Osteoporosis Treatment

Osteoporosis is a progressive bone disease where bones become porous, brittle, and prone to fractures, even from minor falls or bumps. It often develops silently, with no symptoms until a fracture occurs.


Who’s at Risk?

Common Risk Factors:
✔ Age: Over 50 (especially postmenopausal women).
✔ Gender: Women lose bone faster after menopause due to estrogen decline.
✔ Family History: Genetic predisposition.
✔ Lifestyle: Low calcium/vitamin D, smoking, excessive alcohol, sedentary habits.

Medical Triggers:

  • Long-term steroid use

  • Thyroid disorders

  • Rheumatoid arthritis


Diagnosis

  • Bone Density Scan (DEXA): Measures bone mineral density (T-score ≤ -2.5 indicates osteoporosis).

  • FRAX Tool: Predicts 10-year fracture risk.


Treatment Strategies

1. Medications

Drug ClassExamplesHow They Work
BisphosphonatesAlendronate, Zoledronic acidSlow bone breakdown
RANK Ligand InhibitorDenosumab (Prolia)Blocks bone loss
SERMsRaloxifeneMimics estrogen to protect bones
AnabolicsTeriparatideStimulates new bone growth

2. Essential Supplements

  • Calcium: 1,000–1,200 mg/day (diet + supplements).

  • Vitamin D: 800–1,000 IU/day (aids calcium absorption).

3. Lifestyle Modifications

  • Exercise: Weight-bearing (walking, dancing) + resistance training.

  • Diet: Rich in dairy, leafy greens, fish.

  • Avoid: Smoking, >2 alcoholic drinks/day.

4. Surgical Interventions

  • Vertebroplasty/Kyphoplasty: Stabilizes spinal fractures.

  • Hip Repair: For severe fractures.


Preventing Fractures

  • Fall Prevention: Remove home hazards, use grab bars.

  • Posture Awareness: Avoid bending/lifting heavy objects.

  • Regular Monitoring: Repeat DEXA scans every 1–2 years.


Advances in Care

  • New Drugs: Romosozumab (builds bone and reduces breakdown).

  • Precision Medicine: Genetic testing for personalized plans.


Myths vs. Facts

❌ Myth: “Osteoporosis only affects women.”
✅ Fact: 1 in 5 men over 50 will have an osteoporosis-related fracture.

❌ Myth: “If I take meds, I don’t need exercise.”
✅ Fact: Meds + lifestyle = best results.


When to See a Doctor

  • Unexplained back pain (possible spinal fracture).

  • Loss of height or stooped posture.

  • Family history + risk factors.

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