Best Osteoporosis Treatment
Overview
Osteoporosis or porous bone is a type of disease involving low bone mass and structural deterioration of bone tissue. It leads to bone fragility and greater vulnerability to fractures, especially hip, spine and wrist regions.
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Osteoporosis makes the bones weak and brittle. The bones become so brittle that a fall or even mild stresses such as bending over and coughing can result in fracture. Bone is a living tissue that is constantly broken down and replaced.
Diagnosis
Diagnosis of osteoporosis, assessment of the risk of fracture, and ascertaining the need for treatment can be done through a bone density scan as recommended by the doctor. Bone Density Scan involves measuring the bone mineral density (BMD). It is commonly performed by Dual-energy x-ray absorptiometry (DXA) or bone densitometry.
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During this painless test, the patient will have to lie on a padded table and the scanner passes over the body. In the majority of the cases, some particular bones of the hip and spine are checked. The doctor can also suggest for CT scan in some cases.
Symptoms of Osteoporosis
- Back pain arising due to a fractured or collapsed vertebra
- Height loss over time
- Deformed posture
- Bone gets fractured much more easily than expected.
Common Causes of Osteoporosis
- Estrogen deficiency in Women: Women generally suffer from estrogen deficiencies during perimenopause and menopause.
- Calcium Deficiency: Bones constantly lose and replace minerals.
- Inactive Lifestyle
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Treatment
Treatment recommendations are often prescribed based on the estimation of the risk of breakage of a bone in the next 10 years using a bone density test. If the condition is not serious, the treatment may include focusing on modifying risk factors for bone loss and falls instead of medication.
- Bisphosphonates: Whether it is man or woman, considering the increased risk of fracture, the most widely accepted and prescribed osteoporosis medications are bisphosphonates. Examples include:
- Alendronate (Binosto, Fosamax)
- Risedronate (Actonel, Atelvia)
- Ibandronate (Boniva)
- Zoledronic acid (Reclast, Zometa)
- Denosumab: Denosumab (Prolia, Xgeva) also produces similar or better bone density results and reduces the vulnerability of all types of fractures. Denosumab is delivered under the skin every 6 months.
- Hormone-related therapy: Estrogen if started soon after menopause can help in maintaining bone density. Testosterone replacement therapy can be applied in men.
- Bone-building medications: If the patient is suffering from severe osteoporosis or other common treatments donโt work well, the doctor may go for bone-building medications.
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