What is osteoporosis?
Osteoporosis is described as a condition that causes weak bones and as a result is a risk of fracturing very easily, even following a minor fall or trip. A ‘fracture’ and ‘broken bone’ means the same thing. Bones that are broken easily are called fragility fractures. Fragility fractures can happen as a result of Osteoporosis. The most common fragility fractures happen in our wrists, hips or spine. Bones are made up of many living cells in the body. These cells are dynamic, and are constantly changing. They change and adapt in response to the way we live. Overall women are more likely to be affected by Osteoporosis. Women will lose bone mass at the time of menopause due to a reduction in the hormone estrogen. The rapid bone loss results from an increase in bone turnover with an imbalance between bone resorption and bone formation. Osteoporosis does affect men and younger people. When this happens, it is likely caused by another medical condition or by taking medication such as steroids for another medical condition. Bones affected by osteoporosis are often pain free but you can develop fractures from osteoporosis which become painful.Dry needling is used as an effective method to treat muscle pain and stiffness, headaches, back pain, nerve pain and many conditions such as tennis elbow. It is especially effective with sports injuries. With Dry needling the needles are used to target the trigger points or “knots” in the muscles that are causing the problem. The needle is gently inserted into the trigger point in the muscle and a local twitch response is felt. The trigger point is then released and the muscle relaxes, resulting in reduced pain and stiffness.
Stronger Bones Class for Osteoporosis
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Wednesdays
10am with Chartered Physiotherapist Niamh Coffey
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Thursdays
9.30am Online Stronger Bones Class for Osteoporosis
What are the risk factors of developing Osteoporosis?
Being a woman as discussed and having a medical condition where medication taken affects the bones, are risk factors for developing osteoporosis. Some inflammatory conditions such as Rheumatoid Arthritis, Crohn’s and coeliac disease can cause osteoporosis. For the full list please visit Royal Osteoporosis Society website. Individuals who have taken medication for breast and prostate cancer treatment may also be at risk. People who take anti-epileptic drugs may also be at risk as there is less vitamin D available for the body to absorb. Being under or overweight and smoking can also have a detrimental effect on bone health. They reduce the body’s ability to absorb calcium.
How is it diagnosed?
Osteoporosis itself does not produce any symptoms such as pain or stiffness. The first sign of Osteoporosis is often when an individual presents with a fracture. However, not all fractures are caused by Osteoporosis. It is usually diagnosed using a DXA scan which is able to read bone mineral densities of one of your hips and spine. The values on this scan predict whether you have Osteoporosis of the bones or not. The lower the bone mineral density of your spine and/or hip, the greater the risk you have of breaking a bone. This scan takes 20 minutes to complete and is an open scan. Another tool that is useful to use in predicting an individual’s risk of fracture without the need for a DXA scan is the assessment tool called the Fracture Risk Assessment Tool or FRAX. This takes simple measures such as age, height, weight, lifestyle factors, medical conditions, etc and this calculates a score that can predict your risk of having a fracture in the next ten years.
How is it treated?
If you have been diagnosed with Osteoporosis, your doctor will prescribe specific anti-osteoporotic drugs. The aim of these drugs is to prevent fractures of the bones in the future by making the bone stronger. You can take many different types of drugs depending on your lifestyle. Some are tablets, some infusions, some solutions, and some are injections. You can take these daily, weekly, monthly, six-monthly and annually. Your doctor will discuss which option is best for you.
How can I keep my bones healthy?
Bones can be kept as healthy as possible through diet, vitamin supplements and physical exercise. For more information on diet and vitamins for healthy bones please visit the Royal Osteoporosis Society website.
Exercise Therapy for Osteoporosis
Exercising safely under the supervision of a chartered physiotherapist can help build and maintain bone strength. Moderate-impact exercises such as walking and jogging are safe and exercises to build muscle strength, such as resistance exercise with weights help bone health. Swimming, gardening, and golf can be safe for most people. Pilates, Yoga, and Tai Chi for bone health with a qualified exercise therapist or physiotherapist are also good for building strength, improving overall balance, and reducing the risk of falling. The most important thing is to enjoy your chosen exercise and continue to do it to ensure good quality of life.
The program Strong Steady Straight was developed in the UK by expert Physiotherapists and Exercise Therapists in The Royal Osteoporosis Society. The main aim and message of this program is to encourage people with osteoporosis to do more rather than less exercise. Exercise as stated improves overall bone strength, reduces the risk of falls, and helps to manage vertebral fracture symptoms. It should be used in conjunction with other factors to improve overall healthy lifestyle and well-being. At Niamh Coffey Physiotherapy we have adopted this program and teach safe exercise programs to help build muscle, and bone and improve balance to help reduce the risk of falls and, hence risk of fractures. If you have been diagnosed and would like to improve overall general strength, improve quality of life, and increase confidence in your daily activities going forward please contact us here at Niamh Coffey Physiotherapy at 01-6856124 or email
info@niamhcoffeyphysiotherapy.com