Treatment and Rehabilitation for Osteoporosis
Preserving the Structural Framework
Osteoporosis is a systemic disease characterised by a decrease in bone mass and a deterioration in bone quality, which increases the risk of fractures. Often referred to as the "silent thief", this condition usually causes no symptoms until a fracture occurs.
Modern osteoporosis management is based on identifying risks before they materialise.
- Diagnosis and Screening Tests for Osteoporosis: Bone mineral density (BMD) is measured using a QCT scanner. A diagnosis of osteoporosis or osteopenia is made based on T-score values. In addition, the patient’s 10-year fracture risk is calculated using tools such as FRAX.
- Osteoporosis Screening: High-risk groups are screened for osteoporosis and their risk of fracture is assessed.
- Yaş Grubuna Göre Medikal Tedavi: Tedavi protokolü dinamiktir.
- Gençlerde: Genellikle ikincil nedenler (ilaçlar, hormonal bozukluklar) araştırılır.
- Postmenopozal Kadınlarda: Östrojen kaybına bağlı hızlı yıkımı durduracak antiresorptif ilaçlar ön plandadır.
- İleri Yaşta: Hem kemik yapımını destekleyen hem de yıkımı yavaşlatan kombine yaklaşımlar, kalsiyum ve D vitamini desteğiyle optimize edilir.
Bone is a living tissue and responds to the load placed upon it by ‘strengthening’ (Wolff’s Law).
- Exercises to Halt Bone Loss: Weight-bearing and resistance exercises, which place controlled stress on the bones, stimulate bone formation (osteoblast activity).
- Personalised Programme: This is planned within safe limits based on the patient’s current risk of fracture (for example, by prohibiting forward-bending movements for a patient with a spinal compression fracture).
- Balance and Fall Prevention: The greatest risk associated with osteoporosis is falling. Through exercises focusing on core stability and balance, the patient’s risk of falling—and consequently the risk of a hip fracture—is minimised.