greenawald, M. H., & Casiano, V. E. (2015). Diagnosis
and management of osteoporosis. Am Fam Physician, 92(4), 261-268.
Summary and Appraisal of Key Evidence of Krpan et al. (2015) Article

EVIDENCE-BASED NURSING RESEARCH 3
The study was done by Krpan et al. (2015) for a total of 103 patients aged 45 and 99
years with a mean age of 66years who had osteoporosis with a T-score mineral density less
than-2.5 were included in the trial. All these patients had been taking the bisphosphonates
medicine for almost a year, and there was no improvement. All these patients received
osteoporosis treatments with low field nuclear magnetic resonance using a special NMR device.
For one hour a day which was to take place for ten consecutive days. After the 12 month
treatment, there was an increased improvement for those patients as compared to supplement to
medical therapy in patients with osteoporosis.
The bone is very metabolically active and constantly needs repair and to be remodeled to
function very well but the osteoporosis diseases have become a threat especially to the old
people and are causing many side effects to them. This disease can be prevented and also treated
the only problem is that it is underestimated, underdiagnosed and also undertreated. The medical
therapy used bisphosphonate as medical therapy had many effects which led to the emergence of
the new NMRT system which would lead to an improvement of the treatment (Krpan,
Stritzinger, Lukenda, Overbeck & Kullich, 2015).
This method can provoke positive effects on the bone cells and improve the function and
movement and also reduce the pain that one was experiencing. This NMRT system uses a
technology that will activate the cellular metabolism and regenerative processes and will bring
about the pain relief in degenerative rheumatic diseases. To show the effect of this method we
use two parameters that are the bone density and the marker for a born turnover. Where the
accuracy of bone.
This NMR measurement brought about the improvement of the T-score on the umbra
vertebrae hence there was an increase in the bone density and also led to the improvement of the