Should I stop exercising if I break a bone

Exercise and physical activity are so important to your overall health and well-being that the simple answer is no. However, if you break your hip, then your legs will be immobilized before surgery and immediately afterward (see Question 78). Probably you will be encouraged to move your upper body, and you may need to shift in bed using a trapeze over your head. Even though you may not be using a walker immediately, you do need to retain your upper body strength so that when you do get moving,...

What is Evista raloxifene What is a SERM and why is it effective in the treatment of osteoporosis

Evista (raloxifene) is the only FDA-approved selective estrogen receptor modulator (SERM) for the prevention and treatment of osteoporosis in postmenopausal women. You may be more familiar with tamoxifen, a SERM used in the treatment of breast cancer. A SERM binds with some estrogen receptor sites around the body. Although raloxifene is not a hormone, it has an estrogen-like effect in some body tissues such as bone and has an estrogen-blocking effect on other tissues such as breast and uterus....

What are isoflavones Are they effective for treating osteoporosis

Isoflavones are phytoestrogens, weak estrogenic substances found in plants. Isoflavones are most notably found in soy and red clover. The isoflavones that are found in soy are different from the isoflavones found in red clover. Sometimes manufacturers mix the different isoflavones into one product. For example, Rimos-til is a blend of isoflavones derived from red clover, while Estroven contains 55 mg of isoflavones derived from soy and another plant extract. Isoflavone products are available...

What is a Zscore

A Z-score matches your bone mineral density with individuals of the same age, gender, and ethnicity. The following formula is used to determine your Z-score Patient's BMD - BMD age-matched normal reference Standard deviation of age-matched reference Z-scores are not helpful in identifying osteopenia or osteoporosis because your Z-score may remain constant throughout your life. Z-scores are more useful in evaluating bone density in children, who have not yet reached peak bone mass. Very low...

After Im diagnosed with osteoporosis or told that I have osteopenia what happens next

Once you have been sent for BMD testing, it's a good idea to investigate management options for osteopenia and osteoporosis. If your results are abnormal, you and your clinician can select the regimen that you both feel is best suited for your individual case. If your testing results come back in the normal range, you will still need to discuss prevention of osteoporosis to keep your bones healthy. If your T-score shows that you have osteopenia or osteoporosis, secondary causes of osteoporosis...

What should I tell my family about osteoporosis Will it curtail activities with them

If you have been diagnosed with osteoporosis, you should definitely discuss the diagnosis with your partner. First, your partner should know if you are on any new medications, so he or she can help support you in following the new regimen and watch for reactions. Second, you and your partner should discuss how your lives might be affected by osteoporosis. New medications can present some challenges to your schedule and that of your partner. If you are taking one of the bisphosphonates, you will...

Thought osteopenia was also bone loss What is the difference between osteoporosis and osteopenia

Although the words sound somewhat alike, osteoporosis and osteopenia are a little different from one another. Both relate to bone loss, but the difference is in how much bone is lost. Osteopenia, like osteoporosis, means that the process of bone development has become unbalanced and the rate of bone loss exceeds the rate of new bone growth. With osteopenia, some bone has been lost but not as much as with osteoporosis. Although osteope-nia slightly increases your risk of breaking a bone, the In...

What is Boniva ibandronate Is it also calledBonviva

Boniva (ibandronate) was recently approved by the FDA for once-a-month dosing. It is the first and only bisphosphonate that can be taken once a month. Although currently only available in the United States, Boniva will be marketed under the brand name Bonviva when it is approved in other countries. Monthly Boniva, taken as one 150-mg tablet, and daily Boniva, taken as 2.5-mg oral tablets, were recently approved for the prevention and treatment of postmenopausal osteoporosis. The daily dose is...

What types of medication are usually prescribed for osteoporosis

If you are told you have osteopenia or are diagnosed with osteoporosis, calcium and Vitamin D supplementation with appropriate exercise may not be enough to decrease bone loss or build bone. You may need a prescription medication. Some medications are only prescribed for women and others are prescribed for both women and men. The North American Menopause Society (NAMS) advises that the following women receive prescription medication as part of their treatment for osteoporosis Postmenopausal...

Have early menopause What does this mean for my bones and will I need treatment

Whether your early menopause (also called premature menopause) is caused by surgery, is for unknown reasons, or because of cancer treatments, your bones are at risk and you may need treatment. When you are trying to cope with the treatments for cancer, it's hard to think about your bones and the possibility of developing osteoporosis so early in life. But the fact is that when you stop having your menstrual periods for whatever reason, your risk of bone loss increases. When you experience a...

What about the new lowdose hormone patch Menostar estradiol that is used to prevent osteoporosis

Menostar (estradiol) was FDA-approved in 2004 for the prevention of postmenopausal osteoporosis. It is a dime-sized transdermal patch that delivers about 14 micrograms of estrogen per day. A new patch is applied every week. Because your body absorbs the estrogen from the patch through the skin, you can avoid the liver first-pass effect, meaning that the hormone is not metabolized through your liver. Instead, it can go directly into the bloodstream. The estrogen that is used in this patch is...

What is kyphoplasty Would it help my spinal fractures

Spine Exercise

Spinal (or vertebral) fractures are a major concern for men and women with osteoporosis because they can lead to severe pain and disability (see Question 84). These fractures can also lead to kyphosis (see Figure 13 in Question 83). The spine deteriorates and curves due to fractures in individual vertebrae. Most osteoporotic vertebral fractures are traditionally treated with pain medications and a gradual return to normal activities. Although back braces to prevent twisting and support the...

What is the difference between a DXA and a pDXA

The DXA or sometimes called the DEXA and pDXA or sometimes called pDEXA are both used to evaluate bone density. The DXA takes up to 10 minutes to complete and the pDXA takes less than 5 minutes. The DXA measures bone density in the lumbar spine, the hip also called proximal femur , the forearm, or the total body. The pDXA testing is usually done on the forearm at the wrist or on the heel of the foot, but can also be used higher on the forearm or on fingers. The pDXA machine is portable and can...

What is osteoporosis and what does it look like

Osteoporosis is a disease in which bones become less dense, lose strength, and are more likely to break fracture . Some people describe bones with osteoporosis as Swiss cheese. Even the word, osteoporosis, is derived from the Greek osteo, meaning bones, and porosis, with holes. Osteoporosis happens mainly to women at midlife and later, but also can happen to men and children. In children, new bone forms more quickly than it breaks down so that bone is actually growing all the time. In adults,...

Ivy M Alexander PhD Canp Karl a A Knight RN MSN

100 Questions amp Answers About Osteoporosis and Osteopenia Sudbury, Massachusetts BOSTON TORONTO LONDON SINGAPORE World Headquarters Jones and Bartlett Publishers 40 Tall Pine Drive Sudbury, MA 01776 978-443-5000 info jbpub.com www.jbpub.com Jones and Bartlett Publishers Canada 6339 Ormindale Way Mississauga, Ontario L5V 1J2 CANADA Jones and Bartlett Publishers International Barb House, Barb Mews London W6 7PA UK Jones and Bartlett's books and products are available through most bookstores and...