PAIN JOINTS SPINE · Mar 2, 2026
Functional recovery and pain reduction following surgical and non-surgical management of osteoporosis-related bone, joint, and spine disorders
By Mahera U, Sahu DS, Navadaya MK et al.
Osteoporosis-related disorders of the bone, joints, and spine are major contributors to pain, old age disability and lack of independence. Fragility-related spinal, hip, pelvic and peripheral bone fractures are likely to cause enduring pain and unfavorable functional recovery and outcomes, depending on the type of fractures, frailty measures in patients and availability of coordinated care. It is a cumulative review, which is done to integrate the existing body of knowledge regarding the minimization of pain and functional recovery following surgical and non-surgical modalities of the management of osteoporosis-related musculoskeletal disorders. To examine a pharmacological pain management strategy, conservative orthopaedic care, rehabilitation, vertebral augmentation, fracture repair, and combined care models, randomized trials, observational studies, and systematic reviews that were published within 2018-2025 were reviewed. Surgery may have quicker pain control and mobilization of patients with well-selected patients, and non-surgical options persist in their work with many patients as they are used in conjunction with a rehabilitation program and osteoporosis treatment. The early mobilization, multidisciplinary rehabilitation and timely secondary fracture prevention are the best techniques to maximize the process of functional recovery. Centralized integrated care pathways are better at producing improved long-term, functional independence, namely fracture liaison services to diminish the risk of refraction. In this review, the need to use individualized treatment choice, patient-centred outcome measure, and co-ordinated care models is restated so as to improve pain and functional outcomes in osteoporosis-related bone, joint, and spine diseases.