Osteoporosis means “porous bone”. This is a silent disease since there may be no symptoms until a fracture occurs. In this disease bones are weakened by the loss of minerals, especially calcium. This disease is usually is associated with aging and according to the National Osteoporosis Foundation (NOF) approximately half of all women in the USA and one in eight men will have an osteoporosis- related fracture at some point in their lives.
This is a crippling disease which is growing in numbers each year among older Americans, especially women and according to some estimates the cost for treating osteoporosis and osteoporosis related problems to be some where in the neighborhood of 15-20 billion dollars per year.
With proper prevention there are hopes that significant number of osteoporosis related fractures and it’s complications can be avoided.
Treatment must begin before symptoms appear and is aimed at slowing down bone loss, starting at menopause.
Two important preventive measures are weight bearing exercises and adequate amount of calcium intake.
There are some risk factors that no one has control over and include:
Female gender and age
Low body weight
Positive family history
Fair skin (Caucasians and Asian)
Factors that we can control:
Excessive alcohol intake
Low calcium intake
Lack of weight bearing exercises such as running ,jogging ,walking
Excessive use of some over the counter drugs such as laxatives and antacids
Diagnosis of osteoporosis is done by determining the Bone Mineral Density (BMD)
Utilizing DEXA tests which is a safe, painless and non-invasive test.
This test is used to diagnose and detect low bone density (mass), risk of a fracture and to monitor therapy.
The result is interpreted by your T-score:
0- to -1.0 Bone mass is normal
-1.0 Bone mass is 10% below normal
-1.5 Bone mass is 15% below normal
-2.0 Bone mass is 20% below normal.
You are considered osteoporotic if your bone mass is at least 20% below normal.
Recommended calcium intake (mg/day) varies in different age group, for example from 19-50 years of age 1000 mg and from 50 and above 1200 mg is necessary.
Commonly use drugs for treatment of osteoporosis:
Actonel (Risedronate Sodium Tablets) taken daily/weekly or monthly
Boniva (Ibandronate Sodium) Usually is taken once a month
Evista Raloxifene Hydrochloride) Usually is taken daily
Fosomax (Alendronate Sodium) Usually is taken daily or weekly
Reclast (Intravenous Injection) Once a Year
For further and detailed information in reference to osteoporosis:
National Osteoporosis Foundation (NOF)
1150 17 th Street, NW