Background: Osteoporosis, a progressive condition characterized by decreased bone density and increased fracture risk, is a growing public health concern, particularly in aging populations. This study assesses the awareness and knowledge of osteoporosis among adults in District Kangra, Himachal Pradesh, with a focus on identifying gaps in understanding related to symptoms, risk factors, prevention, and management Methods: A descriptive cross-sectional survey was conducted between January and May 2024 in District Kangra. A sample of 400 adults, aged 18 and above, was selected using a 95% confidence level and a 5% error margin. Data were collected using a pre-tested Google form questionnaire, circulated via online platforms, that included 20 structured questions on socio-demographic characteristics and knowledge of osteoporosis. The responses were analyzed using Epi Info V7 Software, and results were expressed in frequencies and percentages. Results: The study revealed that while 79.3% of participants had heard of osteoporosis, detailed knowledge of its symptoms and risk factors varied. Although 72.3% recognized osteoporosis as a cause of weak bones, fewer participants were aware of symptoms such as frequent fractures (69.5%), loss of height (67.0%), and back pain (64.8%). Knowledge of risk factors, including aging (61.5%) and calcium deficiency (59.8%), was moderate, but awareness of preventive measures like maintaining a calcium-rich diet (53.0%) and regular exercise (52.3%) was lower. The overall knowledge distribution showed that 26.0% of participants had very good knowledge, while 17.8% had poor knowledge, indicating significant room for improvement in public awareness. Conclusion: This study highlights the critical need for enhanced public education on osteoporosis in rural Himachal Pradesh. The identified gaps in knowledge underscore the importance of targeted public health interventions that emphasize practical, actionable strategies for prevention and management. Strengthening educational efforts and equipping healthcare providers with the tools to educate the public can help mitigate the growing burden of osteoporosis, promote early diagnosis, and improve health outcomes in the community.

Background Chronic low back pain (CLBP) is a debilitating condition prevalent in rural areas, often worsened by limited knowledge and inappropriate self-management. This study investigates public perceptions, knowledge, and self-care practices for CLBP among Kangra, Himachal Pradesh residents, and examines demographic influences on awareness. Material and Methods: A cross-sectional survey of 500 adults was conducted in Kangra from Jan to March 2025, using a structured questionnaire on socio-demographics, CLBP knowledge, and self-care behaviors. Knowledge was classified as Exceptional (≥80%), Proficient (60%–79%), Fair (41%–59%), or Limited (<40%). Statistical analyses explored demographic associations with knowledge scores. Results: Awareness was moderate, with 37.2% showing "Exceptional" and 38.8% "Proficient" knowledge. While 84.6% identified poor posture as a risk factor and 81.2% recognized exercise benefits, gaps existed: only 64.8% understood weight management’s role, and 62.4% knew to avoid prolonged sitting. Rural and less-educated participants exhibited lower awareness. Conclusion: Despite reasonable understanding, critical deficiencies in CLBP knowledge and self-care practices highlight the need for targeted education and improved healthcare access in rural Kangra to reduce pain burden and enhance well-being.