Mayo Clinic on Osteoporosis : Keeping Bones Healthy and Strong and Reducing the Risk of Fractures
by Hodges, Stephen, M.D.; Hodgson, Stephen







PART 1 UNDERSTANDING OSTEOPOROSIS
10(82)
Chapter 1 What Is Osteoporosis?
11(10)
Osteoporosis risks
13(1)
Your bone bank
13(2)
Signs and symptoms
15(1)
Types
15(4)
A positive outlook
19(2)
Chapter 2 The Life Cycle Of Bone
21(12)
Bone basics
22(2)
Bone remodeling
24(2)
Hormones and bone formation
26(1)
Peak bone density
27(2)
Aging and your bones
29(2)
Maximizing peak bone density, minimizing bone loss
31(2)
Chapter 3 Fractures And Falls
33(14)
Fractures
34(5)
Avoiding future fractures
39(1)
Falls
40(5)
Preventing falls
45(2)
Chapter 4 Can You Reduce Your Risk Of Osteoporosis?
47(14)
Understanding your risk
48(1)
Risk factors you can't change
48(3)
Risk factors you can influence
51(5)
Risk factors you can change
56(3)
What's next?
59(2)
Chapter 5 Screening, Diagnosis And Monitoring
61(16)
Screening vs. diagnosing
61(1)
Bone density testing
62(4)
How testing is done
66(1)
Central densitometers
67(3)
Peripheral densitometers
70(1)
Which test is right for you?
71(3)
History and physical exam
74(1)
Bone marker tests
74(1)
Taking steps toward a diagnosis
75(2)
Chapter 6 Making Sense Of Test Results
77(15)
What's included
77(3)
Understanding T-scores
80(3)
Understanding Z-scores
83(1)
How are the numbers used?
84(2)
Other tests performed on a central DXA bone density machine
86(1)
Other risk factors for fracture
87(3)
Putting it all together
90(1)
In summary
91(1)
PART 2 PREVENTION AND TREATMENT
92(92)
Chapter 7 Developing An Action Plan
93(14)
Strong bones for a lifetime
93(1)
Diet and nutrition
94(8)
Physical activity
102(1)
Medications
103(1)
Healthy behaviors
103(2)
Meeting the challenge
105(2)
Chapter 8 Eating For Healthy Bones
107(22)
Good nutrition in a nutshell
107(7)
Bone-healthy meals
114(6)
Increasing your calcium intake
120(1)
Calcium supplements
120(4)
Foods to avoid
124(3)
Step one in your action plan
127(2)
Chapter 9 Staying Active
129(20)
Putting thoughts into action
129(1)
Getting started
130(6)
Exercises for osteoporosis
136(9)
How much exercise?
145(1)
Staying in the game
146(3)
Chapter 10 Taking Medications
149(16)
Anti-resorptive medications
150(1)
Bisphosphonates
150(4)
Denosumab
154(2)
Raloxifene and conjugated estrogens with bazedoxifene
156(2)
Calcitonin
158(1)
Anabolic medications
159(1)
Teriparatide and abaloparatide
159(2)
Romosozumab
161(1)
Getting the most from treatment
162(1)
Monitoring and adjusting your plan
163(2)
Chapter 11 Osteoporosis In Men
165(10)
Bone density in men vs. women
165(1)
How do men get osteoporosis?
166(2)
Screening in men
168(1)
Treatment
169(4)
Take action
173(2)
Chapter 12 Associated Disorders
175(9)
Endocrine disorders
175(1)
Gastrointestinal disorders
176(1)
Rheumatic disorders
177(1)
Glucocorticoid-related disease
178(1)
Liver disorders
178(1)
Kidney disorders
179(1)
Organ transplant
179(1)
Cancer
179(2)
Genetic diseases
181(1)
Immobility
181(1)
Kyphosis
182(1)
Life beyond treatment
183(1)
PART 3 LIVING WITH OSTEOPOROSIS
184(44)
Chapter 13 Healthy Living Strategies
185(16)
Practice good posture
185(1)
Move safely
186(5)
Boost your emotional health
191(5)
Maintain social connections
196(3)
A new normal
199(2)
Chapter 14 Recovering From A Fracture
201(16)
Your recovery
201(1)
How bone heals
202(1)
Vertebral fractures
203(3)
Hip fractures
206(4)
Wrist fractures
210(2)
Managing chronic pain
212(3)
Setting up for a successful recovery
215(2)
Chapter 15 Home Safety
217(11)
Staying safe indoors
218(2)
Assistive devices
220(6)
The importance of attitude
226(1)
Taking control
227(1)
Additional resources228(3)
Glossary231(4)
Index235


Filled with an abundance of vital information on osteoporosis, including symptoms, risks, prevention, and treatment, a comprehensive guide partners current medical research with a simple diet and exercise program that promotes bone health.





Ann E. Kearns, M.D., Ph.D. is an endocrinologist at Mayo Clinic in Rochester, Minnesota, and an associate professor at Mayo Clinic College of Medicine and Science. After completing her residency

at the University of Chicago Pritzker School of Medicine and a fellowship in endocrinology at Harvard University&;s Massachusetts General Hospital, she joined Mayo Clinic in 1998, where she has since helped thousands of patients by improving their osteoporosis treatment and helping prevent fragility fractures.

Dr. Kearns has also contributed to national efforts to close the gap between recommendations and typical care, working toward better diagnosis and treatment of people with osteoporotic fractures.





Table of Contents:

Part 1: Understanding Osteoporosis

Chapter 1 What is osteoporosis?

Chapter 2 The life cycle of bone

Chapter 3 Fractures and falls

Chapter 4 Can you reduce your risk?

Chapter 5 Screening, diagnosis and monitoring

Chapter 6 Making sense of test results

Part 2: Prevention and Treatment

Chapter 7 Developing an action plan

Chapter 8 Eating for healthy bones

Chapter 9 Staying active

Chapter 10 Taking medications

Chapter 11 Osteoporosis in men

Chapter 12 Disorders associated with osteoporosis

Part 3: Living With Osteoporosis

Chapter 13 Healthy living strategies

Chapter 14 Recovering from a fracture

Chapter 15 Home safety

Additional resources

Glossary

Index






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