Management of osteoporosis in the elderly

• Many older people, especially the very elderly and those living in care institutions, have vitamin D inadequacy. In appropriate patients and given in sufficient doses, vitamin D and calcium supplementation is effective in reducing both falls and osteoporotic fractures, including hip fractures.

Management of osteoporosis in the elderly Evidence-based strategies are available for reducing osteoporotic fracture risk in the elderly, and include exercise training, vitamin D and calcium supplementation, and use of evidence-based anti-osteoporotic drugs. A positive and determined approach to optimising the use of such strategies could r …Cited by:
Publish Year:
2009

How is osteoporosis treated in the elderly?

In all major studies patients also received calcium and vitamin D supplements. Bisphosphonates and strontium ranelate are good choices for first- or second-line treatment , while for the time being parathyroid hormone should only be used for the second-line treatment of osteoporosis in the elderly .

What is the best and safest treatment for osteoporosis?

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate ( Actonel ), a weekly or monthly pill.

What is the management of osteoporosis?

Treatments for established osteoporosis may include exercise, vitamin and mineral supplements, and medications. Exercise and supplementation are often suggested to help you prevent osteoporosis . Weight-bearing, resistance and balance exercises are all important.

At what age do you stop treating osteoporosis?

Even though treatments for osteoporosis are now available, only a small proportion of older women with osteoporosis, particularly those above the age of 80 years , receive treatment [Freedman et al.

What is the best painkiller for osteoporosis?

Meds that may help include: Pain relievers like acetaminophen , aspirin , ibuprofen , and naproxen . They’re safe for most people, but they may cause stomach irritation and bleeding or liver problems if you take them for a long time.

What will happen if osteoporosis is left untreated?

Osteoporosis left untreated increases the likelihood of fractures. Simple actions such as sneezing or coughing, making a sudden turn, or bumping into a hard surface can result in a fracture. This can make you feel like you’re walking on eggshells and cause you to refrain from participating in activities that you enjoy.

What is the best natural medicine for osteoporosis?

Osteoporosis Alternative Treatments Red clover . Soy . Black cohosh . Horsetail. Acupuncture . Tai chi . Melatonin . Traditional treatment.

What not to do if you have osteoporosis?

With low bone density or osteoporosis , you should avoid: Rounding poses or rounded spine movements. Spine twist or any deep twists. Corkscrew or bicycle. Deep hip stretches (like the pigeon pose) Warrior pose. Overpressure from teachers.

What foods are bad for osteoporosis?

Foods to limit or avoid High-salt foods. Excess salt consumption can cause your body to release calcium, which is harmful to your bones. Alcohol . While a moderate amount of alcohol is considered safe for those with osteoporosis, excess alcohol can lead to bone loss. Beans / legumes . Wheat bran . Excess vitamin A. Caffeine .

What is the first line of treatment for osteoporosis?

Bisphosphonates should be used as first – line pharmacologic treatment for osteoporosis . In patients who cannot tolerate or whose symptoms do not improve with bisphosphonate therapy , teriparatide (Forteo) and denosumab (Prolia) are effective alternative medications to prevent osteoporotic fractures.

What is the new drug for osteoporosis?

Evenity, or romosozumab , was approved to treat osteoporosis in postmenopausal women at high risk of bone fractures. The US Food and Drug Administration has approved a new treatment for osteoporosis in postmenopausal women who are at high risk of bone fractures.

How do you treat osteoporosis without medication?

They include walking, hiking, jogging, climbing stairs, playing tennis, yoga and dancing. Resistance exercises – such as lifting weights – can also strengthen bones.” Kamhi lays it all out in an article she wrote for Natural Medical Journal.

Is sitting bad for osteoporosis?

Exercise and Osteoporosis Do not perform sit -ups, abdominal crunches, or toe touches. Forward bending of the spine increases the compressive forces on the bones of the spine and may cause fracture. Avoid bringing the knee up forcefully or excessively toward the chest while seated or while lying down.

What exercise is best for osteoporosis?

Examples include walking , dancing , low- impact aerobics , elliptical training machines, stair climbing and gardening. These types of exercise work directly on the bones in your legs, hips and lower spine to slow mineral loss. They also provide cardiovascular benefits, which boost heart and circulatory system health.

What vitamins should I take for osteoporosis?

Calcium is probably the nutrient you think of first. But vitamin D is just as important for keeping bones strong and preventing the bone disease osteoporosis . Vitamin D helps your intestines absorb calcium from the food you eat.