Treatment FAQ

osteoporosis what the best non medical treatment

by Nels Rempel Published 2 years ago Updated 2 years ago
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Osteoporosis Alternative Treatments
  • Red clover.
  • Soy.
  • Black cohosh.
  • Horsetail.
  • Acupuncture.
  • Tai chi.
  • Melatonin.
  • Traditional treatment.

Which Medications Are Commonly Used For Osteoporosis Treatment?

Bisphosphonates are the most common medications prescribed for osteoporosis treatment. These include: 1. Alendronate (Fosamax) 2. Risedronate (Acto...

How Do Most Osteoporosis Medications Work?

With the exception of teriparatide, osteoporosis medications slow bone breakdown. Healthy bones continuously break down and rebuild.As you age — es...

How Do You Know If You're Taking The Right bisphosphonate?

Drugs in the bisphosphonate class are more alike than they are different. They all help maintain bone density. And, all bisphosphonates have been s...

When Might Other Osteoporosis Medications Be used?

Drugs such as denosumab, teriparatide and abaloparatide can be used by anyone with osteoporosis, but are more likely to be recommended for people w...

What Are Common Side Effects of Bisphosphonate pills?

Bisphosphonate pills aren't absorbed well in the stomach. The main side effects of bisphosphonate pills are stomach upset and heartburn. Generic fo...

Do Intravenous Bisphosphonates Have Advantages Over The Pill form?

Infused forms of bisphosphonates don't cause stomach upset. And it may be easier for some women to schedule a quarterly or yearly infusion than to...

Can Bisphosphonates Hurt Your Bones?

Long-term bisphosphonate therapy has been linked to a rare problem in which the upper thighbone cracks and may break. This injury, known as atypica...

How Long Should You Take A Bisphosphonate For Osteoporosis Treatment?

There's some uncertainty about how long to take bisphosphonates because of a lack of long-term studies. Bisphosphonates have been shown to be safe...

What Happens If You Break A Bone While Taking An Osteoporosis medication?

Osteoporosis medications lower the chance of fracture, but they don't eliminate all risk of breaking a bone. If you have a fracture while on treatm...

Can Medication Alone Successfully Treat Osteoporosis?

Don't rely entirely on medication as the only treatment for your osteoporosis. These practices also are important: 1. Exercise. Weight-bearing phys...

What is the best treatment for osteoporosis?

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: 1 Alendronate (Fosamax), a weekly pill 2 Risedronate (Actonel), a weekly or monthly pill 3 Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion 4 Zoledronic acid (Reclast), an annual IV infusion

Which osteoporosis medication is usually tried first?

Which osteoporosis medications are usually tried first? Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill. Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion.

What is the condition of bisphosphonates and denosumab?

A very rare complication of bisphosphonates and denosumab is a break or crack in the middle of the thighbone. This injury, known as atypical femoral fracture, can cause pain in the thigh or groin that begins subtly and may gradually worsen.

How does osteoporosis medication work?

Because bone rebuilding cannot keep pace, bones deteriorate and become weaker. Most osteoporosis medications work by reducing the rate at which your bones break down. Some work by speeding up the bone-building process. Either mechanism strengthens bone and reduces your risk of fractures.

How often is romosozumab given?

Romosozumab is given as a monthly injection at your doctor's office. It is a new drug and less is known about long-term side effects, but it is not given to people who have recently had a stroke or heart attack. Treatment stops after 12 monthly doses.

What are the side effects of bisphosphonate?

The main side effects of bisphosphonate pills are stomach upset and heartburn. Don't lie down or bend over for 30 to 60 minutes to avoid the medicine washing back up into the esophagus. Most people who follow these tips don't have these side effects. Bisphosphonate pills aren't absorbed well by the stomach.

How long can you take bisphosphonate?

These bone-building drugs can be taken for only one or two years and the benefits begin disappearing quickly after you stop. To protect the bone that's been built up, you'll need to start taking a bone-stabilizing medication such as a bisphosphonate.

How can osteoporosis be prevented?

Osteoporosis can be prevented. Exercise, especially lifting weights, helps to maintain healthy bone mass. Healthy lifestyle choices, such as not smoking or misusing substances, also decrease your risk for developing osteoporosis.

What is the Chinese medicine of acupuncture?

Acupuncture is a therapy used in traditional Chinese medicine. The practice involves placing very thin needles in strategic points on the body. This method is believed to stimulate various organ and body functions and promote healing. Acupuncture is often combined with herbal therapies.

What is horsetail used for?

Horsetail. Horsetail is a plant with possible medicinal properties. The silicon in horsetail is believed to help with bone loss by stimulating bone regeneration. Although clinical trials to support this assertion are lacking, horsetail is still recommended by some holistic doctors as an osteoporosis treatment.

What is melatonin made of?

Melatonin is a hormone that’s made by the pineal gland in your body. Melatonin has been touted for years as a natural sleep aid as well as an anti-inflammatory agent. Researchers#N#Trusted Source#N#are now coming to believe that melatonin promotes healthy bone cell growth.

What is Tai Chi?

Tai chi is an ancient Chinese practice that uses a series of body postures that flow smoothly and gently from one to the next. Studies by the National Center for Complementary and Integrative Health suggest that tai chi might promote increased immune function and overall well-being for older adults.

Does black cohosh help with bone loss?

It contains phytoestrogens (estrogen-like substances) that may help prevent bone loss. A 2008 study. Trusted Source. found that black cohosh promoted bone formation in mice. More scientific research is needed to determine if these results can be extended to treatment in humans with osteoporosis.

Does red clover interfere with other medications?

The estrogen-like compounds in red clover may interfere with other medications and may not be suitable for some people. Be sure to discuss red clover with your doctor, if you’re considering taking it. There are significant possible drug interactions and side effects.

What is the best exercise for osteoporosis?

Weight-bearing Exercise. ​. The first thing that I recommend for all patients with osteoporosis is to participate in weight-bearing exercise on a regular basis. This includes walking, jogging, dancing, using an elliptical, stair climbing, gardening, etc.

How common is osteoporosis?

Unfortunately, osteoporosis is extremely common and is ​becoming more prevalent. 1 in 7 women over 50 have osteoporosis. About 25% of women over age 65 have osteoporosis of either the hip or lumbar spine. About 5% of men over age 65 have osteoporosis. About half all women ​and 1 out of every 4 men over 50 ​will have an osteoporosis-related fracture ...

What is the density of a bone measured using?

How to Diagnose Osteoporosis. The density of a bone is measured using a machine called a DEXA scan (dual-energy x-ray absorptiometry).

What hormones are involved in bone reabsorption?

Vitamin D. ​. Vitamin D has many functions in the body, including the regulation of calcium and phosphorous absorption. If vitamin D is low, parathyroid hormone (PTH) increases and triggers osteoclasts​ to release calcium into the blood via bone reabsorption. Over time, this can lead to bone loss and osteoporosis.

What does a T score of 2.4 mean?

If the T-score is -1.0 to -2.4, the diagnosis of osteopenia is made . While not considered to be as dangerous as osteoporosis, it still indicates that the person is losing bone mass, especially the lower the T-score.

What is the Z score for osteoporosis?

The diagnosis of osteoporosis is made when ​the T-score is less than or equal to -2.5, which is way over on the far left of the bell curve.

How to keep bones strong?

​If you ask your doctor what is the best way to keep your bones strong, he or she will most likely say something like this: “Eat good, healthy foods and exercise regularly.”

What is the best treatment for osteoporosis?

If you can't tolerate the more common treatments for osteoporosis — or if they don't work well enough — your doctor might suggest trying: Teriparatide (Forteo). This powerful drug is similar to parathyroid hormone and stimulates new bone growth. It's given by daily injection under the skin.

How to reduce the risk of osteoporosis?

Smoking increases rates of bone loss and the chance of fracture. Avoid excessive alcohol. Consuming more than two alcoholic drinks a day might decrease bone formation.

What is the complication of bisphosphonates and denosumab?

A very rare complication of bisphosphonates and denosumab is a break or crack in the middle of the thighbone. A second rare complication is delayed healing of the jawbone (osteonecrosis of the jaw). This can occur after an invasive dental procedure such as removing a tooth.

How long can you take teriparatide for osteoporosis?

After two years of treatment with teriparatide, another osteoporosis drug is taken to maintain the new bone growth. Abaloparatide (Tymlos) is another drug similar to parathyroid hormone. You can take it for only two years, which will be followed by another osteoporosis medication. Romosozumab (Evenity).

What is the newest bone building medication?

Romosozumab (Evenity). This is the newest bone-building medication to treat osteoporosis. It is given as an injection every month at your doctor's office. It is limited to one year of treatment, followed by other osteoporosis medications.

How often is denosumab shot?

Denosumab is delivered via a shot under the skin every six months. If you take denosumab, you might have to continue to do so indefinitely.

What are the side effects of bisphosphonates?

Examples include: Side effects include nausea, abdominal pain and heartburn-like symptoms. These are less likely to occur if the medicine is taken properly.

What is the new drug for osteoporosis?

A number of other osteoporosis drugs are in development, including a new monoclonal antibody (romosozumab) and drugs that block sclerostin, a protein that inhibits bone formation. However, Dr. Slovik doesn't think we're going to see any of these new drugs approved within the next year.

What is the best treatment for bone breakdown?

David Slovik, associate professor of medicine at Harvard Medical School and endocrinologist at Massachusetts General Hospital.

How does raloxifene work?

It works by binding with estrogen receptors around the body to produce estrogen-like effects, one of which is to decrease bone turnover. "For people with osteoporosis of the spine, raloxifene reduces the risk of vertebral fractures," Dr. Slovik says.

What is raloxifene used for?

Raloxifene (Evista), a selective estrogen receptor modulator (SERM), is perhaps best known for its role in breast cancer prevention and treatment, but it serves double duty in treating osteoporosis, too. It works by binding with estrogen receptors around the body to produce estrogen-like effects, one of which is to decrease bone turnover.

Which is better, alendronate or risedronate?

Alendronate, risedronate, and ibandronate have all been shown effective for reducing spine fractures. For women with a history of hip or nonspinal fractures, alendronate and risedronate are better options than ibandronate.

How to determine if you have osteoporosis?

Your doctor will determine whether you have osteoporosis by measuring your bone density —usually at the hip and spine—using dual energy x-ray absorptiometry (DEXA).

How long do women take bisphosphonates?

Doctors acknowledge that the risk of these side effects also increases with long-term use of bisphosphonates, so most women take these drugs for about five years. The good news is that the bone-protective benefits continue even after you stop taking bisphosphonates.

What is the best medicine for osteoporosis?

It’s said to increase bone strength and reduce fractures in the hip, spine, wrist, arm, leg, and ribs. Another osteoporosis med, raloxifene ( Evista) works like estrogen in keeping up your bone mass.

How to prevent osteoporosis?

However, there is no proof that these foods help prevent or delay osteoporosis. Exercise. Make it a habit to do weight-bearing activities such as running, walking, tennis, dancing, stair climbing, aerobics, and weightlifting. When you do this regularly, this helps your bone density, so your bones are stronger.

What foods should postmenopausal women eat?

To help keep estrogen levels from dropping sharply after menopause, and thus help prevent osteoporosis, some health care professionals tell postmenopausal women to eat more foods that have plant estrogens, especially tofu, soybean milk, and other soy products.

How often do you get a shot of a syringe?

It turns off the process that makes the body break down bones. You get it as a shot, once every 6 months. It may be an option for postmenopausal women with osteoporosis and high risk of fracture, and when other osteoporosis medicines have not worked.

How to get more calcium at home?

For instance, you can add nonfat dry milk to everyday foods and beverages, including soups, stews, and casseroles. Each cup of dry milk adds about a third of the calcium you need each day.

What is the best medicine to take before eating?

Ibandronate ( Boniva), which is a pill that you need to take at least an hour before you eat or take any other meds. Risedronate ( Actonel, Atelvia), which is a pill that you need to take at least half an hour before you eat or take any other meds.

Why don't you get too much phosphorus?

Don’t get too much phosphorus from your diet, because it can promote bone loss. High-phosphorus foods include red meats, soft drinks, and those with phosphate food additives. Also, don’t drink too much alcohol or get too much caffeine. They cut down on how much calcium your body absorbs.

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