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At Singapore Osteoporosis Clinic, we can help you or your family member to reverse and prevent osteoporosis. If treatment is started early then the best possible outcomes can be achieved.
How can I know if I have osteoporosis?
Experts agree the most accurate and useful test for osteoporosis is to have the density of your bones checked by a type of x-ray known as a DXA or DEXA (dual-energy x-ray absorptiometry) scan, which tests the bone mineral density of multiple bones in the body.
A bone density scan for osteoporosis – the condition of having fragile bones – is a painless and simple form of X-ray called a DEXA (dual energy X-ray absorptiometry). It measures possible bone loss.
DEXA scans look for signs of fragile bones and help assess your risk of developing fractures, while also sometimes being used to monitor the effects of treatment for osteoporosis.
How much does Bone Density Scan Cost?
DEXA Bone Mineral Density Test at $359 exclude GST. Includes Specialist Consultation.
Why do you need Bone Mineral Density Scan?
Osteoporosis affects men and women of all ages, but is more common in older post-menopausal women because their oestrogen declines after the menopause, resulting in a decrease in bone density. If you are female, you might be advised to have a DEXA scan if you:
have broken a bone after a minor bump or fall
have a family history of hip fracture on your mother’s side
have a history of periods stopping for more than one year before the menopause
have taken steroid tablets for three months or more
are under 45 and have a hysterectomy or early menopause
have hip pain or knee pain
If you are male, you might be advised to have a scan if you have:
low levels of testosterone
a medical condition associated with osteoporosis such as rheumatoid arthritis or coeliac disease
have hip pain or knee pain
taken steroid tablets for three months or more.
A DEXA scan is a very safe, quick and painless procedure
Having this scan can identify the problem before it becomes worse so treatment can begin quickly.
DEXA scans are carried out as an outpatient procedure in the imaging or radiology department and usually take 10 to 15 minutes.
We pride ourselves on our clinical excellence, you’ll be looked after by an experienced multi-disciplinary care team.
Specialist Orthopaedic Consultation to interpret your result
What is Osteoporosis?
More common in women above the age of 50, osteoporosis usually comes with no symptoms and is also known as the “silent disease”.
Osteoporosis is a bone disease where the bone structure gets porous and weak. Losing density and mass, bones become more prone to fractures.
A reduction in mineral bone density if a normal part of aging after the age of 35. However, for some, this happens at a greater rate leading to osteoporosis. It affects women more than men on a ratio of 2:1. It is a silent condition as there are no symptoms until a fracture occurs often after a fall.
Osteoporosis can affect all bones in the body, however the areas that are most prone to fractures include hip, spine and wrist.
psGeneralComments Off on Osteoporosis – What Do We Know About It?
Osteoporosis – a silent disease that results in progressive bone loss over the years with many far-reaching and serious consequences. Many people are not aware of the condition until they sustain a fracture. It is predominantly seen in the older population affecting both sexes, although postmenopausal women are at higher risk. Fractures can lead to loss of function or mobility.
Risk Factors for Osteoporosis
Some risk factors for osteoporosis include:
Sedentary lifestyle (lack of exercise which is needed to build bone)
Insufficient calcium, magnesium, phosphorus and Vitamin D in the diet
Being underweight (BMI < 18.5kg/m2)
Smoking (reduces calcium absorption)
Older age (Bones reach their peak density at about 20 years of age and subsequently decrease with age)
Certain medical conditions (e.g. cancer, hyperthyroidism, kidney disease)
Treatment for Osteoporosis
As bone loss is irreversible, treatment aims to prevent further bone loss & preserve the existing bone mass. Some of the medications used for treatment include the bisphosphonates such as Alendronate & Risedronate, Tibolone, Strontium Ranelate and Raloxifene. Since the medications used for osteoporosis treatment are prescription-only drugs, speak to your doctor for more information.
Tips for maintaining healthy bones
There are several ways to ensure healthy bones:
Calcium is required to build bones. Calcium is lost daily via urine, faeces, sweat, or shed in skin, hair and nails. If there is not enough calcium in the blood and tissues, calcium from bones will be leached out to replace the deficiency, eventually resulting in bone loss. It is recommended to obtain our intake from calcium rich foods, e.g. milk, cheese, yoghurt or fortified cereals, tofu or soymilk. If we are unable to meet them through a balanced diet, we can consider taking supplements.
Vitamin D Supplementation
Vitamin D helps our body absorb calcium from the diet. The body can make Vitamin D when exposed to sunlight. Vitamin D is found in egg yolks and oily fish e.g. salmon and cod, fortified milk, soymilk and cereal. Many calcium supplements also contain Vitamin D.
Weight bearing exercise refers to activities that make us move against gravity, e.g. brisk walking, dancing, aerobics and Tai Chi. Regular exercise is important to build and maintain bone density. Consult your doctor before starting an exercise regime.
Smoking increases the risk of osteoporosis in both sexes. It has been shown that women who smoke are 50% more likely to suffer from osteoporosis than non-smokers.
Osteoporosis can lead to fractures, which may adversely affect our quality of life. There are risk factors that we can modify. Let us take charge of our lifestyle and our health.
psGeneralComments Off on 5 Tips for Preventing Osteoporosis
Osteoporosis, The Silent Disease
Osteoporosis is called ‘the silent disease’ for a reason. During the early stages of the condition, you will typically have no signs and symptoms. But once your bones have been weakened by osteoporosis, you start to feel back pain, your posture will become stooped, and you will be more prone to bone fractures.
Osteoporosis is a degenerative disease that causes bone to become weak and brittle. For severe cases, even a mild fall or slight bending can cause a bone fracture. Our bone is a living tissue, which is being constantly renewed. Osteoporosis happens when the formation to new bones is slow to replace old bones, or when our body ultimately fails to form enough new bone. Although osteoporosis is sex and race blind, affecting both men and women of all races, women who are past menopause are more prone to it.
In Singapore, over the last 30 years, cases of hip fractures have increased five times in women aged 50 and above, and 1.5 times in men of the same age group. The bad news? It is a serious and debilitating condition. The good news? Osteoporosis can be prevented.
Say No To Bone Loss
Mind Your Diet
Calcium is your bones’ best friend. They help your body build strong bones. So find every opportunity to incorporate low-fat milk and non-fat yoghurt into your diet, as these are healthy sources of calcium. Fish and greens are also rich in calcium, so is soy. Sardines and salmons are your best bets, as well as brocolli, kale and bok choy.
You hear it often enought, and we say it again. Cigarette smoking is bad for your health. Cigarette smoke is packed with massive amounts of free radicals that cause a chain-reaction of damage throughout the body, including cells, organs, and hormones that work together to keep your bones strong and healthy. Amongst women, one in eight hip fractures is linked to long-term cigarette use. Studies also confirm that smokers tend to heal fractures slower than non-smokers.
To help strengthen bones and prevent osteoporosis, at least a 30-minute exercise daily is recommended. Exercises occupied with weight lifting help to simulate bone formation and make bone become stronger. It also helps to improve your balance and flexibility, which is necessary to reduce risks of falls that can cause fractures. Aerobics, dancing, jogging, Tai Chi, yoga, tennis, weight lifting and even climbing stairs are some of the recommendation exercises you can try.
Cut Back on Alcohol
Excessive alcohol consumption is bad for you on so many levels. When you drink too much alcohol, your body fails to absorb calcium and Vitamin D properly and adequately. As much as possible, limit your drink to one a day for women and two drinks a day for men. Cortisol and parathyroid hormones, which are both potentially bone damaging, are seen in people with alcoholism. What’s more, high alcohol intake also puts osteoblasts, the bone-making cells, at risk.
Take Bone Mineral Density Test
Osteoporosis can be prevented. Do a bone mineral density test early to check whether you are at risk of Osteoporosis.