Osteoporosis is a common condition characterized by weakened bones, making them more prone to fractures and breaks.
Frequently Asked Questions
Can osteoporosis be reversed?
Not fully, but bone density can improve. Bisphosphonates (alendronate, risedronate) plus calcium and vitamin D typically increase bone density by 3–8% over 3 years. Denosumab injections can gain 6–10%. Combined with weight-bearing exercise, most patients stabilise or gain bone mass — reducing fracture risk by 40–70%.
How long do I need to take bisphosphonates?
Usually 3–5 years, then a drug holiday if bone density is stable. Long-term use raises rare risks of jaw osteonecrosis and atypical femur fractures. Your doctor will reassess with a DEXA scan every 2 years to decide whether to continue, pause, or switch to another drug like denosumab.
How much calcium and vitamin D do I need?
1,200 mg calcium daily (from diet if possible — dairy, ragi, methi, sesame seeds) plus 800–1,000 IU vitamin D. Most Indians are vitamin D deficient — get a 25-OH-D level tested and supplement to reach 30–40 ng/mL. Sunlight exposure alone rarely gets there in urban India.
What is the best exercise for osteoporosis?
Weight-bearing plus resistance — brisk walking (30 min daily), stair climbing, tai chi (also improves balance and reduces falls), and light dumbbell training 2–3 times a week. Avoid high-impact jumps and forward bends (yoga poses like Paschimottanasana) if you have vertebral fracture risk.
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