What Is Osteoporosis and How Do You Treat It?

What is osteoporosis?

Osteoporosis is a disease that weakens your bones. 

8 million women in the U.S. have osteoporosis. 1 in 4 women over age 65 have the disease. 

“Osteo” means bone, and “osteoporosis” means porous bone. If you have osteoporosis, the natural holes in the bones get bigger, making them weaker.

Non-Hispanic white women and Asian women are at highest risk.

Osteoporosis is a silent disease

Osteoporosis sneaks up on you. You might only find out after you break a bone, but speak to your healthcare provider if you notice that you’re shorter than you used to be or you’re getting a hump in your back.

People with advanced osteoporosis have such fragile bones, they can break a bone with a minor fall or even a bad cough.

What increases your risk of developing osteoporosis?

• Estrogen drop after menopause

• Age (bone mass naturally decreases over time)

• Slim body size, thin bones

• If one parent had osteoporosis or broke a hip

• Diet:

• Not enough calcium and vitamin D from childhood

•   Restrictive dieting as an adult

• Certain medications:

• Corticosteroids

• Antiepileptic drugs

• Some cancer drugs

• Proton pump inhibitors

• SSRIs

• Type 2 diabetes drugs called thiazolidinediones

• Some medical conditions, such as:

• Hormone disorders

• GI diseases

• Rheumatoid arthritis

• Certain types of cancer

• HIV/AIDS

• Anorexia nervosa

• Not being physically active

• Smoking

 

Diagnosis

Osteoporosis is diagnosed with a bone mineral density test called a dual energy X-ray absorptiometry (DEXA) scan. 

 

Treatment options for osteoporosis

There’s no cure for osteoporosis, but treatment can slow bone loss or help increase bone density.

Antiresorptive treatment

• Slows the cells that break down bone

• For people with mild-to-moderate osteoporosis or people at risk for developing the disease

Bisphosphonates

• Alendronate

• Risedronate

• Zoledronic acid

• Denosumab

Raloxifene

Estrogen therapy

Anabolic therapy

• Build new bone tissue

• For people with severe osteoporosis or multiple fractures or people who can’t take antiresorptives

Teriparatide

Abaloparatide

Romosozumab

Vitamin D

Calcium supplements 

 

Lifestyle changes may reduce osteoporosis risk or slow down bone loss

Diet

• Increase foods rich in calcium and vitamin D

• Dairy

• Fortified plant milks

• Leafy greens

• Fatty fish

• Egg yolks

Avoid smoking 

Limit alcohol use

Exercise

Weight-bearing and resistance exercises can help rebuild bone density, and balance exercises help you reduce the risk of falling.

• Weight-bearing exercise 

• Brisk walking

• Low-impact aerobics

• Dancing

• Resistance exercises

• Lifting weights

• Using resistance bands

• Squats

• Leg raises

• Rowing 

• Balance exercises

• Standing on your tiptoes

• Standing on one leg

• Tai chi

 

Preventing falls

You can take steps to prevent falls, reducing your risk of a break.

• Secure rugs

• Improve lighting

• Add grab bars in the bathroom and on stairs

• Use non-slip surfaces, like rubber mats

• Remove clutter from floors

This educational resource was created with support from Radius Health.