What are the ways to treat osteoporosis?

Hello doctor,

Hope, you are all doing well.

I would like to ask a question about my parents. My father is a retired doctor and he exactly knows what is the problem with him and with my mother. So, they have osteoporosis - spinal osteoporosis in my father (63 years old) and knee osteoporosis in my mother (60 years old). The level of the disease is not extreme: my father is overweight yet still does physical activities - gardening, takes care of cattle, walks a lot. But my mother's knee is not in good shape: it often hurts bad and she barley walks at that time. She is overweight as well but she is dieting now. Generally speaking, she walks and does physical activities, but when it hurts, she has hard time dealing with it and gets mentally weak. They both have not lost their body frames though, especially my father but my mother bends slightly. We have tried almost all medication prescribed in our country, none of them worked.

So, the only reason why am I contacting you is that to know what you always use for your patients who suffer with osteoporosis? I need a guidance, please. Please, advise me what can I do for my parents? What vitamins, prescribed medications work best?

Let me repeat again: My father : 63 years old, overweight, spinal osteoporosis, =< moderate pain level (5-6/10), does actively physical activities. My mom: 60 years old, overweight, knee osteoporosis, =< high pain (8.5/10), cannot do too much physical activities. Thank you very much. Looking forward to hearing from you soon.