Doctor, my wife has been diagnosed with Osteoporosis. What does this mean and what treatment should she receive?

Osteoporosis is a condition in which the bones become brittle and weak and thus more prone to fractures. In some cases even a mild fall can cause bones to break. In the most severe cases, even a hard spasm of coughing can result in a fracture. Bone is tissue that is constantly being broken down and replaced. When the replacement cannot keep pace with the bone loss, it is called Osteoporosis. Fractures of the hip, spine and wrists are among the more common, but any bone can be affected. The condition affects both men and women. However, older women, especially those who are past menopause, are most at risk.

When you are young, your body will produce new bone faster than it is lost. This results in high bone mass and strong bones. The early 20s is when the bone mass is usually the highest. Those who have been healthy in their youth, had a good diet and proper exercise will have stored up a lot of bone mass which will reduce their chances of contracting Osteoporosis.

The Treatment

The treatment will depend on the results of a bone density test which will reveal the amount of bone mass loss. Bone density testing is done using DEXA scan and based on this, the risk of fractures will be evaluated. If the risk is low, the treatment could be limited to changes in your wife's diet and lifestyle to stop or reduce any activities that could put the bones at risk. If the risk is higher, medication in the form of bisphosphonates may be prescribed. The medication can be taken both orally and intravenously. Also long term injections will remove the need to remember and monitor weekly or monthly oral medication schedules. Your doctor will decide on what is best for your wife.
In the case of women, if the problem has set in soon after menopause, hormone therapy can be effective. Estrogen can help to maintain bone mass. However, because of the possible side effects, this is usually prescribed only if the menopausal symptoms also require treatment.

Call +91 87544 56711 to get yourself checked for Osteoporosis. Click here for more details.

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