I am a 62-year-old woman. How can I prevent fractures?

Question

Hello doctor,

I am a 62-year-old woman who recently broke my wrist from a minor fall while walking my dog, and my doctor mentioned that my bone density scan shows significant bone loss. I have been through menopause for about eight years and have not been taking hormone replacement therapy or calcium supplements regularly.

My mother had several fractures in her later years, including a hip fracture that never healed properly. I am worried about my risk for future fractures, especially since I live alone and want to stay active and independent.

Could this bone loss be related to my family history and hormonal changes, and what can I do now to prevent more serious fractures?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

At 62, the combination of a wrist fracture from a minor fall, significant bone loss on a bone density scan, eight years of menopause without hormone replacement therapy, and a strong family history of fractures all indicate a high risk of osteoporosis-related fractures. The bone loss is very likely linked to both hormonal changes after menopause, which accelerate bone breakdown due to lower estrogen levels, and a genetic predisposition, as having a mother with hip fractures increases personal risk.

The most important steps now are to reduce bone loss, strengthen bones, and prevent falls. This typically includes ensuring adequate daily calcium and vitamin D intake through diet and supplements. If possible, engage in regular weight-bearing and muscle-strengthening exercises such as walking, light resistance training, or balance activities like Tai Chi, and avoid smoking and excessive alcohol consumption.

Osteoporosis medicines such as bisphosphonates, Denosumab, or other newer agents can either slow bone loss or promote bone formation. Since living alone increases fall risk, making the home safer by reducing trip hazards, improving lighting, and using supportive footwear is important.

Regular eye examinations, maintaining a healthy weight, and addressing any balance or muscle weakness are equally essential. With early and consistent treatment, it is possible to significantly reduce the risk of serious fractures and maintain independence.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.