OPTM Therapy | Osteoporosis / Osteopenia
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Osteoporosis / Osteopenia

     Osteoporosis is a skeletal disorder that involves progressive bone loss and ultimately affects bone strength and increases fracture risk. Osteoporosis can occur at all ages but is most commonly seen in women over 50 years old. Osteoporosis is related to fractures and occurs in 1 out of every 2 women over 50 in the US.


     Our bones are dependent upon the intrinsic architecture and the bone mineral density (BMD.) Estrogen is important for the formation of our BMD, women and men as well! We all lose about 1% per year after age 30. During menopause there is an acceleration of the loss of BMD to about 5% per year. This is the main reason that frail bones is more common in women, especially of Asian and northern European decent.


     Nutrition, exercise and regular menstrual cycles as an adolescent and young adult contribute to strong bones. As we begin to lose BMD, the deleterious effect is less as we begin this decline with greater BMD than if we did not build our bones when we were young.


1. Osteopenia: loss of less than 2.5 standard deviations from peak bone mass


2. Osteoporosis: loss of more than 2.5 standard deviations from peak bone mass


Grading system:


Z score: compares you to others in your age and gender category, which is not very helpful.


T score: compares you to the predicted peak of your bone mineral density (BMD), probably somewhere around 18 years of age.


DEXA: radiological measuring of your BMD. This is most accurate.


3. Nutritional essentials:


Vitamin D, Calcium


4. Types of useful exercises which will be included in your program:


Loading exercises for bone stimulation


Weight training, dancing, hopping to build bone mass and strength.


Balance, body mechanics and posture to help prevent falling and fracturing your bones.


5. Some medications used for osteoporosis. Your medical doctor will manage your medications.




HRT: Hormone Replacement Therapy. This is not commonly used due to the potential contribution to the development of breast cancer.


     The specialists at OPTM understand the issues associated with osteoporosis and the importance of physical interventions to build stronger bones and improve your balance and strength. They will design your program to help you manage your condition. 


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