Patient's Query
Hello doctor,
I am 64 and just had a bone density scan that showed I have osteoporosis in my spine and hip, which really surprised me since I have always been fairly active. My mother broke her hip at 70, and I am terrified of the same thing happening to me.
The doctor mentioned starting bisphosphonate medication, but I have read scary things online about jaw problems and fractures.
Should I be taking calcium and vitamin D supplements along with the medication?
What exercises are safe for me to do without risking fractures, and how often should I be getting rescanned?
Kindly suggest.
Hello,
Welcome to icliniq.com.
I completely understand your concern.
It is natural to feel anxious after being diagnosed with osteoporosis, especially with a family history of hip fractures.
Osteoporosis can develop silently even in active individuals, particularly with age-related bone loss or genetic predisposition.
Starting a bisphosphonate such as Alendronate or Risedronate is often the first and most effective step to strengthen bones and reduce the risk of future fractures.
While side effects like jaw osteonecrosis or atypical femur fractures can sound alarming, they are extremely rare and usually occur after many years of continuous therapy or in people with additional risk factors.
Your doctor will monitor your treatment duration and may recommend a drug holiday after three to five years if your bone density improves.
You should definitely take calcium and vitamin D supplements unless your dietary intake is already sufficient, as these nutrients are essential for bone health and to help the medication work effectively.
Most men need around 1,000 to 1,200 mg (milligrams) of calcium and 800 to 1,000 IU (international units) of vitamin D daily, ideally confirmed by a blood test.
In terms of exercise, weight-bearing activities like walking, light jogging, stair climbing, and gentle strength training are safe and highly beneficial, as they stimulate bone formation and improve balance.
Avoid high-impact movements or those that bend or twist the spine suddenly, such as sit-ups or heavy lifting. Yoga and tai chi are excellent for flexibility and stability.
It is generally recommended to repeat a bone density scan, such as a DEXA (dual-energy X-ray absorptiometry) scan, every one to two years to assess your progress and response to treatment.
With proper medication, nutrition, and regular low-impact exercise, you can greatly reduce your risk of fractures and maintain an active, independent lifestyle.
I hope this helps.
Thank you.
Was this conversation helpful?
Answered byDr. Ahsanullah Niazai
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Exercise and Its Benefits in Dementia
Do iron and calcium supplements cause constipation in women?
Osteoporosis and Its Impact on Spinal Health
Osteoporosis and Cardiovascular Diseases - Understanding the Correlation
My mother has osteoporosis. Are calcium supplements effective?
Exercise Addiction: A Detailed Insight
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.