During each visit, I provide a thorough discussion about causes, course (prevention?) and treatment options. This is in conjunction with a thorough physical examination. Only when a patient correctly understands their situation can they make a reasonable decision about their health.
Early detection of this widespread bone metabolism disorder, predominantly with the elderly patient is necessary in order to avoid damage to the skeleton. The bone repair mechanisms are quite slow as we age. Prevention is the prerequisite, but in cases of manifest disease, a rapid and appropriate procedure must be carried out. Regular monitoring of the therapy is also necessary, as is a possible changeover or supplementation.
The most widely used method is the so-called DXA measurement (Dual Energy X-ray Absorptiometry) on the lumbar spine (up to age 70), as well as the femoral neck (standard on the left femoral neck and on both femoral necks from the age of 70). A possible deviation from the normal values is determined and an anti-osteoporous therapy is initiated depending on the severity. Examinations take place in cooperation with the “Frankfurter Hormon und Osteoporose Zentrum Goethestr. 23 Prof. Dr. med. Hadji”. In addition to the bone density measurement, it may be necessary to determine some specific blood values to determine the cause of bone mass loss.
Various drugs are available, which can be combined depending on the severity and an individual’s situation. These include, proven bisphosphonates, denosumab, vitamin D, calcium, etc.
The elimination of risk factors and the stimulation of bone formation is as important as drug therapy. This includes: physical exercises, nutritional advice, avoidance strategies, etc.