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Osteoporosis and Physiotherapy Singapore

For appointments/enquiries, please SMS/Call/WhatsApp xx

Osteoporosis simply means bones that are porous (having holes or gaps inside) - it is a bone disease that causes and increased risk of fractures because the bones become more porous, and more brittle. The bone mineral density of a bone which is osteoporotic is lower, the bone mini architecture within the bones deteriorates and the bone density changes. In the medical field a person is considered to have osteoporosis if their BMD scores 2.5 below the mean average bone mass.

The risks to this disease can be altered and improved with lifestyle modification and changes, in some people, medication will help a lot. Lifestyle modifications includes increasing activity level, reducing high trauma/risk activities, modifying diet and supplementary intake as well as falls and trauma prevention. Medications include the intake of calcium and vitamin D to help calcium absorption.

We treat patients with osteoporotic bones carefully and conservatively - providing falls-prevention advice and education, providing exercises to re-condition or increase muscle strength of balancing and walking-related muscles, proprioceptive training as well as balance re-training.

*Important to note: exercise therapy has an anabolic effect, that may reverse osteoporosis.

Signs and symptoms

The main effect and symptom of this disease is simply the increased porousness of the bones, with resultant increased risk for fractures. It doesn't cause any other type of symptoms. Osteoporotic fractures are fractures that occurs in situations where healthy bones don't normally break, for example, a hip fracture from sitting down on a chair. These kind of fractures are called fragility-related fractures, and most commonly happens in the spine, hips, and wrists.

Fractures

Osteoporotic fractures are the most dangerous part of osteoporosis. They cause pain that can be so severe that mobility, appetite, global disability and even early death. Thing is, some of the fractures can come without signs or warning, as some collapse fractures in the spine can occur over time, and progressively worsen. When the pain comes, there will be sudden pain in the localized area, and sometimes, a radiculopathic pain which is a shooting, radiating pain from a root nerve compression. Multiple spine fractures may cause a stopped posture, which will affect breathing, in turn, restricting mobility and activity participation.

Fractures will cause decreased mobility and may require surgical interventions, but, there are risks. Osteoporotic bones may not heal well, operative risks includes deep vein thrombosis and embolisms, as well as risks of death.

Falls risk

Falls risks associated with elderly and aging primarily causes fractures of the hip, vertebrae and the wrists. Falls risk is multiplied through a variety of conditions such as impaired vision, muscle weakness, balance problems, movement disorders such as Parkinson's, syncope or sudden drops in blood pressure or sugar levels. Many hospitals employ occupational therapists and physiotherapists to perform home visits and provide home and environmental modifications to increase safety and prevent falls at home.

Risk factors

The risk factors for osteoporosis and osteoporotic fractures are as followed:

    Non-Modifiable Risks

  1. advanced in years or age (in both men and women)
  2. the female gender is more at risk - muscle loss, estrogen (see next point) etc
  3. estrogen insufficiency due to menopause
  4. genetic factors
  5. Potentially Modifiable Risks
  6. chronic heavy drinking increases risk significantly
  7. Vitamin D deficiency
  8. cigarette tobacco smoking
  9. Malnutrition
  10. Too much salt in diet
  11. Underweight or sedentary
  12. Excess physical activity

Prevention

  1. Lifestyle - decrease tobacco intake, cut down on smoking and alcohol
  2. Exercise and Exercise therapy
  3. Proper balanced nutrition and supplements (read more about what supplements to take following an injury for quicker recovery)
  4. Medication - calcium and vitamin D intake
  5. Estrogen Replacement Therapy (HRT)

Treatment

  1. Antiresorptive medication to prevent bone loss
  2. Estrogen replacement therapy
  3. Calcitononin which is a form of bone antiresorption agent
  4. Bone anabolic agents to increase bone growth (or you can try a natural bone support supplement called Xtend Life Bone-Support)
  5. Calcium salts
  6. Sodium fluoride to increase bone mineral density
  7. Calcium is required to support bone growth and healing
  8. Vitamin D to help absorb calcium
  9. Vitamin K to promote bone health via collagen production
  10. Exercise therapy involving aerobics, weight bearing and resistive exercises maintains and increases the bone mineral density of patients with osteoporosis.

The most serious types of fracture for a person with osteoporosis can have is a hip fracture. An average woman at 50 years old has close to 20% chance of fracturing her hip, throughout her life, and it accounts for the greatest loss of mobility and early mortality.

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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670

Email: ask@specialistrehabgroup.com

Tell A Friend About Us

We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.

When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
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Disclaimer
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!

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EMAIL US

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Physio, Rehab &  Insurance

Your physio, hand therapy and rehab with us may be covered under your medical insurance or cashless - find out more here.

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Finally I know what I have, my pain decreased and now I'm back to work!

Derrick
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OMG. The pain levels in my hands have dropped dramatically, about 60-70%

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