Treatment FAQ

what if the treatment for osteopenis

by Sheila Stiedemann IV Published 2 years ago Updated 2 years ago
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Medications that can treat osteopenia or prevent osteoporosis include: Bisphosphonates. These meds slow your body's natural process for breaking down bone. You may keep the level of bone you have or even get a small boost of bone density.Nov 23, 2020

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  • Eat a balanced diet with plenty of vitamin D
  • Limit alcohol intake
  • Exercise regularly with weight-bearing exercises (lifting weights, hiking, jogging, climbing stairs)

Is there a natural way to treat osteopenia?

What can I do to manage or prevent osteopenia?

  • Exercise as directed. Do weight-bearing exercises, such as brisk walking, dancing, or yoga. Weight-bearing exercises help build or maintain bone.
  • Do not smoke. Nicotine can damage blood vessels and make it more difficult to manage your osteopenia. ...
  • Prevent falls. Decrease your risk for falling by removing items from the floor and removing loose carpets. ...

What should be done for osteopenia?

Medication treatment is indicated for those at high risk for fracture: low bone density (such as a T score below -2.5); a FRAX score with a 10-year risk of major osteoporotic fracture of greater than 20% or hip fracture greater than 3%; or a history of a fragility fracture. This is defined as a fracture caused by fall from standing height or less.

When to treat osteopenia?

How to Treat Osteopenia. There are various treatment methods (medications, hormone replacement therapy, healthy lifestyle changes) that are commonly used to protect bone mass, slow the progression of osteopenia, alleviate related symptoms, and prevent the development of osteoporosis.

How to heal osteopenia?

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Should osteopenia be treated with medication?

If you've been diagnosed with osteopenia (low bone density) your healthcare provider may have recommended treatment.

Is osteopenia a serious condition?

People who have osteopenia have a lower BMD than normal, but it's not a disease. However, having osteopenia does increase your chances of developing osteoporosis. This bone disease causes fractures, stooped posture, and can lead to severe pain and loss of height. You can take action to prevent osteopenia.

What is the most common cause of osteopenia?

The basis for osteopenia forms early in life. One of the major causes of low bone density is when a person does not reach peak bone mass, or the amount of bone they should have by a certain age. In men, this typically happens in their 20s; for women, in their 30s.

How long does it take for osteopenia to turn into osteoporosis?

Of patients with osteopenia, 23.7% progressed to osteoporosis; median progression time was >8.5 years. Progression time was >8.2 years in “low-risk" tertile (T score between −1.1 and −1.6 SD), >8.5 years in “middle-risk" (between −1.6 and −2), and 3.2 years in “high-risk" (from −2 to −2.4) (p<0.0001).

What is the safest treatment for osteopenia?

The best moves for bones are weight-bearing exercises that force your body to work against gravity. That includes walking, stair climbing, dancing, and lifting weights. Diet. For strong bones, you need a diet rich in calcium and vitamin D.

When should osteopenia be treated?

Drug treatment should then be considered in patients having osteoporosis and in patients with osteopenia when FRAX indicates a 10-year fracture probability of at least 3% for hip or at least 20% for major fractures [9].

What is the best calcium to take for osteopenia?

The two most commonly used calcium products are calcium carbonate and calcium citrate. Calcium carbonate supplements dissolve better in an acid environment, so they should be taken with a meal. Calcium citrate supplements can be taken any time because they do not need acid to dissolve.

Do your bones hurt when you have osteopenia?

Is it painful? Osteopenia does not cause pain unless a bone is broken (fractured). Interestingly, fractures in patients with osteopenia do not always cause pain. Osteopenia or osteoporosis can be present for many years prior to diagnosis for these reasons.

How often should you have a bone density scan if you have osteopenia?

If initial bone density testing shows you have a T-score of -2.00 to -2.49 at any site, or if you take medications that decrease bone density, or have medical conditions that can adversely affect the bones, experts recommend repeat bone density testing every two years.

What is the best vitamin for osteopenia?

The main ones are calcium and vitamin D supplements. Most adults should get between 1,000 and 1,200 milligrams of calcium and 600 to 800 international units (IU) of vitamin D every day....Natural Treatments for OsteopeniaFolic acid, vitamin B6, and vitamin B12.Manganese.Silicon.Strontium.Zinc.More items...•

What exercises should be avoided with osteopenia?

Resistance exercises Caution: Yoga and Pilates contain movements that may increase fracture risk for people with osteopenia or osteoporosis. If you have low bone density, it is important to avoid any movements that round or twist the spine and put excessive force upon the vertebrae.

How can I increase my bone density after 60?

5 ways to build strong bones as you ageThink calcium. Women up to age 50 and men up to age 70 need 1,000 milligrams daily; women over 50 and men over 70 should get 1,200 milligrams daily.And vitamin D. ... Exercise. ... Don't smoke. ... Drink alcohol moderately, if at all. ... Remember protein. ... Maintain an appropriate body weight.

What is the best treatment for osteopenia?

Other medications for osteopenia include Selective Estrogen Receptor Modulators (SERMS) and denosumab. SERMS are used in post-menopausal women to disrupt estrogen activity, which prevents further bone loss. Denosumab medications are typically used for people who have cancer.

What happens when you have osteopenia?

When osteopenia is present, the body is absorbing bone matter quicker than it’s generating new bone matter. Rapid or irregular absorption of bone matter causes weak, brittle, thinning bones that are prone to fractures, breaks, and injuries.

How does bisphosphonate help with osteopenia?

Because osteopenia is caused by a rapid loss of bone that surpasses the generation of bone, bisphosphonates are effective measures for preventing osteopenia or slowing down its progression.

What age is osteopenia most likely to occur?

The National Osteoporosis Foundation (NOF) says that women over the age of 65, men over the over of 70, women who are post-menopausal, people who have fractured or injured a bone after the age of 50, and people who have rheumatoid arthritis are at a higher risk of being affected by osteopenia.

What is the term for a lack of mineral density in the bones?

Osteopenia is a condition that describes a lack of mineral density in the bones. ‘Osteo’ means “related to bones”, and ‘penia’, means “to lack or have a deficiency”. This condition is essentially the preliminary form of osteoporosis and indicates low bone mineral density (BMD)—the total bone mineral composition of a person’s bones.

How many people have osteopenia?

About 18 million Americans have osteopenia, but more than 200 million people are estimated to have osteoporosis —and many people don’t even know it! (Both osteopenia and osteoporosis don’t necessarily show symptoms until they experience bone fractures or breaks. More than half of these injuries are painless, and go unnoticed!)

How to determine if you have osteopenia?

How to Identify Osteopenia. To determine whether a person’s bone density is within a healthy range, a person may complete a bone density test. This test will produce a “ T-Score ”, which identifies the standard deviation, or difference, between your bone mass and the bone mass of a healthy person.

How to reduce osteopenia?

Cut back on salt and caffeine. Both may make your body lose more calcium and bone. Caffeinated coffee and sodas have been linked to osteopenia, so try to cut back or switch to the decaf kinds. Check labels of packaged foods to see how much salt (or sodium) is in a serving.

What is the best medicine for osteopenia?

Medications that can treat osteopenia or prevent osteoporosis include: Bisphosphonates.

What is the best treatment for osteoporosis?

Bisphosphonates. These meds slow your body’s natural process for breaking down bone. You may keep the level of bone you have or even get a small boost of bone density. Bisphosphonates are the main drugs doctors use to prevent and treat osteoporosis in postmenopausal women.

What are the best exercises to strengthen bones?

The best moves for bones are weight -bearing exercises that force your body to work against gravity. That includes walking, stair climbing, dancing, and lifting weights. Diet. For strong bones, you need a diet rich in calcium and vitamin D. High- calcium foods include:

What supplements can help with osteopenia?

But many people try a number of nutritional supplements and herbs before they have a fracture to build stronger bones. The main ones are calcium and vitamin D supplements.

How to keep your bones strong?

If you have strong bones, a healthy lifestyle can help keep them that way. If you already have osteopenia, those same lifestyle choices can lower the chances you’ll get osteoporosis. Make these practices part of your routine: Exercise. Like muscle, bone gets stronger when you use it.

What foods can cause bone loss?

Beef liver. Cheese. Egg yolks. Fortified breakfast cereals, juices, milk products, yogurt, and margarine. Don’t smoke, and drink less. If you smoke, try to quit. Studies have shown a strong link between cigarette smoking and lower bone density. If you drink alcohol, do it in moderation.

What does osteopenia mean?

Osteopenia means low bone density, but what exactly does this mean? It's easiest to understand osteopenia when we compare it to both normal bone density and osteoporosis (very low bone density).

What is the bone density test for osteoporosis?

Osteoporosis is a condition in which bones have become brittle and are more likely to break, even with mild injuries. A bone density test with osteoporosis gives a T-score of -2.5 or worse.

What is Forteo used for?

Forteo (teriparatide) is a man-made version of the body's natural parathyroid hormone and is usually used only for people with severe osteoporosis who are at a high risk of fractures. It is the only medication which can actually stimulate the body to grow new bone.

How does bisphosphonate work?

Bisphosphonates are medications which work by slowing the rate of bone loss, thereby improving bone density. Most of these reduce the risk of spine fractures, but not all have been shown to reduce the risk of hip fractures. 6  Some of these medications are taken orally while others are given by injection. Actonel, specifically, has been approved for the prevention of osteoporosis. Zometa has now been approved to use along with an aromatase inhibitor for the treatment of postmenopausal breast cancer. 7 

What is the T score for osteoporosis?

A bone density test with osteoporosis gives a T-score of -2.5 or worse. Having a bone density that is 2.5 deviations below the average means that your bone density is in the bottom 2% of someone your age. 1 . Osteopenia lies between these numbers, with a T-score of better than -2.5 but worse than -1.0.

How long do you have to stay upright with bisphosphonates?

With oral bisphosphonates, people are asked to take the medication with a full glass of water and remain upright for 30 to 60 minutes. These drugs may cause heartburn or esophageal irritation. Injectable medications may cause flu-like symptoms for a day or two after injection and may also cause muscle and joint pain.

Can osteoporosis cause fractures?

One major consideration is whether a person is expected to progress to having osteoporosis or is at an increased risk of suffering fractures as a result of other medical conditions. There are several medications which can be effective in reducing bone loss, but these all come with the risk of side effects as well.

What is the T score for a fracture?

However, most patients presenting with a fracture do not have BMD based osteoporosis, defined according to the World Health Organization (WHO) definition as a T score of −2.5 or below. The most poignant example is hip fracture, where only half the patients exhibit t-scores below −2.5 [10].

Does vitamin D deficiency cause osteomalacia?

Vitamin D deficiency does not only cause weaker bones due to osteomalacia , but also severe myopathy with loss of muscle strength, selective loss of the rapid type-2 fibres, dyscoordination and consequently increased propensity for falls [41].

Is osteoporotic fracture more severe than stroke?

Osteoporotic fracture is considered a far less severe event than stroke , although the increase in mortality and morbidity after spine or hip fractures is significant [2, 3]. Second, pharmaco-economic considerations also play a role.

Do osteoporotic fractures occur in osteopenic patients?

As mentioned in the introduction, the vast majority of osteoporotic fractures take place in osteopenic patients without prevalent fractures. Many aspects of osteoporosis and fracture risk are clinically recognizable (such as age, gender, and body weight), even before a first fracture has occurred.

How to increase bone density naturally?

7 ways to naturally increase bone density – osteopenia treatments from home. #1 Engage in regular weight-bearing exercise. Bone and muscle are a team, and they’re a use-or-lose proposition.

Which vitamin is more effective at building bone?

Some recent studies have even shown that one form of vitamin K, MK-7, is more effective at building bone than using bone drugs. #5 And get to know all of the 20 key bone building nutrients.

Is alkaline diet good for osteoporosis?

There’s recent research that shows just how important an alkaline diet is for those at risk for osteoporosis. #7 Stress less. Amazingly, stress is highly correlated with fracture risk and bone loss (and that’s above and beyond all the other health issues it causes).

Who should get tested for osteopenia?

Since osteopenia doesn’t cause any symptoms, the only way to know you have it is to get screened for it. But not everyone needs bone health screening.

How is osteopenia diagnosed?

The most common bone measurement testing used in the U.S. is a dual-energy X-ray absorptiometry (DEXA) scan. This test measures how well specific bones absorb low-dose X-ray beams. The measurements are usually taken in the hips and the spine. Healthcare providers use these measurements to calculate how dense or how thin those bones are.

How do you treat osteopenia?

Treating osteopenia means preventing further thinning of the bones. It can also mean slowing the rate at which your bones lose strength. Remember: Some bone thinning is normal with age.

Preventing osteopenia

Here’s the good news: There are ways to maximize your bone density and strength during your life. One of the most important ways to do this is maximizing your peak bone mass. Peak bone mass is the time in your life when your bones are the strongest. This usually happens when you’re in your 30s.

How is osteopenia different from osteoporosis?

Osteopenia is thinning of the bones that doesn’t yet meet the threshold to diagnose osteoporosis. You can almost think of it as “pre-osteoporosis.” Both osteopenia and osteoporosis are diagnosed the same way — through a DEXA scan. In some cases, a DEXA scan will indicate that you don’t have osteoporosis.

The bottom line

Bone thinning is a normal part of aging. When bone thinning reaches a certain level, it’s called osteopenia. Osteopenia is a warning diagnosis: Without intervention, it can develop into osteoporosis. Osteopenia and osteoporosis increase the risk of broken bones. Breaks commonly happen in the hips, spine, and wrists.

What are the risks of osteopenia?

Other factors that may raise your risk for osteopenia include: 1 eating disorders or other issues that prevent the body from absorbing a sufficient amount of minerals and vitamins 2 exposure to radiation therapy or chemotherapy 3 a family history of osteoporosis 4 excessive consumption of alcohol 5 use of certain medications, such as steroids

Is it too soon to prescribe alternative medicine for osteopenia?

Due to the limited research, it's too soon to recommend alternative medicine for osteopenia. It's also important to note that self-treating a condition and avoiding or delaying standard care may have serious consequences.

Does green tea help bone density?

Green Tea. Consumption of green tea might improve bone mineral density by stimulating activity in bone-forming cells and inhibiting activity in bone-weakening cells, according to a report published in 2009.

Is osteopenia a bone condition?

Osteopenia is a condition marked by low bone mass. Although people with osteopenia have less dense bones than normal, the condition is not as severe as osteoporosis. However, people with osteopenia are at an increased risk of developing osteoporosis if their condition is left untreated.

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  • Whether or not you choose to use medications for osteopenia, there are things you can do to reduce your risk of fractures. From making sure your stairs are free of clutter to staying off of ladders, there are a number of simple ways you can reduce your chance of a fall. Getting adequate calcium and vitamin D is important as well. Many people get am...
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