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Osteoporosis

Osteoporosis is a medical condition that weakens your bones, making them fragile and prone to fractures. This happens when there is a reduction in bone mineral density and mass, leading to changes in the structure and strength of bones. It results in bones becoming thinner, weaker, and more fragile than normal.

The development of osteoporosis is gradual and often goes unnoticed until you experience a fracture or break from a minor incident, such as a fall or bump. 

Even activities as simple as coughing or sneezing can lead to fractures in osteoporotic bones. While osteoporosis can affect any bone, the hip, spine, and wrist are most commonly impacted.

Osteoporosis is a condition commonly experienced by older people and women after menopause. Early detection and management of osteoporosis are crucial to prevent fractures and maintain overall bone health. 

At Kimball Health Services, our primary care providers, along with our orthopedic expert, Dr. MacMillan, offer personalized treatment options to help you strengthen and protect your bones.

Understanding Bone Loss

Bones are living tissue and constantly undergo a process of breakdown and rebuilding. This lifelong cycle involves removing old bone tissue (bone resorption) and forming new bone tissue (bone formation).

In osteoporosis, there's an imbalance in this cycle, with more bone being broken down than formed. This leads to a net loss of bone mass as the creation of new bone lags behind the removal of old bone.

Typically, up until around age 30, your body naturally builds more bone than it loses. However, starting around the age of 35, there is an acceleration in bone resorption that surpasses bone formation. This results in a gradual loss of bone mass, which leads to low bone density and weakens the bones. 

Osteoporosis & Osteopenia

Osteoporosis and osteopenia are closely related conditions characterized by a decline in bone density, but they differ in terms of the severity of bone loss. 

Unlike osteoporosis, osteopenia is not a disease. It is a state of having low bone density, but it is not as severe as osteoporosis. Although osteopenia increases the risk of fractures, it is not as high as in osteoporosis. The treatment for osteopenia typically includes lifestyle adjustments and vitamin and mineral supplements.

Symptoms of Osteoporosis

Osteoporosis is often referred to as a "silent disease" because it typically progresses without noticeable symptoms until a fracture occurs. The primary symptom of osteoporosis is the increased risk of fractures. However, as the condition advances, you may experience:

  • Back pain
  • Gradual loss of height over time
  • Change in posture, such as a stooped or hunched posture

It's important to note that these symptoms are often not specific to osteoporosis and can be caused by various other conditions. 

Causes of Osteoporosis

Osteoporosis is a complex condition, and a combination of genetic, hormonal, and lifestyle factors can contribute to the development of the condition. 

  • Aging is a primary risk factor for osteoporosis. Your bone density tends to decrease naturally as you age, causing your bones to become more susceptible to fractures.
  • Hormonal changes play a significant role in the development of osteoporosis, especially in women. The decline in estrogen levels during menopause accelerates bone loss, making postmenopausal women more prone to osteoporosis. In men, reduced testosterone levels with aging affect bone mass and density.
  • A lower body weight may lead to less bone mass, increasing your risk of developing osteoporosis.
  • A family history of osteoporosis or fractures may increase your risk of developing osteoporosis.
  • Inadequate intake of calcium and vitamin D, essential for bone health, can contribute to the development of osteoporosis.
  • A sedentary lifestyle with a lack of physical activity, regular exercise, and movement can lead to decreased bone density and weak bones.
  • Excessive smoking and chronic alcohol consumption can negatively impact your bone health, leading to an increased risk of osteoporosis. Smoking can also interfere with your body's ability to absorb calcium.
  • Long-term use of certain medications, such as glucocorticoids (corticosteroids), anticonvulsants, and some cancer treatments, can contribute to bone loss.
  • Certain health conditions, such as rheumatoid arthritis, gastrointestinal disorders, and hormonal disorders, can increase the risk of osteoporosis.

Diagnosis of Osteoporosis

The diagnosis of osteoporosis involves an assessment of bone density and the evaluation of fracture risk. At Kimball Health Services, we offer comprehensive diagnostic services to ensure an accurate diagnosis of osteoporosis. 

The diagnostic process will begin with a thorough evaluation of your medical history and a physical examination, aiming to gain insights into your overall health, underlying causes, and medical conditions. 

The diagnosis will also include a bone density test that measures the strength of your bones. This is an imaging test similar to an X-ray that measures the amount of calcium and other minerals present in your bones.

The bone density test, also referred to as Dual-Energy X-ray Absorptiometry (DEXA), is a precise method for assessing bone density. It employs a low-level X-ray to scan specific bones, typically the spine, hip, or wrist. The test results are expressed as a T-score, which compares your bone density to that of a healthy young adult.

Treatment of Osteoporosis

The treatment of osteoporosis focuses on strengthening your bones, preventing fractures, and managing the underlying causes contributing to bone density loss. 

The treatment options may involve a combination of lifestyle modifications, medications, and additional measures to enhance your overall bone health. 

Lifestyle Changes

Certain healthy lifestyle changes that can help enhance your bone health include:

  • Incorporating calcium and Vitamin D-rich food, such as dairy products, leafy greens, and fortified foods in your diet
  • Engaging in regular exercises, such as walking, jogging, and resistance training to promote bone density and muscle strength
  • Quitting smoking and alcohol consumption 

Medications

Prescription medications can help manage osteoporosis. Bisphosphonates may help address osteoporosis by slowing bone loss and reducing the risk of fractures. 

Other medications can be prescribed to address underlying causes, such as hormonal changes. Hormone therapy can be used to address low levels of testosterone, estrogen, and progesterone.

Vitamin & Mineral Supplements

Supplements can help ensure an adequate supply of calcium and vitamin D, crucial for optimal bone health. These supplements can help avoid the side effects of osteoporosis medications. 

Fall Prevention Measures

Mitigating factors that elevate the risk of falls is crucial for the management of osteoporosis. Measures such as improving home safety, using assistive devices, and addressing balance issues can help prevent fractures.

Treatment of Osteoporosis at Kimball Health Services

Fragile and weakened bones present a significant risk to overall health, as they can result in fractures. At Kimball Health Services, we offer personalized treatment options, taking into account your overall health, age, and the severity of the condition.

As one of the top critical access hospitals in the nation, we pride ourselves on delivering high-quality, patient-centered care. 

In case of an emergency, call 911 or walk into our emergency department anytime. To schedule a consultation with our healthcare providers, please contact us at 308-235-1966 or request an appointment online.

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