Vignesh in duchenne muscular dystrophy with long term steroid use severe osteoporosis can become critical but treatment is still possible even at home the most important step is a tele consultation with an orthopedician or endocrinologist to start bone strengthening injections like bisphosphonates or denosumab which can significantly reduce fracture risk Adequate
vitamin D3
calcium and protein intake is essential and should be taken strictly as prescribed avoid lifting, twisting or sudden movements, and use a firm mattress with frequent gentle position changes to protect fragile bones with proper medical treatment and careful handling, bone loss can be slowed and complications reduced.