What impact does osteoporosis have on post-menopausal women?

Written in association with: Dr Maresa Carulli
Published: | Updated: 31/07/2024
Edited by: Conor Lynch

Osteoporosis is the latest topic of discussion at Top Doctors UK. In this article below, highly regarded consultant rheumatologist, Dr Maresa Carulli, shares expert insight on the condition, and tells us just how it affects post-menopausal women.

What is osteoporosis?

Osteoporosis is a very common bone disease characterised by decreased bone density and strength, making bones more fragile and susceptible to fractures. It often develops silently over the years, with many individuals unaware they have the condition until they experience a fracture. This disease significantly impacts post-menopausal women, who are at a higher risk due to the hormonal changes that occur during menopause.

 

What causes osteoporosis?

Bone is a living tissue that is constantly being broken down and replaced. Osteoporosis occurs when the creation of new bone doesn’t keep up with the removal of old bone. Several factors contribute to this imbalance, including age, gender, genetics, and lifestyle.

 

In post-menopausal women, the sharp decline in oestrogen levels is a major contributing factor. Oestrogen is a hormone that helps maintain bone density, and its decrease accelerates bone loss, leading to osteoporosis.

 

What impact does osteoporosis have on post-menopausal women?

Post-menopausal women are particularly vulnerable to osteoporosis. The drop in oestrogen levels after menopause results in rapid bone loss, especially in the first few years following menopause.

 

This increased bone loss raises the risk of fractures, particularly in the hip, spine, and wrist. Hip fractures can lead to severe consequences, including decreased mobility, loss of independence, and increased mortality. Vertebral fractures can result in chronic pain, loss of height, and spinal deformities.

 

How can osteoporosis be prevented and managed?

Preventing and managing osteoporosis in post-menopausal women involves a combination of lifestyle changes, dietary adjustments, and medical treatments. Here are some key strategies:

 

  1. Diet and nutrition: Adequate intake of calcium and vitamin D is crucial for bone health. Dairy products, leafy greens, and fortified foods are excellent sources of calcium. Sun exposure and supplements can help maintain sufficient vitamin D levels.
  2. Exercise: Weight-bearing exercises, such as walking, jogging, and strength training, can help maintain bone density and improve overall bone health.
  3. Lifestyle modifications: Avoiding smoking and excessive alcohol consumption, as both can contribute to bone loss.
  4. Medications: Bisphosphonates, hormone replacement therapy (HRT), and other medications can help slow bone loss and reduce fracture risk. It is essential to consult with a healthcare provider to determine the best treatment plan.
  5. Regular screening: Bone density tests, such as DEXA scans, can help detect osteoporosis early, allowing for timely intervention and management.

 

To consult with Dr Maria Carulli today, simply head on over to her Top Doctors profile. 

By Dr Maresa Carulli
Rheumatology

Dr Maresa Carulli is a distinguished consultant rheumatologist known for her expertise in diagnosing and managing a wide range of rheumatic conditions, including osteoporosis, arthritis, rheumatoid arthritis, gout, scleroderma, fibromyalgia, back pain, neck pain, and connective tissue disease

Dr Carulli completed her first medical degree with distinction, obtaining an MBBS in 1992 from the University of Modena. Following this, she would undertake specialised training in rheumatology at leading institutions. Her training equipped her with deep knowledge and skills in relation to lupus and other autoimmune and inflammatory diseases. Throughout her career, Dr Carulli has been involved in numerous research projects and clinical trials, contributing to the development of new therapies and improving patient outcomes.

Her main research interests include the latest advancements in biologic treatments, patient-centred care approaches, and innovative diagnostic techniques. In addition to her clinical work, Dr Carulli is an active member of several professional organisations, including the British Society for Rheumatology and the European League Against Rheumatism.

She regularly attends and presents at international conferences, staying abreast of the latest developments in rheumatology and sharing her insights with the broader medical community. Dr Carulli’s approach to patient care is holistic and highly personalised. She sees patients from the age of 16 and over. 

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