How can someone prevent osteoporosis complications?

Question

Hi doctor,

I am 59 years old and was recently told that my bone density test shows early signs of osteoporosis. I have not had any fractures yet, but I am feeling quite anxious about it.

I do yoga and walk daily, but my doctor mentioned the possibility of medication to help strengthen my bones. I have heard mixed information about bisphosphonates; while they can be effective, I have also read that they might cause issues like jaw problems or stomach discomfort.

Are there any safer or newer options available?
Additionally, does taking calcium and vitamin D make a difference if I already have osteoporosis?
My mother suffered a hip fracture at 70, so I want to take steps to prevent that. Should I avoid specific exercises?
Also, do the once-a-year infusions work better than pills?

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

It is completely normal to feel worried after an osteoporosis diagnosis, especially with your family history. The good news is that being aware of the risk early and taking action is the best way to prevent fractures.

Your concerns about bisphosphonates are valid. While they are very effective, side effects like stomach upset or rare jaw issues can occur. Fortunately, there are several other excellent options:

Medications like Denosumab (a twice-yearly injection) or Teriparatide (a daily injection) are powerful alternatives.
Even newer drugs like Romosozumab are available for high-risk cases.

The "once-a-year infusion" you mentioned is a bisphosphonate called Zoledronic acid. For many, it is a great option as it bypasses the stomach. They are the essential building blocks for your bones.

Think of medication as the foreman that directs the repairs, but calcium and vitamin D are the bricks and mortar. Without enough of them, the medication cannot work effectively. Your doctor can check your vitamin D levels with a simple blood test.

Your yoga and walking are fantastic. Keep it up. For bone strength, you can do the following.

Weight-bearing: Brisk walking, hiking, dancing.
Strength training: Using light weights or resistance bands.
Balance: Yoga is perfect for preventing falls.

You should generally avoid high-impact activities or exercises that involve twisting your spine, like sit-ups or toe-touches. A physical therapist can give you a personalized, safe exercise plan.

I hope this answers your query. Feel free to reach out anytime.

Thank you.