OSTEOPOROSIS. WHO IS AT RISK?

Women Men Teenagers Thin people Sedentary people People of all races and ethnic origins Anorexics or Bulimics Women with late onset of menstruation (delayed puberty) People with diets low in calcium Caffeine (more than 2-5 cups/day) Prolonged Immobilization High protein diet (meat)	People who smoke People who abuse alcohol People with heavy antacid use Obese people People who over-exercise Pre-menopausal women Post-menopausal women People taking certain medications such as steroids or thyroid pills People with family history of osteoporosis People who have lost body height Having had no children-nulliparous History Maternal Hip fracture
Medications: Corticosteroids, thyroid medication, diuretics, anticonvulsants, antacids containing aluminum, methotrexate (cancer drug), heparin, coumadin, cyclosporine A (an immune-suppressive medication), cholestyramine (medication to control cholesterol levels), gonadotropin releasing hormones (used for treatment of endometriosis) Diseases: Thyroid dysfunction, congenital disorders, diabetes, COPD, cancer, seizures, chronic inflammations, neurological disorders, TB, Rheumatoid Arthritis, malabsorption disorder, mental illness, Cushing’s disease, burns, liver dysfunction, kidney dialysis, eating disorders. Osteoporosis can strike at any age Osteoporosis is a pediatric condition that manifests in adulthood First Signs of Osteoporosis Loss of Body Height Postural Change—“Dowager’s Hump” Protruding Abdomen* Transparent skin* Back Pain Loss of Teeth—Periodontal disease Fracture—Stress/Wrist/Slow healing *These may also be related to corticosteroid drug use. How physical therapy and exercise can help: Education in the correct way to do daily tasks Postural training, to allow you to stand taller and straighter Strengthening weak muscles Stretching tight areas Training you to have better balance, reducing your risk of falling Osteoporosis Management and Prevention Program Pain-relief measures (if needed) Posture, gait, and balance training Strengthening Flexibility Weight bearing activities Fall prevention