Silent bone thieves Osteoporosis is often discovered only after a fracture because there are no specific symptoms or symptoms that can be observed with the naked eye. Fractures caused by osteoporosis can lead to domino fractures and increase the risk of various complications for the elderly if done incorrectly. Therefore, it is recommended to treat the first fracture within one year after the occurrence of the fracture. If so, what should be done for effective osteoporosis treatment?
How to treat osteoporosis?
First of all, early detection of osteoporosis and proper treatment can reduce the risk of fracture by up to 70%. Because osteoporosis treatment does not return to the bone condition of youth, above all else, it is necessary to minimize bone loss and strive to prevent osteoporosis risk factors, and after an accurate diagnosis, appropriate treatment is required. Also, according to the Korean Society of Bone Metabolism, it is known that about a third (32%) of patients diagnosed with osteoporosis stop treatment in the middle, or 58.6% stop treatment within one year. Osteoporosis accompanies fractures and can even take life, so continuous treatment is required.
It is divided into a bone resorption inhibitor, which prevents bone from breaking, and an osteogenesis accelerator, which creates new bone. Representative treatments include injections such as bisphosphonates and denosumab, which are inhibitors of bone resorption. Bisphosphonates are widely used to account for 70-80% of osteoporosis treatment. In particular, injection treatment for osteoporosis is free from adverse reactions such as dysphagia, esophagitis, and gastrointestinal problems such as gastric ulcer, compared to oral administration, and the patient does not need to pay much attention to the method of administration. It has the characteristic that there is no
Denosumab is a human monoclonal antibody against RANKL and inhibits osteoclast activation. It has been approved as a treatment for osteoporosis in postmenopausal women in the United States and Europe, and unlike bisphosphonates, it can be used in patients with impaired renal function. Even if there are already multiple fractures, a new drug called lomosozumab, a parathyroid hormone drug that promotes bone formation, is sometimes used.
with adequate calcium intake
Treating osteoporosis without adequate calcium intake is like building a house on sand. It is desirable to get enough calcium through food.
Vitamin D to help absorb calcium
Vitamin D helps the absorption of calcium. Vitamin D is produced using UV rays when the skin is exposed to sunlight, but if you wear long-sleeved clothes or apply sunscreen while outdoors, it may become difficult to produce enough vitamin D. Therefore, if you have osteoporosis, it is recommended to check the vitamin D concentration through a blood test and take vitamin D if necessary to maintain an appropriate level.
Exercise to prevent osteoporosis
If you have osteoporosis, fractures occur even with a light impact, so you need to increase the strength of your bones and improve your sense of balance and muscle strength to prevent falls. It is helpful to practice weight-bearing exercises such as brisk walking, jogging, Pilates, and jumping rope for at least 30 minutes a day. It is recommended that you avoid bending the back and doing sit-ups that put pressure on the spine as exercises to avoid.
Lastly, from a long-term perspective, regular bone density tests and continuous osteoporosis treatment can improve bone density and help relieve pain such as back pain to the extent that it does not interfere with daily life.
(Writing: Nak-Min Hyun, Director, Sungmo Metro Orthopedic Surgery Clinic)