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Welcome to the WebMD Osteoporosis Exchange with experts from the National Osteoporosis Foundation who rotate their time here.
Unfortunately the most common reaction to a diagnosis of osteoporosis or osteopenia is panic, fear and a rush to take a pill. This is partly due to the strong insistence by most physicians in wanting their patients to start medications "right away." This rush to medication is accompanied by phrases such as "your spine is so bad it will break in half" or "you have the bones of an 90 year old" which make it difficult to say no.
Lifestyle is King
It is important to know that osteoporosis or osteopenia are heavily influenced by your lifestyle habits. Your exercise program, the foods you choose to eat, the supplements that you take and your stress levels all impact the health of your bones. Instead of rushing to medication, after you have been diagnosed with osteoporosis or osteopenia, (you can take medication any time along the way) I recommend considering three important steps before doing anything else:
1. Start a Personal Health Journal
Documenting and organizing your current health and fitness habits is a valuable tool not only for you but any other health or fitness professional that reviews your case. It will first help you take stock of your current lifestyle habits and then track various lifestyle changes along the way.
Journaling is an excellent way to begin stopping and reversing your bone health problems. Your bones respond favorable to safe and effective exercises, improved eating habits, better sleep patterns and stress reduction activities. Osteoporosis medications (if you decide to take them) work best with lifestyle changes so changing your lifestyle first makes more sense.
2. Determine Your Risk for Fracture
After a diagnosis of osteoporosis or osteopenia, the most important fact to know is what is my risk of sustaining a fracture. Reducing your risk of fractures is going to be your sole mission and much more important than increasing bone density. So one of the most important pieces of information to focus on is not your bone density scores but your FRAX percentages.
The FRAX Index calculates your risk of hip fracture. Bone density or BMD are the numbers your doctor gave you after your DEXA scan. BMD is only ONE risk factor of 12 that are important in determining your fracture risk. Go to http://www.shef.ac.uk/FRAX/ for more information.
3. Create a Professional Bone Health Improvement Plan
So many times I see bone health programs that consist of an odd collection of what people have read on the web or seen on television. These programs are usually missing key components and have not been reviewed by a knowledgeable professional or customized to meet individual needs. Having good bone health program goes beyond just improving bone density. Your bones respond to many different changes in your life. The foods you eat, the water you drink, your sleep patterns and exercise activities can all benefit your bone health.
I hope these 3 steps help take some of the mystery and fear out of your osteoporosis or osteopenia diagnosis.View Thread
Before purchasing a weighted vest, check with your healthcare provider to see if it is safe and appropriate for you to wear one. Your healthcare provider knows of your individual situation — including your bone mineral density and any other health-related issues you may have.
There are some weighted vests that are not safe for people with osteoporosis. These include vests that sit on the shoulders and only have weights on the upper part of the trunk. This could increase the stress on the spine, causing increased kyphosis (curvature of the spine). A safer vest is weighted throughout the trunk. These are especially good when they are well fitted at the waist. This should spread stress evenly around the trunk, reducing the weight from the top of the shoulders. They must fit very well, be tightened around the waist, and should not be used in people with kyphosis.
We also suggest that people with osteoporosis ask their healthcare provide if they should get a referral to see a physical therapist. Physical therapists, who work with people who have osteoporosis, are excellent resources for developing safe and appropriate exercise programs.View Thread
Read: THE MYTH OF OSTEOPOROSIS by Gillian Sanson.
Google Gillian Sanson! If you write to her, she will offer suggestions to you. She is a researcher in New Zealand. We have become best pals in the seven years since my diagnosis of osteoporosis. I work out every day. I am strong...with major 'guns' because of weight lifting. Ask your doctor for a prescription for physical therapy. You will be just fine!View Thread
To properly lift an object off the floor, first kneel on one knee. Place one hand on a table or stable chair for support if you need it. Bring the object close to your body at waist level. Gently pull your abdomen (tummy) in to support your back and breathe out when you are lifting an object or straightening up. Do not hold your breath. Stand using your legs and thigh muscles.View Thread
different in premenopausal women compared to postmenopausal women. Alendronate (Fosamax) and risedronate (Actonel) have been approved by the U.S. Food and Drug Administration (FDA) for use in certain premenopausal women taking steroid medicines such as prednisone and cortisone. However, because of toxic effects in pregnant animals, these medicines carry a Category C rating for safety in pregnancy from the FDA. Since bisphosphonates may remain in the skeleton for years, it should be kept in mind that there is also the potential for adverse effects after stopping bisphosphonates. Because of these risks, bisphosphonates should be used with great caution, and as a last resort, in women who may have future pregnancies.View Thread
If you are not familiar with a supplement's brand, look for labels that state "purified" or have the USP (United States Pharmacopeia) symbol. The "USP Verified Mark" on the supplement label means that the USP has tested and found the calcium supplement to meet certain standards for purity and quality. Because applying for the USP symbol is voluntary, many fine products may not display this symbol. The USP symbol is helpful when you don't know the brand.View Thread
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