Orthopedics-Online

Therapy of osteoporosis

Synonyms in the broader sense

Synonyms in the broader sense

Bone decalcification, bone loss, bone fragility, decalcification of the bone, calcium, calcium, Vertebral hernia

definition

The osteoporosisAlso known as bone loss, it is a disease in the skeletal system in which bone substances and structures are lost or are greatly reduced. As a result of this reduction in bone mass, the tissue structure of the bone deteriorates and it loses stability and elasticity. As a result, the bones become more prone to fractures, in extreme cases a fracture can even occur without falling.

Due to the increased risk of breakage, the bone can collapse (sinter). This is particularly evident in the area of the vertebral bodies through visible changes. One example is the so-called “widow's hump”, which can be particularly evident in older women and can, under certain circumstances, lead to severe mobility restrictions.

therapy

Medication
Calcium / Calcium:
Adequate calcium intake is absolutely essential for healthy bones. Various studies have shown that a person with an average diet only receives half of the recommended daily dose of calcium / calcium takes. An undersupply can usually be eliminated with a diet rich in calcium.
An increased calcium requirement can be found during pregnancy, the lactation period, but also in the course of Menopause determine. Since this is in addition to the usually borderline calcium supply, this strong need should also be covered by calcium supplements. The recommended calcium dose is at least 1000 mg calcium / calcium per day.
Vitamin D:
An undersupply of vitamins always leads to deficiency symptoms. Since vitamin D regulates the absorption of calcium from food and is formed in the body when exposed to sunlight, a vitamin D deficiency usually occurs in the winter months or when you do not spend enough time outdoors. If you increase the supply of vitamin D with so-called vitamin D preparations, it should be noted that these should only be taken in low amounts of sunlight. This is useful for bedridden patients, for example. The recommended dose is then 800 IU (international units) of vitamin D per day.
Bisphosphonates:
Osteoblasts are cells that have bone-building or bone-breaking functions. By giving Bisphosphonates the activity of the bone-degrading osteoblasts is inhibited, but the activity of the bone-building Osteoblasts remain active. Consequently, it comes under therapy with Bisphosphonates to an increase in bone mass. The supporting structure (trabecular structure) is retained so that the newly formed bone mass corresponds to the natural bone substance. Such a process can only be successful if bisphonates, e.g. Fosamax, they are given without interruption over a longer period (? = 3 years). The doctor decides how long the treatment has to be continued in each individual case.

A drug from the bisphosphonate group is Fosamax with the active ingredient alendronate. Fosamax is taken as a tablet either 70 mg once a week or 10 mg daily.
Estrogen:
Numerous studies have shown that the administration of estrogen May reduce the risk of bone loss in postmenopausal women. In order to be effective, however, such preparations must be taken for a period of at least five years. It should be mentioned at this point that hormone preparations increase the risk of cancer, especially the Breast cancer risk, can be increased. Menopausal symptoms are, however, reduced by the administration of estrogen.
Selective Estrogen Receptor Modulators (SERMs) like the estrogens act on the bone structure. They may also have a protective function for the heart and circulation. On the negative side, it differs from the hormones SERMs most likely not have a positive influence on the typical "menopausal symptoms.
Calcitonin:
Calcitonins counteract bone degradation, are anti-resorptive, so to speak, and also have a pain-relieving (= analgesic) effect. Unfortunately, they too are not free from side effects. In individual cases, skin reddening and / or nausea with vomiting can occur.
Fluoride:
In contrast to the so-called bisphosphonates, fluorides stimulate the activity of those osteoblasts that are responsible for building bones (= osteoanabolic effectiveness). The dosage is very important: A too high dosage reduces the bone quality and stability. The administration of fluoride means that the newly formed bone material no longer matches the natural substance.
It is important to mention that fluoride must always be given in combination with calcium so that the newly formed bone can again be sufficiently mineralized.
A concomitant symptom of this therapy is the occurrence of bone and joint pain, which, however, usually disappears quickly if the treatment is interrupted.
Fluoride therapy should not be carried out for more than two to three years without interruption.

Vibration training:
Vibration training has now shown that regular vibration training can improve osteoporosis.
Read more under our topics:

Vibration training
Vibration training for osteoporse

Appointment with ?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

In order to be able to treat successfully in orthopedics, a thorough examination, diagnosis and a medical history are required.
In our very economic world in particular, there is too little time to thoroughly grasp the complex diseases of orthopedics and thus initiate targeted treatment.
I don't want to join the ranks of "quick knife pullers".
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You will find me:

Lumedis - orthopedic surgeons
Kaiserstrasse 14
60311 Frankfurt am Main

You can make an appointment here.
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
For more information about myself, see Lumedis - Orthopedists.

Prevention

Prevention:

Everyone can and should counteract prophylactic illnesses, especially of course bone loss, through a balanced and healthy diet, in connection with regular exercise. These are the measures that anyone can implement themselves without any side effects.

Move:
Scientific research shows the close connection between physical activity and bone density. A sufficient amount of exercise also has a positive effect when the osteoporosis has already started, i.e. the patient is already suffering from the consequences of the osteoporosis. Due to exercise, bone loss can be slowed down, under

Not all movements have a fundamentally positive effect, if osteoporosis has already occurred, increased amount of movement can even be dangerous under certain circumstances, so you should generally consult your doctor before increasing your amount of movement.

Calcium metabolism:
An increased phosphate level in the body can possibly prevent calcium from being stored in the body. Calcium and phosphate metabolisms are closely related.
When eating, you should therefore always make sure that phosphates are not consumed in excess. For example, many phosphates can be found in soft drinks containing caffeine. Since coffee increases urine production and thus removes calcium from the body, too much coffee is not advisable. Excessive calcium excretion is also caused by the consumption of alcohol. Increased consumption of meat also has negative effects, in particular the consumption of pork and sausage is often rated as negative.

All drugs listed in the therapy can also be used in a different dosage as part of prevention.

Unless the cause of osteoporosis in one eating disorder how anorexia or bulimia is justified, a psychotherapy initiated to treat the cause.

forecast

Untreated osteoporosis progresses incessantly. As already mentioned above, this can lead to permanent physical changes. Various side effects have already been pointed out in the text. The most important ones are mentioned again here:

Decrease in height
Hunchback
strongest bone pain
multiple fractures.

These examples show that severe forms of osteoporosis are associated with constant pain and sometimes severe restrictions on movement. Not infrequently, early disability with a strong need for help and dependence is the consequence.
Since osteoporosis usually affects the elderly, in many cases, life in a nursing home sometimes seems inevitable.

If you consciously look at these risks and consequences, it should be clear to everyone why prophylaxis, early diagnosis and, under certain circumstances, early treatment of osteoporosis are so important. This is the only way to counteract the development of the disease on the one hand and the progression and complications on the other.

-> Back to the main topic osteoporosis

Appointment with ?

I would be happy to advise you!

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You will find me: