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All about osteoporosis maintaining bone health types of osteoporosis causes of osteoporosis osteoporosis risk factors risk factors for primary osteoporosis risk factors for secondary osteoporosis consequences of osteoporosis symptoms of osteoporosis diagnosis of osteoporosis osteoporosis treatments osteoporosis medications treatment for osteoporosis in men treatment for osteoporosis in women osteoporosis lifestyle therapy osteoporosis exercises osteoporosis diet prevention of osteoporosis osteoporosis and calcium osteoporosis and magnesium osteoporosis and vitamin D

How to treat osteoporosis in men?

Men show an increase in osteoporotic hip fractures after the age of about 70, similar to that shown by women 5 to 10 years younger. Men may not experience the recognisable hormone shift represented by the menopause in women, but they do experience a steady drop in output of testosterone (the ‘male hormone’) by the testes as they get older.

Alendronate and teriparatide have been approved for osteoporosis in men. In fact, although there are fewer data, these drugs seem to be as useful in men as they are in women. None of the other drugs that are used by women who have gone through menopause have been approved for use in men by the Food and Drug Administration. Nevertheless, risedronate also appears to be effective in men.

To help men with osteoporosis, other treatments are available. Some evidence shows that calcitonin may work in men. Calcitonin may be prescribed, although its effect in men has not been thoroughly studied. Testosterone treatment is controversial, and uncertain in value in the majority of men who do not have very low testosterone levels. The question of whether testosterone supplementation is useful for men remains quite controversial.

In men who clearly have low levels of testosterone, treatment with testosterone appears to increase bone density. Since testosterone levels tend to decline with age, many older men have testosterone levels that are low. Testosterone supplements may improve bone density in these men as well, but the doses necessary and the best route of administration is unclear. There is no information about whether testosterone treatment in men is effective in reducing fracture risk.

Finally, the risks of long-term testosterone treatment in older men are unknown. At present, it is generally not recommended that testosterone be used as the primary therapy for osteoporosis in men. It is important to remember that the approved treatments for osteoporosis in men (alendronate and teriparatide) seem to be effective in men with low testosterone levels.

Osteoporosis management should be along the lines of encouraging exercise, diet supplements and taking the lifestyle measures mentioned above. Bisphosphonate drugs should be used when more active treatment is required.

More information on osteoporosis

What is osteoporosis? - Osteoporosis is a thinning and weakening of the bones, usually associated with the aging process. Osteoporosis is a disease, often with no detectable symptoms.
Building and maintaining skeletal health - Factors involved in building and maintaining skeletal health are adequate nutrition and body weight, exposure to sex hormones at puberty, and physical activity.
What types of osteoporosis are there? - Osteoporosis can be classified in various ways based on diagnostic categories, etiology. Osteoporosis can be classified as either primary osteoporosis or secondary osteoporosis.
What causes osteoporosis? - Osteoporosis is related to the loss of bone mass that occurs as part of the natural process of aging. Osteoporosis results when there is excess bone loss without adequate replacement.
What are the risk factors for osteoporosis? - Many disorders are associated with increased risk of osteoporosis. Osteoporosis is far more prevalent in women after menopause due to the loss of the hormone estrogen.
What're the risk factors for primary osteoporosis? - Risk factors for primary osteoporosis include age, gender, race, figure type, lifestyle, diet, and lack of sunlight.
What're the risk factors for secondary osteoporosis? - Risk factors for secondary osteoporosis include genetic disorders, hypogonadal states, endocrine disorders,hematologic disorders, nutritional deficiencies, drugs.
What are the consequences of osteoporosis? - Consequences due to osteoporosis are increased risk of fracture with minor trauma, frequency of traumatic events from lifting and bending impact.
What are the symptoms of osteoporosis? - Patients with uncomplicated osteoporosis may be asymptomatic or may have pain in the bones or muscles, particularly of the back. Osteoporosis becomes apparent in dramatic fashion.
How is osteoporosis diagnosed? - The diagnosis of osteoporosis is usually made by your doctor using a combination of a complete medical history and physical examination.
What're the treatments for osteoporosis? - Treatment for osteoporosis includes eating a diet rich in calcium and vitamin D, getting regular exercise, and taking medication to reduce bone loss and increase bone thickness.
What osteoporosis medications (drugs) are available? - Medications (drugs) to cure osteoporosis include bisphosphanates (Fosamax), calcitonin (Miacalcin), raloxifene, estrogen, and selective estrogen receptor modulators (SERMs).
How to treat osteoporosis in men? - Alendronate and teriparatide have been approved to treat osteoporosis in men. Calcitonin may work in men, treatment with testosterone appears to increase bone density.
How to treat osteoporosis in women? - The non-hormonal bisphosphonate drugs, alendronate and risedronate prevent and treat postmenopausal osteoporosis. Raloxifene is approved for preventing and treating osteoporosis.
What lifestyle changes can help osteoporosis? - Alcohol consumption should also be kept within safe limits. Supplements of calcium plus vitamin D may help maintain bone density. Limiting sodium and avoiding junk food.
What osteoporosis exercises are suggested? - Exercise is very important for slowing the progression of osteoporosis. Taking regular exercise is the single most important action improve the strength of their bones.
What osteoporosis diet is suggested? - A good calcium intake is essential throughout life for healthy bones. Vitamin D helps the absorption of calcium from the intestines. Reducing salt may be useful for osteoporosis patients.
What can be done to prevent osteoporosis? - For prevention and treatment of osteoporosis, patients should be encouraged to stop smoking, limit alcohol consumption and perform weight-bearing exercise.
Osteoporosis and calcium - Calcium could alter the physical-chemical properties of the bone mineral. The daily recommended dietary calcium intake varies by age, sex, and menopausal status.
Osteoporosis and magnesium - Magnesium supplementation is as important as calcium supplementation in the treatment and prevention of osteoporosis.
Osteoporosis and vitamin D - Vitamin D is necessary for the absorption of calcium in the stomach and gastrointestinal tract and is the essential companion to calcium in maintaining strong bones to prevent osteoporosis.
Bone, joint, & muscle disorders

Topics in bone, joint, and muscle disorders

Bone diseases
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Muscle diseases
Spine (neck and back) disorders
Dupuytren's contracture
Costochondritis
Bunions
Plantar fasciitis
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Rheumatoid arthritis
Juvenile rheumatoid arthritis
Septic arthritis (infectious Arthritis)
Psoriatic arthritis
Reiter's syndrome (reactive arthritis)
Ankylosing spondylitis
Gout (gouty arthritis)
Tendinitis
Osteoporosis
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