ISOMATIC Integrative Health Centre

Scarborough

Osteoporosis

Osteoporosis: Osteoporosis, a progressive bone disease, is marked by weakened, brittle bones, elevating the risk of fractures. It emerges when the body loses bone mass or generates insufficient bone, diminishing bone density and strength.

Causes:

  1. Aging: Bone density decreases with age.
  2. Hormonal Changes: Reduced estrogen in women post-menopause and lower testosterone levels in men contribute to bone loss.
  3. Dietary Factors: Inadequate calcium and vitamin D intake escalate osteoporosis risk.
  4. Medical Conditions and Medications: Certain ailments and long-term medication usage can impact bone health.
  5. Lifestyle Factors: Sedentary living, excessive alcohol, smoking, and low body weight adversely affect bone density.

Symptoms:

  1. Fractures: Heightened vulnerability to fractures, notably in the hip, spine, and wrist.
  2. Height Loss: Gradual loss of height due to spinal compression fractures.
  3. Back Pain: Persistent pain due to fractures or collapsed vertebrae.

Prevention and Management:

  1. Dietary Modifications: Calcium-rich diets and vitamin D supplements or sun exposure are pivotal.
  2. Regular Exercise: Weight-bearing and resistance exercises fortify bone density.
  3. Avoiding Risky Habits: Ceasing smoking, moderating alcohol, and fall prevention minimize fracture risks.
  4. Medications: Prescribed medicines to impede bone loss or stimulate bone formation.
  5. Bone Density Testing: Periodic tests to evaluate bone strength and guide treatments.
  6. Fall Prevention: Safeguarding against falls at home to prevent fractures.

Treatment Options:

  1. Medications:

    • Bisphosphonates inhibit bone breakdown.
    • Hormone-related Therapy (HRT) can help maintain bone density.
    • RANK ligand (RANKL) Inhibitors block bone-removing cells.
    • Parathyroid Hormone Treatment stimulates bone formation.
    • Calcium and Vitamin D Supplements are commonly recommended.
  2. Lifestyle Modifications:

    • Exercise: Weight-bearing exercises and a balanced diet are pivotal.
    • Fall Prevention: Enhancing home safety reduces fall-related fractures.
    • Bone Density Monitoring: Regular scans assess treatment effectiveness.
  3. Education and Support:

    • Educational programs and support groups offer guidance and coping strategies.
  4. Surgical Intervention:

    • Procedures like vertebroplasty or kyphoplasty stabilize severe fractures.

Conclusion: Osteoporosis management entails medications, lifestyle changes, and regular monitoring to prevent bone loss and fractures, tailored to individual needs. Collaboration with healthcare providers, early diagnosis, and proactive measures are key to maintaining bone health and minimizing complications.

Scarborough in Toronto

Andrew Chan, R.H.N., DOMP, B.Sc., DO (Euro)

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