Osteoporosis and Physiotherapy Singapore
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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.
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.
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
*Important to note: exercise therapy has an anabolic effect, that may reverse osteoporosis.
Signs and symptoms
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 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.
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
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.
The risk factors for osteoporosis and osteoporotic fractures are as followed:
- advanced in years or age (in both men and women)
- the female gender is more at risk - muscle loss, estrogen (see next point) etc
- estrogen insufficiency due to menopause
- genetic factors
- Potentially Modifiable Risks
- chronic heavy drinking increases risk significantly
- Vitamin D deficiency
- cigarette tobacco smoking
- Too much salt in diet
- Underweight or sedentary
- Excess physical activity
- Lifestyle - decrease tobacco intake, cut down on smoking and alcohol
- Exercise and Exercise therapy
- Proper balanced nutrition and supplements (read more about what supplements to take following an injury for quicker recovery)
- Medication - calcium and vitamin D intake
- Estrogen Replacement Therapy (HRT)
- Antiresorptive medication to prevent bone loss
- Estrogen replacement therapy
- Calcitononin which is a form of bone antiresorption agent
- Bone anabolic agents to increase bone growth (or you can try a natural bone support supplement called Xtend Life Bone-Support)
- Calcium salts
- Sodium fluoride to increase bone mineral density
- Calcium is required to support bone growth and healing
- Vitamin D to help absorb calcium
- Vitamin K to promote bone health via collagen production
- 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
To call for inquiries or appointments, please contact us at:
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SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to xx, thanks!
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!