Doctor insights on:
Is Osteopenia Reversible
No: increases risk: Osteopenia means your bones have lost some of their mineral content, but probably not enough to greatly increase fracture risk. Osteoporosis is more severe mineral loss that does increase the likelihood of fractures. Neither causes pain unless you actually break a bone. (if you have either, be sure your vitamin d level is high enough. Your doctor can do a blood test. But don't overdo vitamin d.). ...Read more
Any weight bearing: Exercise is good for low bone density. This can be walking, jogging, running, plyometrics or resistance training with weights. The best form of weight bearing exercise is the one that you do consistently as to support continued bone growth/density stimulation you have to be consistent about your exercise routines. ...Read more
Usually none: Prescription meds for osteoporosis are usually not recommended for osteopenia, unless a person has an unusually high fracture risk. Many doctors use the frax calculator to determine a person's fracture risk for the next 10 years. But there are steps to reduce your fracture risk: no smoking, moderate alcohol and caffeine intake, few sodas, muscle-building activities, and a diet w/ calcium & vit d. ...Read more
Postmenopausal women: Osteopenia is when bones lose mass and weaken, but not enough for a diagnosis of osteoporosis. It happens most commonly in women who have gone through menopause. Other risk factors are low weight, family history of osteoporosis, smoking, excessive alcohol, and chronic use of steroids. It can only be diagnosed with a bone density test. See your doctor to find out if you're at risk for osteoporosis. ...Read more
Exercise has been shown to improve bone density. A healthy diet is essential- avoid sweets, sodas, lots of meat & coffee- these acidify your body & leach calcium from your bones! Many supplements are proven to help- Vit D & K are most important, also calcium, magnesium, boron, strontium. The drugs don't work well & have serious side effects!
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Progressive: Osteopenia is a slight decrease in bone mass. This can progress to osteoporosis if not prevented early. Osteoporosis is significant bone mass decrease and is associated with an increase in fracture risk, such as the spine or the hip. Preventive measures should be embraced, such as adequate calcium and vitamin E intake, weight bearing exercise, and hormone therapy such as estrogen and testosteron. ...Read more
I am I my 20s but I am diagnosed with osteopenia, do I need medications? What is the risk and benefits?
Endocrine eval: Knowing that you have less calcium in examined bones may reflect everything from disuse to a systemic disease. Work up includes blood tests and supplements with calcium with vitamin D. Left untreated, this will lead to fractures n affected bones, so do get evaluated for parathyroid, diet choices, vit D, calcium, activity review. Endocrinologists specialize in this, but discuss w your primary doc ...Read more
Muscle building: Exercises that cause muscle tendons to pull on bones stimulates more calcium to be deposited in that bone. So working muscles against weights or other resistance does more for the bone than aerobic exercises. So lifting weights or doing exercises like pushups that use your own weight against gravity promote bone strength. ...Read more
Not necessarily: "osteopenia" is not a disease. It's a level of bone mineral density (bmd) that was literally invented due to being near but not as low as the osteoporosis bmd selected by the who in the 1990s. The fact is that some people with the "osteopenia" level bmd have more risk of fracture than others who meet the "osteoporosis" definition. Please, ask your doctor for a clinical risk frax analysis! ...Read more
Less bone loss: Osteopenia is the term we give to the amount of bone loss that occurs in a patient with t scores between -1 and -2.5 based on the world health organization's criteria for measuring bone loss. The more negative the t score, the more bone loss has occurred. If a T-score is between 0 and -1, this bone density would still be considered normal. I hope that helped answer your qquestion. ...Read more
Severity: Both osteopenia and osteoporosis indicate there is too little calcium in the bone. Osteoporosis is more severe, and suggests a higher risk for future fractures (broken bones), compared to osteopenia, or normal bone. Depending on other risk factors, medical treatment is usually recommended for osteoporosis, and sometimes advised for osteopenia. ...Read more