Osteoporosis

“Thinning” and weakening of the matrix of the bones which become more fragile. While a little of this is expected as we age, collapse of vertebrae in the neck and back, fractures of the hip and other bones are becoming increasingly common in younger people, and osteoporosis is the underlying cause.

There are many causes, including changes in hormone level in women as they age, reduced weight-bearing exercise, low calcium in the diet, excess alcohol, poor nutrition, some drugs (especially steroids) and low vitamin D and magnesium levels.

Doctors can

• Give additional calcium in the hope this will enter the bones. Most people do not realize that without magnesium, vitamin D and a little boron, silicon and manganese, most supplemental calcium goes out in the urine.
• Hormone replacement therapy in women (HRT). This does improve bone density but as this has been now shown to increase the risks of heart, stroke and other disease, consider using bio-identical hormones like progesterone.
• Bisphosphonates such as Fosomax, pamidronate, etidronate. Bone is continually being reabsorbed and rebuilt. These drugs bind to the bone and stop the reabsorption, so the bones just keep building.

Lifestyle

• Walking. The most important stimulus to strengthening bone is weight-bearing exercise causing slight jarring on the bones. So walking is perhaps the best thing a person with, or at risk of, osteoporosis can do. But be careful not to jar too hard if you already have osteoporosis; this frequently occurs with jogging. Wear good shoes with well cushioned soles.
• A new weight reduction and muscle building system called “vibration training”, where people stand and hold positions on a very rapidly vibrating plate, should be very helpful for osteoporosis. This technique was, in fact, devised by the Russian Space Agency to stop osteoporosis developing in cosmonauts in the weightlessness of space. These vibration plate units are very effective in strengthening bones.
• Do not smoke or drink excess alcohol.
• Expose your body to a few minutes of sunlight daily to raise vitamin D levels, but avoid the midday sun.

Nutritional supplements

• A good multivitamin/multimineral ensures that bone has all the nutrients and minerals it requires to stay strong and repair itself.
• Calcium and magnesium, 800-1,000mg/day, help the bones retain their strength. Calcium is poorly absorbed without magnesium and a few trace elements such as boron, silicon and manganese.
• Vitamin D, if not already in the multivitamin; at least 400iu/day.
• Omega 3 fish oils, 1-2 grams daily, improve the elasticity and strength of the bone.