When lying on your side in bed, use one pillow between your knees and one under your head to keep your spine aligned and increase your comfort. When lying on your back in bed, use one or two pillows under your knees and one under your head.
It's not clear why people with osteoporosis may experience fatigue, but it could be because your body is lacking in vitamin D. Vitamin D deficiency can contribute to both poor bone health and make you feel tired. Another connection may be between certain medications taken for osteoporosis.
Men who began treatment at age 50 had a life expectancy of 18.2 years, while the life expectancy for a man beginning treatment at 75 was an average of 7.5 years. For women, the figure was 26.4 years for those beginning treatment at 50 and 13.5 years for those beginning treatment at 75.
Severe (established) osteoporosis is defined as having a bone density that is more than 2.5 SD below the young adult mean with one or more past fractures due to osteoporosis.
In addition to managing your osteoporosis, it's important to avoid activities that may cause a fracture. Such activities include movements that involve twisting your spine, like swinging a golf club, or bending forward from the waist, like sit ups and toe touches.
Bone loss begins to occur at an approximate rate of 0.25% a year and is variable depending on many genetic and environmental factors. This may be considered the second stage towards osteopenia and/or osteoporosis. It is important to understand that this is a perfectly normal part of the aging process.
Sudden, severe back pain that gets worse when you are standing or walking with some relief when you lie down. Trouble twisting or bending your body, and pain when you do. Loss of height.
Osteoporosis is a disease that causes weak, thinning bones. This leaves the bones at greater risk of breaking. The bones most often affected are the hips, spine, and wrists. Women are 4 times more likely to get osteoporosis than men because of a decrease in estrogen after menopause.
Osteoporosis means that you have less bone mass and strength. The disease often develops without any symptoms or pain, and it is usually not discovered until the weakened bones cause painful fractures. Most of these are fractures of the hip, wrist and spine.
Symptoms of Osteoporosis
Osteoporosis is called a “silent” disease” because there are typically no symptoms until a bone is broken. Symptoms of vertebral (spine) fracture include severe back pain, loss of height, or spine malformations such as a stooped or hunched posture (kyphosis).
You can prevent bone loss with regular exercise, such as walking. If you have osteoporosis or fragile bones, regular brisk walking can help to keep your bones strong and reduce the risk of a fracture in the future.
Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.
During the night, there is a drop in the stress hormone cortisol which has an anti-inflammatory response. There is less inflammation, less healing, so the damage to bone due to the above conditions accelerates in the night, with pain as the side-effect.
Osteoporosis stage 4
Softer and weaker bones can show in the form of spinal deformities such as a bent-over appearance and pain with everyday activities. Most people at this stage have had one or more bone breaks or fractures.
Stage 2. In stage two, you've entered the time when your bone loss is happening faster than your new bone can form. You still won't have any symptoms, and your bone density scores may be lower, possibly indicating osteopenia, a precursor to osteoporosis, and your bone density is anywhere from -1 to -2.5.
Getting too much vitamin D, especially above 4,000 IU per day, can be dangerous. If you already have osteoporosis, keep in mind that vitamin D and calcium alone are not enough to treat the disease. You'll need to take them along with other medications your doctor prescribes.
Currently, screening for osteoporosis is recommended for women who are 65 years old or older and for women who are 50 to 64 and have certain risk factors, which include having a parent who has broken a hip. You can use the FRAX Risk Assessment tool to learn if you should be screened.
Using the WHO criteria, 30% of Caucasian postmenopausal women in the US have osteoporosis, and 54% have osteopenia.
In general, life should be able to go on as normal – perhaps with just a few adjustments. Not everyone with osteoporosis will break a bone. Be reassured that if you don't break a bone, you won't have any pain or other long-term problems. Even if you do break a bone, pain and other ongoing problems aren't inevitable.