NATIONAL OSTEOPOROSIS FOUNDATION
Sticking with your treatment planTreating osteoporosis requires a combination approach that includes lifestyle...
Treating osteoporosis requires a combination approach that includes lifestyle modification, appropriate diet and exercise, and the start of medication therapy. Sticking with a treatment plan can be a challenge because so much is required at the same time. However, in order to achieve the best results, all of these treatment variables need to be addressed together.
Osteoporosis treatment requires following a plan designed to ensure that you get enough calcium and vitamin D, engage in regular weight-bearing and muscle-strengthening exercise, eliminate any modifiable osteoporosis risk factors and start medication therapy. In order to achieve optimal bone health, you need to precisely follow the treatment plan and recommendations of your healthcare provider. This also includes continuing to take your medication as long as it has been prescribed for you.
Medication alone may not be enough; this is also true for diet and exercise. In order for you to achieve the maximum benefit from a medication or other therapy, it is important to fill your prescription and follow the dosing schedule and directions exactly, continue the medication for the full course of treatment, and check with your healthcare provider before you stop taking it.
To find out how well your treatment is working, your healthcare provider will probably repeat your BMD test every two years. Because osteoporosis is a silent disease, you will not feel your bones getting stronger. This can make it hard to stay on a treatment plan. If you decide that a treatment is not right for you, don't just stop taking the medication. First, discuss your concerns with your healthcare provider.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Reply: Electro Magnetic Mat1. There is not enough scientific evidence available at this time to support...
1. There is not enough scientific evidence available at this time to support any benefit of electromagnetic therapy to the bones. Consequently, it is likely that insurance would not cover this.
2. If you had your ovaries removed, you are considered postmenopausal. Some of the osteoporosis medicines contain hormones or affect hormones, including raloxifene (Evista), calcitonin (Fortical, Miacalcin) and teriparatide (Forteo). Obviously, estrogen therapy and hormone therapy also affect hormones. Please read the following information to learn about the different FDA-approved osteoporosis medications that are currently available http://www.nof.org/aboutosteoporosis/managingandtreating/medicinesneedtoknow .
3. The best medication for each individual depends on each individual's medical history and other factors unique to each person. There is no one choice that is right for every person with osteoporosis. You can read more about these factors by visiting http://www.nof.org/aboutosteoporosis/managingandtreating/choosingtreatment .
Also, NOF lists the FDA approval year for all osteoporosis medications in the chart at the very bottom of the following page http://www.nof.org/aboutosteoporosis/managingandtreating/medicinesneedtoknow .
Finally, you are not alone in feeling that you have lost control of your life as a result of a disease you have. This frequently happens to people with cardiovascular disease, cancer, or Parkinson's. Women with osteoporosis often feel this way as well although it rarely gets articulated because of the belief that weak bones are a consequence of old age, with no opportunity to do anything about them.
Congratulations on recognizing that this is a serious and debilitating disease that can have negative consequences. Until we recognize these challenges, we can't do anything to control them. You are several steps ahead of many women who just ignore these feelings. What you now need most is to talk with other women with osteoporosis, hear their stories, learn their tricks for coping with it, and know that they still have very high quality of life.
A support group would be ideal. There may be local support groups for osteoporosis, so ask your physician or check with NOF. If you can't get to a face to face group, the National Osteoporosis Foundation (NOF) has an online community for this purpose (http://www.nof.org/community/otherevents ).
In addition, you should probably consider short-term counseling with someone trained to help you with coping with chronic illness. In my opinion, you would be best off with a clinical social worker. Again, your physician might be able to provide a name of someone who can help. Also, NOF has some online resources to help you at http://www.nof.org/aboutosteoporosis/positivethoughts/qualityoflife .
Although none of these will make you feel better instantly or alleviate the challenges of osteoporosis, they should help you start down the path to good bone health and to cope with these problems.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Calcium supplements - read the label carefully!If you take a calcium supplement, read the package label carefully. It will...
If you take a calcium supplement, read the package label carefully. It will tell you the amount of elemental calcium or how much calcium the supplement provides. It will also tell you how many doses or pills you must take to get that amount. In some cases you need to take multiple pills to get the amount of calcium listed on the front of the bottle.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Reply: Feeling Old and UnimportantI'm so glad we were able to provide you with helpful advice. I hope you have...
I'm so glad we were able to provide you with helpful advice. I hope you have better luck with the yearly infusion. Keep us posted on your progress. But if it doesn't, don't give up. There are still other alternatives.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Reply: Feeling Old and UnimportantNo treatment choice is right for everyone. Much more information than just...
No treatment choice is right for everyone. Much more information than just knowing you have osteoporosis or osteopenia is necessary before determining which medication to try first. This decision should be made together with your healthcare provider, looking at multiple factors that are unique to you (e.g. your medical history and personal preferences). The National Osteoporosis Foundation recommends treatment for postmenopausal women and men age 50 and older who have osteoporosis (this includes people who have broken a bone in the hip or spine or those who have a T-score that is less than or equal to -2.5 in the hip or spine). At this time, there are no non-FDA approved treatments like strontium that are proven to be safe and effective for reducing the risk of fracture in people with osteoporosis. More studies are needed before any conclusions can be made. It's important that you work with a knowledgeable healthcare provider who can help you develop a treatment plan that is appropriate for you. It should also be one that you are comfortable with. Finally, if the treatment you choose first doesn't work (for whatever reason), don't give up. We now have 9 FDA-approved medications for osteoporosis, each with a different set of outcomes. Sometimes it takes trying two or three before you find what works for you.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Reply: Feeling Old and UnimportantDear vlbWorrell: First, let me say I am so very sorry you are experiencing...
Dear vlbWorrell:
First, let me say I am so very sorry you are experiencing chronic pain and grief as a result of what's happening with your body. Aging can be wonderful when you are 100% mentally and physically healthy but awfully difficult to manage when either of those arenas aren't functioning ideally. Nobody gives us much warning in advance, do they?
I have several responses to different parts of your post, but I want to start with a question: Who told you that there was nothing that could be done about your osteoporosis? One of NOF's mantras is that "It's NEVER too late to treat osteoporosis," and I believe that with deep conviction. So if a healthcare professional told you that, I would be concerned lest the healthcare professional might not be an osteoporosis expert. If this came from your primary care provider or orthopedist, I would urge you to see an osteoporosis expert. Some of the treatments build bone while reducing the risk of fractures. You need to make sure you're getting the correct message.
That said, it is virtually impossible to treat osteoporosis without prescription medication. You must get adequate calcium (1,200 mg daily) and vitamin D (800-1000 IU daily). Exercise is also important in preventing and treating bone disease, but I'm talking specifically about bone health exercises. See a physical therapist who focuses on bone health or purchase Boning Up on Osteoporosis . This is an excellent book about living with osteoporosis and includes safe exercises.
Consider medication. Calcium, vitamin D and exercise just aren't enough to battle osteoporosis. I'm not a physician and have no hidden agenda here. But I have seen thousands of women really improve using the medications available for this disease. Again, seek expert advice on this.
I understand as well as anyone the challenges of dealing with chronic pain. When I was 15, I broke my neck. By the time I was 30, I'd had multiple surgeries and everything else I could think of (acupuncture, physical therapy, etc.) to try to cure it. An insightful neurologist told me I needed to stop seeking a cure and instead try to learn how to manage the pain that wasn't going away. I went to another neurologist who specialized in chronic pain, and he changed my life. I still hurt daily, but have tools to manage the pain: biofeedback, exercise, getting sufficient sleep, eating well, meditation and others. I also take medication, but it is only a part of the treatment paradigm. I deeply believe that, if you reject medication out of hand for either the osteoporosis and/or chronic pain, you will find it difficult to see your quality of life improve. How you take the pain medication also makes a big difference. You must follow a schedule that never allows your body to be without medication (time dependent use rather than pain dependent use). It's much harder to reduce levels of pain than to keep them down. Counseling from pain experts can also be helpful.
You may have to change your lifestyle somewhat to accommodate the changes in your skeleton. You noted that you are an artist and want to take your work to shows. The part that you cannot do is to carry your own work. But you would be amazed at how helpful others are and how spending a little money for paid help can minimize the trauma on your body. Instead of saying, "I can't do this," you should think about ways in which you can modify the activity so that you CAN do it. You shouldn't go sky diving or bungee jumping, but you can likely find ways to participate in many of your usual activities.
The scientific literature on coping says that there are three ways you can view the problem with which you need to cope. You can see it as a threat. You can see it as a loss. Neither of those is a useful view. You can also see it as a challenge, and it is that perspective that will provide you with the best opportunity to continue to live your life with high quality.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Receive Your Free NOF Calcium Calculator HandoutRequest your free copy of the Calcium Calculator Handout by completing NOF's ...
Request your free copy of the Calcium Calculator Handout by completing NOF's Online Request Form . Be sure to select "Health Information & Education Requests" in the Question Dept. field and reference the "Calcium Calculator" in the Question field. NOF will email a copy of the handout directly to you.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Staying Active with Osteoporosis
Many people are able to live well with osteoporosis by making healthy lifestyle...
Many people are able to live well with osteoporosis by making healthy lifestyle choices and maintaining a fracture prevention program. Unfortunately, other people have broken one or more bones because of osteoporosis. These individuals face additional challenges and have a greater chance of breaking more bones than those without broken bones. Whether you have osteoporosis or are taking care of a person with the disease, it's helpful to understand the many complex issues of this disease that influence a person's quality of life.
Staying active with osteoporosis
People who have broken a bone due to osteoporosis may avoid their regular daily activities because of the fear of breaking more bones. In doing so, people with osteoporosis may abandon activities that are essential to their well-being. Others stop exercising to avoid the risk of breaking a bone. Here are some tips to help you or the person you care for, to stay active, exercise and enjoy life:
1. Break activities into smaller time and effort segments.
2. Work with a physical therapist (PT) to develop a safe exercise program. A PT can help people at all levels learn exercises that are safe and appropriate for their individual needs. Exercise can help individuals prevent more bone loss, improve posture, prevent falls and can have a positive impact on a person's mental health.
3. Take a tai chi class. Tai chi can help people improve their balance, prevent falls and improve a person's mental well-being. Let your instructor know that you have osteoporosis as well any other concerns you may have.
4. Learn how to move safely and prevent falls. Taking steps to protect your spine and prevent falls is essential for preventing broken bones. Contact the National Osteoporosis Foundation (www.nof.org or 800-223-9994) for comprehensive information on these topics.
5. Make sure to get outside often. Do activities like shopping or going to a movie during less crowded times. Stop and take as many breaks as you need.View Thread
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NATIONAL OSTEOPOROSIS FOUNDATION
Reply: Getting Older and ExerciseYou know yourself better than anyone else. You know if you are likely to fall...
You know yourself better than anyone else. You know if you are likely to fall playing tennis or golf or any of the other sports that are not specifically forbidden for people with osteoporosis (like sky diving, bungee jumping or ski jumping)!
If you have played tennis for many years and have been safe, then you may well be fine with continuing it. It is all a matter of risk. The problem with tennis is that you can fall, slide, and get hit really hard by a ball. Maybe doubles is a better approach, where your area of responsibility is smaller.
On the other hand, if you prefer to walk and work with weights, that is great too! It IS important to enjoy your exercise but to also be sure that it is safe.View Thread
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Reply: Staying Active with OsteoporosisGreat question. There is no doubt that the fewer the people around, the less...
Great question. There is no doubt that the fewer the people around, the less likely it is to fall. Someone in a crowded mall can easily bump into you just as you are picking up your foot to turn. Instead of continuing to walk, you can just land on the ground and break a wrist or a hip. This is not just advice for those who are frail and fragile... it is sound advice for all of us.
If you have no risk for osteoporosis and fracture, this may not be necessary. But if you do, protect yourself as much as you can by carefully choosing where you're going and at what time. The payoff in fracture avoidance can be huge!View Thread
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