Osteoporosis and the role of the podiatrist
Osteoporosis is a condition in which your bones become weaker and more brittle. This increases your risk of fractures, particularly in your hips, wrists and vertebrae. Often, you only realise you have osteoporosis after a fracture, as there are usually no symptoms in the early stages.
From osteopenia to osteoporosis
Before someone develops osteoporosis, they may experience osteopenia. In this case, your bone density is already somewhat lower, but not yet significantly reduced. You usually do not notice this, but it is an important warning sign. Taking action in good time can prevent further bone loss.
Causes and diagnosis
Osteoporosis is often caused by:
- Ageing
- Hormonal changes (such as those following the menopause)
- Genetic predisposition
- Little exercise
- Calcium or vitamin D deficiency
Osteoporosis is diagnosed using a DEXA scan, a painless test that measures bone density, usually in the hip and lower back. The result of a DEXA scan is called a T-score. This is used to determine whether osteopenia or osteoporosis is present. Your doctor will also take into account your age, previous fractures, lifestyle and medication.
Treatment
The treatment of osteoporosis focuses on slowing down bone loss, strengthening the bones and preventing falls. This can be achieved in various ways:
- Medication Your doctor can prescribe medicines that strengthen your bones or slow down bone loss.
- Nutrition You’ve got enough calcium en vitamin D necessary. Calcium, for example, is found in milk, green vegetables and nuts. You can get vitamin D from sunlight, oily fish or supplements.
- Exercise Exercise helps keep your bones strong. Walking, climbing stairs and dancing are particularly beneficial. Short, vigorous movements such as a little jump or a sudden stop give your bones an extra stimulus to become stronger.
- Fall prevention A fall can quickly lead to a broken bone. Balance exercises, suitable footwear and a safe home environment can help you prevent falls.
- Healthy lifestyle Smoking and drinking large amounts of alcohol accelerate bone loss. It is therefore important to stop smoking and drink alcohol in moderation.
What does a podiatrist do to treat osteoporosis?
The podiatrist plays an important role in supporting people with osteoporosis. Particularly in the areas of fall prevention, posture and reducing strain on the bones:
- Analysis of posture and gait Your posture or the way you walk may change due to pain or uncertainty. The podiatrist will assess whether this puts you at greater risk of falling.
- Insoles and footwear advice You will be given advice on suitable footwear and, if necessary, special insoles. These reduce pressure on your feet and help to absorb shocks. This is important if you have brittle bones in your feet, ankles and knees.
- Balance and equilibrium Through exercises and advice on suitable footwear, the podiatrist helps to improve balance and reduce the risk of falling.
- Collaboration with other healthcare providers The podiatrist often works in collaboration with GPs, physiotherapists or dietitians. If bone loss is suspected, further investigations, such as a DEXA scan, may be recommended.
Do you have osteopenia, or are you unsure? If so, it’s a good idea to book an appointment with a podiatrist in your area. You can do this, for example, at . Early intervention prevents many problems.
