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Women's Health: Osteoporosis

WHAT YOU SHOULD KNOW

Osteoporosis (AHS-tee-oh-pour-O-sis) is a thinning of the bones that can eventually lead to fractures and deformity. It is most common in women who have gone through menopause. Although osteoporosis is a life-long condition, exercise, diet, and hormone replacement therapy can slow its progress. There are also prescription drugs available that can reverse the disease.

Causes

Bones tend to lose strength with advancing age; and when estrogen levels decline after menopause, the process may pick up speed. Insufficient calcium in your diet will make the problem worse, as will a deficiency of vitamin D. Because weight-bearing exercise strengthens the bones, lack of exercise is an important contributing factor. Certain diseases and medicines may also lead to osteoporosis.

Signs/Symptoms

One early sign is a backache. Later, as bones in the spine begin to crumble, people with osteoporosis may lose height and develop a hump in the back. Falls are more likely to result in a broken arm or hip.

Care

Get plenty of exercise and make sure you have enough calcium in your diet. Ask your doctor about hormone replacement therapy and medicines such as calcitonin and Fosamax.

WHAT YOU SHOULD DO

  • Falls are especially dangerous if you have osteoporosis. To avoid them:
    • If you are unsteady on your feet, use a cane or have someone help you walk.
    • Remove loose rugs and long electrical cords from your home.
    • Keep your home well lighted at night.
    • Avoid icy streets and wet or waxed floors. Hold the railing when using stairs.
  • If your back is affected, a firm mattress may help you sleep better.
  • To pick up objects, bend at the knees rather than from the waist.
  • Eat a balanced diet that is high in calcium and vitamin D and contains lots of green vegetables and milk.
  • Ask your doctor to suggest a good exercise program.
  • To relieve pain, you may use over-the-counter pain-killers such as aspirin, acetaminophen, and ibuprofen.

Call Your Doctor If...

  • You develop new, unexplained symptoms. They may be related to a medicine you are taking.

Seek Care Immediately If...

  • You develop sudden, severe pain in your back.
  • You have pain after an injury or fall.

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