Osteoporosis affects about 25 million U.S. citizens and causes approximately 1.5 million fractures a year. Women are more likely to be affected by osteoporosis. Nearly two in every 5 females and one in eight males will sustain an osteoporotic fracture in their lifetime. 

What is osteoporosis?  
Osteoporosis is a bone disease characterized by a low bone mass and deterioration of bone tissue which leads to an increased risk of bone fractures.

Ways to prevent osteoporosis  
Once a person has been diagnosed with osteoporosis, it is impossible to restore osteoporotic bone to normal. Therefore, it is essential to take precautions to prevent it at an early age. The following measures are important to follow during adolescence, since this is when the greatest skeletal growth occurs. However, these should be continued throughout your lifetime.

  • Adequate calcium intake (see chart below for daily intake amount)
  • Adequate vitamin D intake
  • Exercise  

Optimal Calcium Requirements

Group

Optimal Daily Intake (in mg of calcium)

Infants

 

Birth - 6 months

400

6 months - 1 year

600

Children

1 - 5 years

800

6 - 10 years

800 - 1200

Adolescents/Young Adults

 

11 - 24 years 

1200 - 1500

Men

 

25 - 65 years

1000

Over 65 year

1500

Women  

 

25 - 50 years 

1000

Over 50 years (postmenopausal)

 

On estrogens

1000

Not on estrogens

1500

Over 65 years

1500

Pregnant and nursing

1200 - 1500

 

Osteoporosis and Menopause
A woman loses approximately 10-15% of her skeletal mass in the 5 to 7 years following the deprivation of estrogen at menopause. After that, age-related bone loss is about 1% a year. There are ways to combat this or at least slow the process. The prevention tips above will help, but your physician can prescribe estrogen replacement therapy and other medications to help prevent bone loss.

Treatment for Osteoporosis  
The best treatment is of course prevention, but once diagnosed, there are effective treatment techniques. They range from simple behavior modifications to extensive drug therapy. Some of these include:

  • Behavior modifications - in terms of alcohol and tobacco consumption
  • Nutritional instruction - optimizing calcium and vitamin D intake
  • Exercise - prescribed by physical therapist or physician
  • Postural Recommendations
  • Estrogen Replacement Therapy or medication for women going through menopause - again consult with your physician

In terms of getting into an exercise program for osteoporosis, a physical therapist is your best resource. They are well-educated on how osteoporosis affects the body and what type of exercise will be appropriate and effective for treating and/or preventing the disease. If you have osteoporosis or would like to begin an exercise program to reduce the risk of developing it, talk to your physician or physical therapist right away. Many physical therapy practices have specific Osteoporosis Programs, but all therapists at an orthopedic facility are trained to provide treatment for osteoporosis.

Remember- if you haven't already, talk to your physician about your risk for developing osteoporosis and what you can do now to reduce that risk.