What Are the Best Treatment Options for Osteoporosis?

Osteoporosis affects roughly 10 million Americans, and another 44 million have low bone density that puts them at risk. This condition weakens your bones, making them more fragile and prone to fractures—especially in the hip, spine, or wrist. The good news? With early diagnosis and proper care, osteoporosis can be managed effectively.

What Is Osteoporosis?

Osteoporosis is often called the “silent disease” because you may not notice symptoms until a bone breaks. It occurs when your body loses too much bone, doesn’t make enough bone, or both. Over time, bones become weak and brittle—so fragile that even a minor fall or sneeze can cause a fracture.

How Is Osteoporosis Treated?

Osteoporosis treatment often involves a combination of lifestyle changes and medications to reduce fracture risk and improve bone strength. Here are some key options:

1. Lifestyle Changes to Support Bone Health

• Calcium and Vitamin D: Eat foods rich in calcium and vitamin D, such as fortified orange juice, leafy greens, tofu, and dairy.
• Quit smoking and limit alcohol: Both can speed up bone loss.
• Stay active: Weight-bearing and resistance exercises help maintain bone density.
• Prevent falls: Use assistive devices if needed and ensure your home is fall-proof.

2. Osteoporosis Medications

Doctors often begin treatment with medications called bisphosphonates, which help prevent further bone loss and reduce fracture risk. Common options include:

• Alendronate (Fosamax) – weekly oral tablet
• Risedronate (Actonel) – weekly or monthly tablet
• Ibandronate (Boniva) – monthly pill or quarterly IV
• Zoledronic acid (Reclast) – yearly IV infusion

Another treatment option is Denosumab (Prolia), especially for people with reduced kidney function or who cannot tolerate bisphosphonates. It’s given as an injection every 6 months.

Important: If you stop taking Denosumab, you may need to switch to another bone-strengthening medication to avoid the risk of rapid bone loss or spinal fractures.

Are There Side Effects?

Oral bisphosphonates can cause nausea or heartburn. To reduce irritation, take them with a full glass of water and stay upright for at least 30 minutes.
IV bisphosphonates may cause flu-like symptoms after the first infusion but typically improve with follow-ups.

In rare cases, osteoporosis medications may lead to:

• Atypical femoral fractures (pain in the thigh or groin)
• Osteonecrosis of the jaw (usually after dental procedures, more common in cancer patients)

When Should You See a Doctor?

If you're concerned about your bone health, have risk factors for osteoporosis, or have experienced a recent fracture, don’t wait. Early diagnosis and treatment can prevent long-term complications.

Get Expert Bone Health Care at BASS Medical Group

At BASS Medical Group, our experienced providers can help you determine the right course of treatment—whether that means medication, lifestyle changes, or further diagnostic testing like a DEXA scan.

Don’t wait until a break happens. Schedule your consultation with a BASS specialist today and take control of your bone health.