Osteoporosis is a medical condition that causes bones to become weak and brittle, which increases the risk of fractures or broken bones. It occurs when the body loses too much bone mass, makes too little bone, or both.
The
bones in our body are constantly being
broken down and rebuilt. When we are young, our bodies make new bone faster
than old bone is broken down, so our bone mass increases. But as we get older,
this process slows down, and our bones lose more mass than they gain. This can
lead to osteoporosis over time.
Risk factors for osteoporosis:
AgingBeing
Female
Being
Postmenopausal
Having
A Small Body Frame
Having
A Family History of The Condition
Being
Physically Inactive
Smoking
Excessive
Alcohol Consumption
Certain
Medical Conditions – Ex: Rheumatoid
Taking
Certain Medications That Can Weaken Bones – Ex: Oral Steroid
How do you know you have Osteoporosis?
The
symptoms of osteoporosis are often not noticeable until a bone break. Common
sites for fractures include the hip, spine, and
wrist.
It's
important to keep in mind that osteoporosis is often called the "silent disease" because it usually has no symptoms until a
fracture occurs. That's why it's important to get
regularly screened, especially if you are at high risk for the
condition.
However,
as osteoporosis progresses, it can cause a range of symptoms, including:
Back pain: Osteoporosis can cause compression fractures in the vertebrae of the spine, which can lead to back pain, hunched posture, and loss of height.
Bone fractures: Osteoporosis can increase the risk of
fractures, especially in the hips, wrists, and spine. These fractures can be
painful and may require surgery to repair.
Loss of height: Osteoporosis can
cause compression fractures in the vertebrae of the spine, leading to a loss of
height over time.
Stooped posture: Osteoporosis can
cause a gradual curvature of the spine, known as kyphosis, which can result in
a stooped posture.
Weak or brittle nails: Osteoporosis can
cause changes to the nails, including weakness, brittleness, and increased
ridges or indentations.
Tooth loss: Osteoporosis can lead to loss of bone in
the jaw, which can increase the risk of tooth loss.
Poor grip strength: Osteoporosis can
weaken the bones in the hands, leading to decreased grip strength and an
increased risk of fractures.
Fractures from minor trauma: People with osteoporosis may experience fractures from minor injuries, such as a fall from standing height or even from sneezing or coughing.
It
is important to note that these symptoms are not
unique to osteoporosis, and can be
caused by other conditions as well. If you are experiencing any of these
symptoms or are concerned about your bone health, it is important to speak with
your doctor for evaluation and management.
Osteoporosis
is typically diagnosed through a combination of
medical history, physical examination, and imaging tests. The
following are some common methods used to diagnose osteoporosis:
Bone density test: This is the most common test used to diagnose osteoporosis. It uses X-rays, CT scans, or DEXA (dual-energy X-ray absorptiometry) scans to measure the density of your bones. The results are compared to the peak bone mass of a healthy young adult, and a diagnosis of osteoporosis is made if the A dual X-ray absorptiometry scan reports the t-score and a z-score.
A t-score reflects the difference between the measured bone mineral density and the mean value of bone mineral density in young adults. It is measured in standard deviations. The WHO has defined normal bone mineral density for women as a t-score within one standard deviation of the young adult mean. Scores between negative 1 and negative 2.5 reflect a diagnosis of osteopenia. Scores below negative 2.5 reflect a diagnosis of osteoporosis.
https://frax.shef.ac.uk/FRAX/tool.aspx?country=51
Blood tests: Your doctor may order blood tests to check for low levels of calcium, vitamin D, and other minerals that are important for healthy bones.
Medications: There are several types of medications that have
been shown to slow down bone loss and increase bone density, such as bisphosphonates, denosumab, teriparatide, and
raloxifene. These medications are usually taken orally or by injection, and
their use may be limited to certain individuals due to potential side effects.
Weight-bearing exercise: Regular weight-bearing exercise, such as walking can help build and maintain strong bones. Your doctor may also recommend other forms of exercise, such as yoga to help improve balance and reduce the risk of falls.
It's important to work closely with your doctor to develop a personalized treatment plan that takes into account your specific needs and circumstances. In some cases, a combination of treatments may be necessary to effectively manage osteoporosis.
It's important to consult your Doctor to determine the most appropriate treatment plan for osteoporosis based on individual needs and circumstances.
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