08 March 2017

Osteoporosis Treatment and Management

Osteoporosis is a bone disease that occurs when the body loses too much bone, makes too little bone or both. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps.

Osteoporosis means “porous bone” - bones having lost density or mass and contain abnormal tissue structure. As bones become less dense, they weaken and are more likely to break.

Although you cannot completely reverse osteoporosis, there are ways for treating the condition and strengthening your bones to prevent fractures due to significant disability, morbidity, mortality, and expenses associated with osteoporotic fractures. Some of these methods are things you can do every day through diet and exercise (preventive measures) and taking medicine to prevent bone loss and rebuild bone and lower chances for bone fractures (medical and surgical care).

Preventive measures include modification of general lifestyle factors, such as increasing weight-bearing and muscle-strengthening exercise, which have been linked to fractures in epidemiologic studies, and ensuring optimum calcium and vitamin D intake as adjunct to active antifracture therapy.

Medical care includes the administration of adequate calcium, vitamin D, and anti-osteoporotic medication such as bisphosphonates, parathyroid hormone (PTH), raloxifene, and estrogen. In addition, potentially treatable underlying causes of osteoporosis such as hyperparathyroidism and hyperthyroidism should be ruled out or treated if detected.

Surgical care includes vertebroplasty and kyphoplasty, which are minimally invasive spine procedures used for the management of painful osteoporotic vertebral compression fractures. However, there may be an increased risk of adjacent level vertebral fractures after these procedures. 
 

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