People are more susceptible to break bones if they are not treated for osteoporosis. A person may notice osteoporosis symptoms.

Osteoporosis is associated with compression fractures. The breaks in the vertebrae can cause the spine to collapse. This can cause a loss of height and abnormal curve in the spine.

Compression fractures can evolve slowly. They may be found incidentally during an X-ray for a health concern. After coughing, bending, laughing, or even driving over a speedbump, these fractured bones can cause a sudden onset of pain.

It can be difficult to perform everyday activities, such as bending, reaching, lifting, and walking up and down stairs, because of the pain. It leads to chronic back pain in most cases.

Osteoporosis can increase the risk of a fall. People who fall on their hip can break their bones. An outstretched hand could cause a broken bone in the wrist, arm, or collarbone.

Proper treatment for osteoporosis can help reduce the risk of broken bones.

People who have osteoporosis are more likely to have more osteoporosis related injuries and to experience other related problems that can lead to death.

Many people with osteoporosis need assistance walking. People with broken bones may experience chronic pain.

Osteoporosis can have a psychological impact. Mood, self-esteem, and body image can be affected.

Ample research, including a large-scale 2010 study involving more than 57,000 postmenopausal women in 10 countries, has found that having a fracture can lead to a lower quality of life.

Osteoporosis affects life span only when it involves fractures. The risk of death after a fracture increases when it occurs after age 75. This risk goes up even higher after a subsequent fracture.

The risk of death increases more in the first 30 to 180 days after a broken bone, but it stays elevated for the next year.

Fractures in the hip are the most common cause of death in people with osteoporosis, followed by other bones in the body.

There is a higher risk of death from surgery to treat fractured bones.

People with osteoporosis are more likely to have a broken bone if they prevent it.

Making lifestyle adjustments to reduce the risk of falls is an important part of osteoporosis management, but there are also medications to treat the condition.

An antiresorptive medication is the most common initial treatment. The drugs slow the activity of the cells that break down bone, which gives the body time to make new bone.

Antiresorptive medications include bromides and other drugs. They include:

  • Alendronate is a drug.
  • Risedronate is a drug.
  • Ibandronate is a drug.
  • Acidronic.
  • denosumab is a drug.
  • Ralloxifene is a drug.

Most of these medications can be taken orally. Denosumab and Acidronic. are only administered through injection.

“The choice between these medications is usually based on a person’s ability to tolerate the drug. Doctors consider a number of factors when making a recommendation, including breast cancer risk, gastrointestinal history, and the kidneys.”

Osteoporosis can be treated with another class of medication. These are not used as a first-line treatment and are usually prescribed for severe osteoporosis. They help to create and repair bones.

Osteoporosis includesbolic agents.

  • teriparatide is a drug.
  • Abaloparatide is a drug.
  • romosozumab

Of this group, teriparatide is a drug. is most commonly prescribed because of its safety profile.

If you want to know if your osteoporosis treatment is working, you can use dual-energy X-ray absorptiometry.

The test compares your bone mineral density to that of a young adult. Doctors use it to diagnose osteoporosis.

A zero means your bone density is normal. The scores between -1, and -1, are considered normal.

If your bone density is between – and – 2.5, you are considered to have the stage before osteoporosis called osteopenia. A score of less than 2.5 is osteoporosis.

People with osteoporosis need a DXA Scan after 2 years of treatment. The process of bone remodeling is slow. It can take a while for the improvement in bone mineral density to be seen.

If a medication is causing the osteoarthritis or if there is a disease associated with the broken bones, the scans may be done more frequently.

Osteoporosis progresses slowly. It is important to understand how the body builds bone using different types of cells.

One type is responsible for building new bone. The other type breaks down bones. These cells work together to repair our bones. We will have regenerated five complete skeletons by 30.

Between 30 and 35 is when peak bone density occurs. The body starts breaking down bones more quickly than it builds them, which can lead to bone loss.

From ages 45 to 55, bone loss occurs more rapidly in women due to the loss of estrogen during menopause. Women can lose 10% to 20% of their bone density during menopause, usually at a rate of about 2% per year.

Men can lose testosterone around the age of 65.

The last stage of osteoporosis can be seen. The loss of bone density can cause problems in the spine.

The collapse of the back of the spine is usually in the front. That can lead to a hunchback-like curve in the spine.

Pain and difficulty in managing activities of daily living can be associated with end-stage osteoporosis.

Treatments can help slow bone loss and strengthen your bones, even though osteoporosis has no current cure.

Antiresorptive medications and steroids can help increase bone mineral density.

Making lifestyle changes is important for osteoporosis management.

If you smoke, doctors typically recommend quitting. Smoking one pack of cigarettes per day has been associated with a reduction in bone density. Smoking can also counter the effects of medications prescribed to improve bone density.

There are tips for living well with osteoporosis.

  • Staying active.
  • Eating well-balanced meals.
  • avoiding heavy alcohol use.
  • Smoking cessation

Many people focus on cardiovascular activities but may not prioritize building muscle and improving balance. Activities like yoga, tai chi, andPilates can be very helpful.

A physical therapist can help you with home exercise programs. There are many free videos online that teach people with osteoporosis how to do exercises.

People with osteoporosis can make sure they are getting the recommended amount of calcium and vitamins D and UVB.

Suggested daily calcium intake is 1,000 milligrams (mg) for most adults, but increases to 1,200 mg for women ages 51 and up and for men starting at age 70.

The National Osteoporosis Foundation recommends that postmenopausal women and men ages 50 and up get between 800 and 1,000 international units (IUs) of vitamin D per day.

Some people may need to take a supplement for calcium or a supplement for vitamins D and D2 to get the recommended amount. If this is right for you, talk to a doctor.

It is important to prevent falls. You should make sure to have railings on the stairs. railings around your bathroom and shower The department of aging in your community can help you make home improvements to prevent falls.

Do not take any medication that could cause dizziness or drowsiness, which could increase your risk of falling.

Dr. Angela M. Bell is an ABMS board certified physician, specializing in internal medicine and sports medicine. She practices in the south side of Chicago.