Osteoporosis and Treatment Options in Singapore

Osteoporosis is a condition that weakens bones by reducing their density and strength, making them more likely to fracture from even minor falls or injuries. It is especially common in older adults and postmenopausal women. Early diagnosis, prevention, and treatment play a key role in reducing fracture risks and maintaining mobility.

Understanding Osteoporosis:

Causes, Symptoms, Diagnosis, Treatment and Prevention.

Osteoporosis is a progressive bone disease characterized by decreased bone mineral density and deterioration of bone microarchitecture. This leads to weakened bones that are more susceptible to fractures, even from minor falls or bumps. Although osteoporosis can occur in anyone, it is more common in older people, especially postmenopausal women. This guide explores the causes, symptoms, diagnosis, treatment options and preventative measures of osteoporosis.

What is Osteoporosis?

 Healthy bones constantly undergo a remodeling process, during which old bone tissue is broken down and replaced with new bone. In osteoporosis, this delicate balance is disrupted. Bone resorption (degradation) exceeds bone formation, leading to a net loss of bone mass and an increased risk of fracture.

Osteoporosis patient care

Causes of osteoporosis

Several factors contribute to the development of osteoporosis: 

  • Age: Bone mass naturally decreases with age. As we reach our thirties, bone breakdown begins to outpace bone formation. 
  • Hormonal Changes: Decreased estrogen production in women after menopause is a significant risk factor. Estrogen plays a crucial role in bone health. Men also experience a gradual decline in their testosterone levels as they age, which can contribute to bone loss. 
  • Family history: Having a close relative with osteoporosis increases your risk. 
  • Diet: Inadequate intake of calcium and vitamin D can hinder bone formation and contribute to osteoporosis. 
  • Certain medical conditions: Conditions such as rheumatoid arthritis, celiac disease, and hyperthyroidism can affect bone health. 
  • Medications: Long-term use of certain medications, such as corticosteroids, can contribute to bone loss. 
  • Lifestyle factors: Smoking, excessive alcohol consumption and a sedentary lifestyle can increase the risk of osteoporosis. 

Signs and symptoms of osteoporosis

Osteoporosis is often called a “silent disease” because it usually progresses without symptoms until a fracture occurs. However, some people might experience: 

  • Back pain caused by vertebral fractures of the spine. 
  • Loss of height over time due to vertebral compression fractures. 
  • A stooped (hunched) posture may develop as the spine weakens. 

It is important to note that these symptoms can sometimes be caused by other medical conditions. Consulting a healthcare professional for a proper diagnosis is crucial. Book your appointment today!

Predisposing factors for osteoporosis

Certain factors can increase an individual’s susceptibility to osteoporosis:

Diagnosis of osteoporosis

  • Medical History: A detailed discussion of your risk factors, family history, and any previous fractures. 
  • Physical exam: The healthcare professional will assess your posture, height, and check for any signs of spinal fracture. 
  • Dual Energy X-ray Absorptiometry (DXA Scan): This is the standard test for measuring bone mineral density and diagnosing osteoporosis. It uses low-dose X-rays to assess bone density in the hip and spine, the most common sites of fractures due to osteoporosis. 

Treatment Options for Osteoporosis

Osteoporosis treatment focuses on preventing future fractures and managing pain if they occur. Here is an overview of common treatment strategies: 

These are crucial for bone health and include: 

  • Diet: A balanced diet, rich in calcium and vitamin D is essential. Calcium is the building block of bones and 
  • Weight-bearing Exercise: Regular weight-bearing exercises like walking, jogging, or dancing help stimulate bone formation and improve strength and balance. 
  • Smoking Cessation: Smoking weakens bones and hinders healing. Quitting smoking is essential for bone health. 
  • Moderate Alcohol Consumption: Excessive alcohol consumption can contribute to bone loss.

Several medications can help prevent bone loss and reduce fracture risk:  

  • Bisphosphonates: These are the mainstay medications for osteoporosis and work by slowing down bone resorption. 
  • Denosumab: This medication inhibits a protein that promotes bone breakdown. 
  • Selective Estrogen Receptor Modulators (SERMs): These medications can help maintain bone density in postmenopausal women. 
  • Calcitonin: This medication may help reduce bone pain and may be used in combination with other osteoporosis medications. 
  • Parathyroid hormone therapy: This therapy can stimulate bone formation, but is usually only used in specific cases due to potential side effects. 

It is important to note that the choice of medications depends on individual factors and should be discussed with a healthcare professional.

Osteoporosis prevention

The good news is that osteoporosis can be prevented or its progression slowed by focusing on healthy lifestyle habits from a young age. Here are some key preventative measures: 

  • Calcium and vitamin D deficiency: Ensure adequate calcium and vitamin D intake throughout life. This can be achieved through a balanced diet, rich in foods containing calcium (dairy products, leafy green vegetables) and sources rich in vitamin D (oily fish, egg yolks). Supplementation may be necessary if dietary intake is insufficient. 
  • Weight-bearing exercises: Regular weight-bearing exercises that force your body to fight against gravity are essential for bone health. Aim for at least 30 minutes of moderate-intensity exercise most days of the week. 
  • Maintain a healthy weight: Being overweight or underweight can increase the risk of osteoporosis. 
  • Healthy lifestyle choices: Avoid smoking, excessive alcohol consumption, and leading a sedentary lifestyle. These habits can contribute to bone loss. 
  • Bone density screening: For adults at higher risk, considering bone density screening with a DXA scanner may be helpful for early detection and intervention. 

By following these preventative measures and consulting a doctor if you have concerns about bone health, you can significantly reduce your risk of developing osteoporosis and maintain strong, healthy bones throughout your life. 

Supporting Long-Term Bone Health

Care with Dr. Edwin Tan

Consultant Orthopaedic Surgeon

Dr. Edwin Tan is a Consultant Orthopaedic Surgeon who completed structured training in Singapore and overseas, with recognised qualifications. He graduated from the National University of Singapore in 2004, completed his Master’s of Medicine in Orthopaedic Surgery in 2013, and was awarded the Fellowship of the Royal College of Surgeons of Edinburgh in 2014. His clinical work focuses on sports injury management, musculoskeletal conditions, and both surgical and non-surgical management.

Dr. Tan’s approach is centred on helping patients return to full function, whether through non-invasive methods or surgical procedures, so that they can resume daily activities and maintain an active lifestyle.

Frequently Asked Questions

Osteoporosis treatment typically involves a combination of lifestyle adjustments and medication.

Lifestyle changes: Adopting a calcium-rich diet, vitamin D supplementation, and regular weight-bearing exercise.

Medications: Options may include bisphosphonates, denosumab, selective oestrogen receptor modulators, or parathyroid hormone therapy.

Osteoporosis cannot be fully reversed, but its progression can be slowed or stabilised. Treatments focus on increasing bone strength, preventing fractures, and supporting quality of life. With appropriate care, patients may lower their risk of fractures and preserve daily independence.

Bone density screening (DXA scan) is recommended for women aged 65 and above, men aged 70 and above, adults over 50 with a history of fractures, and individuals with factors such as family history, hormonal changes, or long-term medication use that may affect bone health.

The timeframe differs depending on the individual and the type of treatment. Certain medications may begin to improve bone strength within a few months, while lifestyle adjustments often take longer to show measurable effects. Ongoing scans and consultations are important to track progress.

Yes, but exercises should be tailored to your condition. Weight-bearing and resistance exercises may support bone strength, while high-impact movements should be avoided if you are at risk of fractures. Always seek guidance from your doctor or physiotherapist before beginning a new exercise programme.

Related Conditions

Hip Fracture

Learn how fragile bones raise the risk of hip fractures, and why early treatment plays a key role in supporting recovery and mobility.

Scoliosis

Learn how bone loss may influence spinal alignment and play a role in the progression of scoliosis.

Low Back Pain

Examine the link between osteoporosis and low back pain, which is often associated with vertebral compression fractures.

Osteoporosis Treatment Singapore

If you are concerned about your bone health or seeking osteoporosis treatment in Singapore, visit us at:

Auspicium Orthopaedic Centre
3 Mount Elizabeth, #11-13
Singapore 228510