London Osteoporosis Clinic uses several life-style, non-drug and drug approaches to help patients meet best outcomes.
We strive to help our patients become ‘Symptom-free, Drug-free & Doctor-free©’.
Our specialists have had many years experience treating patients. Following an initial consultation they will put together a detailed bespoke tailor-made programme to best address the patient’s symptoms.
The multi-disciplinary approach means that the treatment might include a variety of lifestyle, nutritional and exercise changes. And in some cases, where needed, the treatment will include a drug prescription. The focus of the treatment is a successful outcome.
Treatment is then assessed at regular breaks to ensure that results are in line with expectations with the usual time frame for treatment being around 12 months.
Helpful lifestyle changes
These suggestions may help reduce your risk of developing osteoporosis or experiencing broken bones:
- Avoid smoking. Smoking increases bone loss, perhaps by decreasing the amount of oestrogen a woman’s body makes and by reducing the absorption of calcium in the intestine.
- Avoid excessive alcohol. Consuming more than one alcoholic drink a day may decrease bone formation and reduce the body’s ability to absorb calcium. Being under the influence also can increase the risk of falling.
- Prevent falls. Wear low-heeled shoes with nonslip soles and check the house for hazards that might cause you to trip or fall. Keep rooms brightly lit, install grab bars just inside and outside your shower door, and make sure you can get in and out of your bed easily.
Helpful nutritional changes
Nutrition plays a key role in preventing the development of osteoporosis, but many people aren’t aware that nutrition also aids treatment. It plays such a vital role that drug treatment and other interventions are rendered less effective without adequate nutrition. After all, to form new bone tissue, your body requires certain raw materials to work with. This includes minerals like calcium, magnesium, and phosphorus. For more nutritional information we offer this free educational programme.
Helpful exercise changes
Exercise is really important to prevent osteoporosis. Studies prove that weight-bearing exercise can help increase bone density levels by increasing muscle mass. We recommend bringing diversity to your exercise routine to benefit your bones and muscles. Different kinds of movements in multiple directions and different speeds can prove beneficial.
Each one is carefully considered following a thorough patient assessment.
For both men and women, the most widely prescribed osteoporosis medications are bisphosphonates. Examples include:
- Alendronate (Fosamax)
- Risedronate (Actonel)
- Ibandronate (Boniva)
- Zoledronic acid (Aclasta, Zometa)
Injected forms of bisphosphonates don’t cause stomach upset. And it is easier to schedule a quarterly, six monthly or yearly injection than to remember to take a weekly or monthly pill.
Hormone-related therapy (HRT)
Oestrogen, especially when started soon after menopause, can help keep up bone density. However, as with all drug treatment, there are side effects to be considered.
Raloxifene (Evista) mimics oestrogen’s beneficial effects on bone density in postmenopausal women, without some of the risks associated with oestrogen.
In men, osteoporosis may be linked with a gradual age-related decline in testosterone levels. Testosterone replacement therapy can help increase bone density, but osteoporosis medications are better studied in men with osteoporosis and are recommended instead of or in addition to testosterone.
Less common osteoporosis medications
If you can’t tolerate the more common treatments for osteoporosis — or if they don’t work well enough — these alternatives are available:
- Teriparatide (Forteo).This powerful drug is similar to parathyroid hormone and stimulates new bone growth. It is given by injection under the skin.
- Denosumab (Prolia).Compared with bisphosphonates, denosumab produces similar or better bone density results while targeting a different step in the bone remodelling process.