The best treatment for severe osteoporosis.

Treatment for severe osteoporosis is based on the following findings:

1- People with a history of osteoporosis must undergo treatment to reduce the risk of fractures

2- Evidence suggests that treatment for severe osteoporosis has borne good results in patients

3- A number of drugs like Bisphosphonates and Raloxifene have the ability to reduce vertebral fractures

4- Lifestyle changes may be vital to maintaining bone mass and strength

Treatment for severe osteoporosis must be undertaken at the earliest possible moment because of two reasons:

1- Fractures resulting from osteoporosis increase morbidity and mortality rates.

2- Symptoms become worse as patients age

Thus, immediate treatment is necessary in case of:

1- Increase in age

2- Decline in bone density

3- Family history of osteoporosis

4- Fractures in the past

Treatment for severe osteoporosis includes:

1- Pain medication

This may be used by people to overcome pain caused by bone fractures.

However, pain medications only help with the pain and do not help mend the fracture.

2- Teriparatide

Several studies have shown that treatment of severe osteoporosis using Teriparatide is effective and safe. They help new bone growth and are given in the form of injections to people with severe osteoporosis.

Treatment may continue for a period of two years, after which patients may be switched to regular treatments like

3- Bisphosphonates.

These drugs preserve bone mass and are useful in preventing fractures in people with acute osteoporosis.

4- Estrogen Receptor Modulators (SERMs)

This treatment for severe osteoporosis is common in case of women. These drugs mimic the action of estrogen and are particularly useful for those who suffer from cancer but need osteoporosis treatment.

These drugs are more popular than estrogen because they are not associated with sever side effects caused by estrogen (like breast and uterine cancers)

Treatment for severe osteoporosis is effective when it is started early. In case of repeated fractures, doctors may recommend surgical procedures to replace the affected bones.

New surgical treatment methods like Kyphoplasty make these invasive procedures less risky for older patients.

Vertebroplasty is another minimally invasive surgical procedure where the collapsed vertebra is strengthened using cement.

Non-invasive treatment of severe osteoporosis involves a combination of using the brace, rest, gentle exercise and rest. This treatment strategy has limited benefits only and is not helpful in case of pain and fractures.

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