Treatments for Osteoporosis - Prevention of Osteoporosis

Osteoporosis is a disease that includes a thinning of the bones that makes them susceptible to breaks called compression fracture. The causes of osteoporosis are aging, sedentary lifestyles, low-calcium diets, and use of glucocorticoid medications (corticosteroids). Many of the treatments to slow or reverse the progression of the disease will include healthy lifestyle changes, such as taking on more high calcium diets. Some treatments for osteoporosis may include prescription medications such as Alendronate and biphosphates. You and your doctor will work together and go through a period of trial and error until you have found a healthy program of diet, exercise, and supplementation to maintain or increase the bone density of your weight bearing joints. It is never too soon or too late to make your stronger, and the way you move and what you eat can really make a difference.

Treatment. You and your doctor will come up with a treatment program for your osteoporosis once your medical history has been assessed, diagnostic tests have been completed (bone density study), and a diagnosis positive for primary osteoporosis has been made. Treatments for osteoporosis will include consultation with the patient about diet and exercise, supplements, and prescription medication if determined appropriate. The purpose of all treatments are to increase bone density and to prevent fractures.

Diet and Absorption of Calcium and Vitamin D. Once a diagnose has been made, the will be counseled on diet end exercise. A patient will be more likely to build bone density and to prevent compression fractures if they have a diet rich in calcium and vitamin D. Foods sources rich in Vitamin D include liver, beef, nonfat milk, mackerel, cod liver oil, salmon, and egg. Food sources rich in calcium include dairy products (e.g. eggnog, yogurt, cheese), and nondairy vegetables such as rhubarb, sardines, peas, brussel sprouts, and bok choy. You should try to consume as much Calcium and Vitamin D as you can so that you will not need to use non-natural medications to make up for any nutritional deficits. Even when you have a healthy lifestyle that includes a strong weekly routine of diet exercise, you may not have a system that absorbs enough calcium and vitamin D into the bloodstream, and bones. There are some factors that will remain out of our control, even when we consume a healthy diet. For example, bone formation is stimulated by the release of certain hormones into the bloodstream, and women have diminished secretion of certain hormone levels when they approach or pass the age of 50 (post-menopausal). When women get older and reach the end of menopause, there is an increase in hormone levels such as estrogen and estradiol. The drops in certain hormone levels has been found to decrease bone density. Medications that slow or stop bone reabsorption (reabsorption of calcium and other minerals from the bones back into the bloodstream) include:
  • Estrogen/hormone therapy (e.g. injections of Estriol and/pr Estradiol)
  • (SETRMs) Selective Estrogen Receptor Modulators (e.g. tamoxifen, ormloxifene, clomifene)
  • Calcitonin
  • Biphosphates (e.g. Actonel, Zometa, Fosamax)
Osteoporosis prescriptions that stimulate bone formation include the parathyroid hormones Teriparatide, and Forteo.