The Intelligent Patient Guide to Osteoporosis

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More About This Textbook


Inside This Guide

What is osteoporosis?

Osteoporosis versus osteopenia.

Do I have osteoporosis? Should I get tested?

If my mother or father has osteoporosis, am I going to get it?

Can diet and exercise prevent or reverse osteoporosis?

Everything about calcium and vitamin D supplements, including risks.

Is dairy calcium better than calcium from supplements?

Bone mineral density, DXA testing, and T-scores.

Is ultrasound a good way of diagnosing osteoporosis?

Fragility fractures - why they happen and how they are treated.

The new FRAX 10-year fracture risk calculator.

Is hormone replacement therapy a reasonable treatment?

Osteoporosis in men.

Osteoporosis in the premenopausal woman.

What treatment options are available to me?

Medications including risks and benefits of: etidronate (Didronel), alendronate (Fosamax), risedronate (Actonel), ibandronate (Boniva) and zoledronate (Aclasta), raloxifene (Evista), parathyroid hormone and teriparatide (Forteo).

The best ways to follow up during treatment.

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Product Details

  • ISBN-13: 9780981159904
  • Publisher: Intelligent Patient Guide
  • Publication date: 4/28/2009
  • Pages: 207
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.60 (d)

Table of Contents

Why read this book? xv

Part 1 Osteoporosis: What is it and how is it detected? 1

Section 1 The normal skeleton and bone 3

1 The composition of bone 5

2 Bone remodeling 8

3 Bone changes during life 13

Section 2 What is osteoporosis? 15

4 Osteoporosis? 17

5 How common is osteoporosis and what is its cost to society? 20

6 Primary versus secondary osteoporosis 23

Section 3 Methods for detecting osteoporosis and determining its severity 27

7 The concept of bone mineral density (BMD) 29

8 Using T-scores to express severity of osteoporosis 33

9 Other methods for assessing bone quantity and quality 35

10 Osteopenia versus osteoporosis 43

11 Risk of fracture: The FRAX risk calculator 45

Section 4 Understanding bone metabolism 51

12 Calcium 53

13 Parathyroid hormone (PTH) 61

14 Calcitonin 66

15 Vitamin D 68

Part 2 Osteoporosis prevention and treatment 75

Section 5 Preventing osteoporosis 77

16 Physical activity with avoidance of falls, supplements (calcium and vitamin D) and diet 79

17 Hormone replacement therapy in postmenopausal women 88

18 The influence of genetics 90

Section 6 Drug treatments for osteoporosis 91

19 Bisphosphonates 95

Etidronate (Didronel) 100

Alendronate (Fosamax) 100

Risedronate (Actonel) 102

Ibandronate (Boniva) 103

Zoledronic Acid/zoledronate (Aclasta) (known as Reclast in the United States) 103

20 Parathyroid hormone and teriparatide (Forteo) 108

21 Raloxifene (Evista) and calcitonin 113

22 Strontium ranelate and other medications 115

Section 7 Beyond initial treatment 119

23 Patients who do not do well 121

24 Management of fractures 124

25 Physical therapy in osteoporosis 128

Section 8Not just an older woman's problem 133

26 Osteoporosis in the premenopausal woman 135

27 Osteoporosis in men 140

Part 3 Being proactive 149

Section 9 Helping yourself 151

28 Do I have osteoporosis or am I developing it? 153

29 What can I do to ensure that I receive a timely diagnosis? 156

30 Dealing with treatment, monitoring progress and follow-up 161

Part 4 Special topics 169

Section 10 Special topics in osteoporosis 171

31 Glucocorticoid-induced osteoporosis 173

32 Osteoporosis in the transplant patient 178

Appendices I Control of osteoclasts 183

II Control of osteoblasts 184

III DXA Bone Density Report 186

IV Calcium intake calculator 188

Glossary 189

Index 195

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