Osteoporosis - Remain Calm, Research and React

Receiving an osteoporosis diagnosis through a DEXA scan can be distressing for many women, especially considering the lack of symptoms in most cases. Sometimes, it takes a fall for osteoporosis to be identified, marking the first significant medical diagnosis for many. Unfortunately, osteoporosis is often misunderstood.

If you find yourself facing this diagnosis, it's crucial not to panic. Take the time to fully comprehend your situation and devise a plan tailored to your needs. Collaborate with your doctor to investigate the underlying cause of osteoporosis, enabling you to make informed decisions about your care. This may involve additional tests or consultations with specialists like endocrinologists to delve into the root cause.

While DEXA scans are commonly used to measure bone density, the introduction of REMS Echolight machines in the United States offers an alternative. REMS not only gauges density but also evaluates bone quality providing a different type of fracture risk score. Understanding your fracture risk is pivotal in crafting an effective osteoporosis management plan.

Although osteoporosis progresses slowly, having a proactive strategy is essential. Medication is often recommended by physicians, but comprehending the rationale behind each medication is key. The medications offered for osteoporosis are confusing. To understand them, you must under a bit about bone remodeling. “Osteoclasts” and “osteoblasts” are crucial cells in bone remodeling. Osteoclasts break down bone tissue and osteoblasts build new bone. In osteoporosis, there’s an imbalance favoring bone resorption over formation, which causes weakened bones and increased fracture risk.

There are medications that focus on slowing down osteoclasts called “anti-resorptives”. These are the most commonly prescribed, especially to one who is newly diagnosed. These are called Fosamax, Actonel, Boniva, Reclast and Prolia. The medications that increase osteoblasts to produce more bone are called anabolic (teriparatide) medications. These are often given to those who have more advanced osteoporosis and/or a prior fracture. These are called Forteo and Tymlos.

Each medication comes with its own set of side effects and time restrictions, necessitating a clear understanding of your long-term medical plan. What is your 5 year, 10 year and beyond look like on these medications? Work with your doctor to understand the prognosis.

Alternatively, dietary adjustments, supplements, and exercise regimens, including weight training, are used for treating osteoporosis. This holistic approach requires dedication and understanding of how nutrition and physical activity influence bone health.

The encouraging aspect is that women have various avenues to manage osteoporosis, with the flexibility to adapt their approach for better outcomes. Researching and understanding the condition are paramount in devising an effective strategy. If you seek further discussion or assistance, please don't hesitate to reach out.