What is osteoporosis?

Osteoporosis is a common disease that makes your bones weak and abnormally thin. This makes patients prone to fractures. 

Who is at risk for osteoporosis?

Women over 65 are at a higher risk for osteoporosis due to lower levels of estrogen, a hormone that maintains bone mass. Other risk factors for osteoporosis include being a male over 70 years old, being on long term steroids, testosterone therapy, anti-seizure medicines, aromatase inhibitors, BMI < 20, a family history of osteoporosis, and having a history of fragility fractures.

How do I know if I have osteoporosis?

Osteoporosis does not cause symptoms until you break a bone. Some subtle signs can be a loss of vertebral height. We can test for osteoporosis with a bone density test called the "DEXA test."

What can I do to keep my bones as healthy as possible?

You can help prevent osteoporosis with a healthy diet, regular exercise, and avoiding smoking and alcohol. Eat foods with high calcium and vitamin D (such as milk, yogurt, cheese, eggs, fish, nuts, breads, cereals, and green leafy vegetables). If needed, you can take calcium & vitamin D supplements (goal 1200 mg calcium/day & 800 IU (20 mcg) of vitamin D/day). Exercise for at least 30 minutes, three times a week. Avoid smoking and limit the amount of alcohol you drink to 1 to 2 drinks a day.

What else can I do to avoid fractures?

You can prevent a fracture by reducing the chances of a fall. Ensure all rugs have no-slip backing to keep them in place. Tuck away any electrical cords. Light all walkways well. Get eye exams, if needed. Use a walker or cane, if needed. 

Can osteoporosis be treated medications?

The measures discussed above can help reduce your chances of developing a fracture and osteoporosis. Depending on your situation, we may recommend medications that can either slow the breakdown of bone (anti-resorptive drugs) or medications that can help stimulate new bone growth (anabolic drugs).

How will I know the treatment is working?

We will often repeat a DEXA scan 2 years after starting treatment to determine a patient’s response. Alternative medications may be needed if bone density is not improving.