According to Drs. Julie Lin and Joseph Lane from the Hospital for Special Surgery in New York City, “Nonmedical management of osteoporotic patients has a critical role in a comprehensive treatment plan.”

Here are the highlights from their Medscape article complemented by other sources.

Exercise programs to improve balance and strength

• Tai chi and physical therapy programs improve balance and build strength.
• The results from the Sydney Tai Chi Trial are summarized here.

Calcium and vitamin D

• These are “critical supplements.”
• Vitamin D deficiency is “epidemic.”
• Both must be taken to get the benefits.

Fall prevention

• Modify your surroundings to reduce risk.
• Minimize clutter.
• Alter slippery surfaces.
• Install grab bars and other supports in tubs and near toilets.
• MayoClinic.com has more recommendations.
• Review medicines that might increase the risk of falling.
• High-risk drugs include sedatives, heart medicines, analgesics, and antidepressants.

The bottom line?
The authors conclude that combining these treatments with drugs, orthoses (braces), and kyphoplasty (surgical procedure) can have a significant role in minimizing fracture risk.

12/29/07 11:02 JR