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Medications for Osteoporosis

Medications for Osteoporosis: A Doctor's Toolkit to Help You

Osteoporosis, characterized by weakened bones prone to fractures, often requires a multifaceted approach to treatment. Medications play a crucial role in managing osteoporosis, not only by relieving pain but also by strengthening bones and preventing further bone loss. Here, we delve into the various classes of medications used in the treatment of osteoporosis, their mechanisms, and their specific applications.

Bisphosphonates

Bisphosphonates are the most commonly prescribed medications for osteoporosis. They work by inhibiting the activity of osteoclasts, the cells responsible for bone resorption. By slowing down the breakdown of bone, bisphosphonates help maintain or increase bone density.
  • Alendronate (Fosamax): Typically taken once a week, alendronate can significantly increase bone mineral density and reduce the risk of hip, spine, and wrist fractures.
  • Risedronate (Actonel): Available in daily, weekly, or monthly doses, risedronate is effective in reducing the incidence of fractures.
  • Ibandronate (Boniva): This medication can be taken monthly or as an intravenous injection every three months, offering flexibility for patients.
  • Zoledronic Acid (Reclast): Administered as an intravenous infusion once a year, zoledronic acid is particularly convenient for those who have difficulty with oral medications.

Selective Estrogen Receptor Modulators (SERMs)

SERMs mimic the beneficial effects of estrogen on bone density without some of the risks associated with estrogen therapy.
  • Raloxifene (Evista): This medication reduces the risk of spine fractures and is also associated with a lower risk of breast cancer. However, it does not significantly affect the risk of hip or other non-spine fractures.

Hormone Replacement Therapy (HRT)

Hormone Replacement Therapy (HRT) in Salem can be effective in maintaining bone density and preventing fractures in postmenopausal women by supplementing estrogen levels. However, HRT comes with potential risks, including an increased likelihood of breast cancer, heart disease, and stroke. Therefore, it is generally recommended for women who also need treatment for severe menopausal symptoms and who have considered these risks.

Parathyroid Hormone Analogues

Parathyroid hormone analogues stimulate new bone formation by promoting the activity of osteoblasts, the cells responsible for building bone.

  • Teriparatide (Forteo): Given as a daily injection, teriparatide is used for those with severe osteoporosis or who have had multiple fractures. It is particularly effective in increasing bone density and reducing the risk of fractures.

Monoclonal Antibodies

Monoclonal antibodies are a newer class of medications that work by targeting specific pathways involved in bone resorption.

  • Denosumab (Prolia): Denosumab is a monoclonal antibody that inhibits the activity of osteoclasts, thereby reducing bone resorption. It is administered as a subcutaneous injection every six months and has been shown to increase bone density and decrease the risk of fractures, particularly in postmenopausal women with osteoporosis.

Calcium and Vitamin D Supplements

Calcium and Vitamin D Supplements are essential nutrients for bone health. While they are commonly obtained through diet and sunlight exposure, supplements may be necessary for individuals who are unable to meet their daily requirements through these sources.

  • Calcium: Adequate calcium intake is vital for maintaining bone density and preventing osteoporosis. Calcium supplements are available in various formulations, including calcium carbonate and calcium citrate, and should be taken with meals to enhance absorption.
  • Vitamin D: Vitamin D facilitates calcium absorption and plays a crucial role in bone metabolism. It can be obtained from sunlight exposure, dietary sources, and supplements. Vitamin D supplementation is particularly important for individuals with limited sun exposure or those at risk of deficiency.

Combination Therapies

In some cases, combination therapies may be recommended to maximize the benefits of treatment and address specific needs. For example, a healthcare provider may prescribe a bisphosphonate along with calcium and vitamin D supplements for comprehensive osteoporosis management.

Medication for Osteoporosis in Salem

Osteoporosis therapy in Salem often involves a combination of the above medications and supplements. Patients can work with their healthcare providers to tailor a treatment plan that best meets their needs. Regular communication with healthcare providers and adherence to treatment recommendations are key to achieving optimal outcomes in the management of osteoporosis.

Osteoporosis is a chronic condition that requires ongoing management to prevent fractures and maintain bone health. Medications play a crucial role in this process, whether by slowing down bone resorption, stimulating bone formation, or providing essential nutrients. However, medication alone is not sufficient; lifestyle modifications, including diet, exercise, and fall prevention strategies, are also essential components of osteoporosis management. By adopting a comprehensive approach that addresses both medical and non-medical aspects of care, individuals with osteoporosis can effectively reduce their risk of fractures and improve their quality of life. For those in Salem, accessing comprehensive osteoporosis therapy in Salem can make a significant difference in managing this condition effectively.

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Senthil Kumar R

Clinical Co-Ordinator

R.SENTHILKUMAR, MPT(CARDIO RESPIRATORY) Graduated from Annai Theresa College of Physiotherapy in the year 2004 and post-graduated from Srigokulam College of Physiotherapy in the year 2008. I have done Mulligan's manual therapy course from Dr Pearlson's manual therapy Academy and MD Acupuncture at Periyar university.16 years of working experience with neurorehabilitation, and pediatric and geriatric rehabilitation in all related conditions. 3yrs in Adventist Hospital Surat and 13 yrs in Neuro Foundation Hospital in Salem. A paper presentation about the Efficiency of Fes with Dorsiflexor Assist for MCA Stroke patients as an Experimental study in WCNR 2018 MUMBAI. I Organize and coordinator for STRIDE CON 2019 IN SALEM BY NEURO FOUNDATION HOSPITAL

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Deepan K

Physiotherapists

Completed bachelor of physiotherapy at Nandha College of Physiotherapy in 2022.Completed compulsory rotatory residential internship in the Department of Cardiorespiratory, physical medicine & Rehabilitation, orthopaedics, neurology & paediatrics published journal paper on "ASSESSMENT AND TREATMENT PROTOCOL IN ROTATOR CUFF TENDINOPATHY BY USING SHOULDER SYMPTOMS MODIFICATION PROCEDURE "in the year of 2022.Completed Diploma in Yoga for youth empowerment at vethathiri maharishi Institute for Spiritual and-intuitional Education, aliyar, covai in March 2019- Aug 2019. Underwent workshop on manual therapy techniques such as Trigger Point Therapy on 30.03.2021, workshop on Streches 26.03.2019 established by Synergy Physio care & Rehab centre, Chennai.

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Praveen Kumar G

Occupational Therapists

Praveen Kumar G , Occupational therapist, Graduated Bachelor degree from JKKMMRF college of Occupational Therapy in the year 2022 , along with that completed six months internship. Professional experiences Completed two months internship in National Institute of Mental health and Neurosciences (NIMHANS) and one month Internship in St. John's Medical College and hospital. Research Project - Effectiveness of safe ingress and egress training to reduce fear of falls for elderly using public transport - A Quantitative study. Department handled - Neurological rehabilitation Child Psychiatry, Adult Psychiatry ,orthopedic rehabilitation and Hand Splinting. Conference and seminars attended - Participated as a delegate in State level Occupational Therapy Inter College Meet and CME on Cognitive Behavior Therapy (2018) Workshop on Disability Evaluation and Certification -2019 Workshop on IASTM and Myofascial Release (2019)2nd State level Conference on Improving World Health and Well Being (2019) Participated as a delegate in OTICON 2021- 58th Annual National Conference of All India Occupational Therapist Association(AIOTA) Responding to the challenges in pandemic: Exploring new horizons in Occupational Therapy (2021)

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Gowthaman V

Physiotherapists

Graduated bachelor degree from nandha college of physiotherapy - erode in the year of 2022, Accredited in Dr. MGR Medical University chennai.Completed Internship experience in hospital of neurofoundation - Salem ( Department of Neurology) , kumaran medical Center - CBE ( Department of Cardiopulmonary), ganga ortho speciality - CBE ( Department of orthopedic & traumatology ), kongunadu hospital - CBE ( Department of pediatrics & gynecology),Synergy physiotherapy and Rehab center - chennai ( Department of physical medicine and Rehabilitation) , vinayaga mission super speciality hospital - Salem ( MICU & SICU ) Workshop attend and practice on stretching , trigger point therapy, Basic life support and Advanced cardiac life support.The project work on Effectiveness of Inspiratory muscle training to improve Inspiratory muscle strength and functional capacity for patients with chronic renal failure

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Roshan Kumar P

Occupational Therapists

Roshan Kumar P , Occupational therapist, Graduated Bachelor degree from JKKMMRF college of Occupational Therapy in the year 2022 , along with that completed six months internship. Professional experiences Completed two months internship in National Institute of Mental health and Neurosciences (NIMHANS) and one month Internship in St. John's Medical College and hospital. Research Project - The effects of teaching safe car ingress and egress motion strategies to reduce pain among elderly people - A Quantitative study. Department handled - Neurological rehabilitation Child Psychiatry, Adult Psychiatry , orthopedic rehabilitation and Hand Splinting. Conference and seminars attended - Participated as a delegate in State level Occupational Therapy Inter College Meet and CME on Cognitive Behavior Therapy (2018)Workshop on Disability Evaluation and Certification(2019) Workshop on IASTM and Myofascial Release (2019)2nd State level Conference on Improving World Health and Well Being (2019)Participated as a delegate in OTICON 2021- 58th Annual National Conference of All India Occupational Therapist Association(AIOTA):Responding to the challenges in pandemic: Exploring new horizons in Occupational Therapy (2021).

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Mani M

Lab Technician

Graduated diploma degree from vinayaka missions of diploma in medical lab technology 2015 to 2017 batch in vinayaka mission University in Salem , then B.A annamalai University 2021 patch , and computer on office automation computer technical education in government Tamil Nadu 2019 batch. Analytical and collaborative medical technologist with 4 years experience performing medical laboratory testing procedures in hospitals environment. Working has a lab technician assistant in anbu Hi-Tech diagnostic laboratory Private limited from 2017 to 2020 (3 years). Working as a lab technician incharge in sugam hospital 2021 to 2022 (1 year ). Totally 4 years experience. various hospitals Salem hasya lab technician incharge from 2022 to 2023 till date. I am well experienced in hematology , pathology , biochemistry and microbiology lab testis in Hi-Tech Labs for the 4 years experience in field.

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Harini A

Biomedical Engineer

Completed UG degree of Biomedical engineer at Mahendra college of Engineering in the year of 2019, Accredited in Anna University, Salem. Completed internship at VIMS hospital (basics of Biomedical equipments training) Equipments maintanence and Handling internship completed in NG multi-speciality Hospital at Singanallur, Coimbatore. Final year project - Synthesis of Silver nano particles from Thespeasia popular for Leprosy treatment. Presented a Paper on Nano Robotics at Salem college of Engineering, Salem.Presented a Paper on Biomedical Instrumentation at GRT college of Engineering, Thiruthani. Seminar at Paavai college of Engineering, Pachal,Salem.Working experience. Professional experience 11 months 10 days experience of Biomedical engineer at Global Hospital, Chennai.

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Kanishka R

Secretary

Educated from govt mohan kumaramangalam medical College and hospital as a mphw from 2021 to 2022. I working as a seceretary nursing assistant in Balaji robotic rehab hospital from 2022 to till date. Father's name: Raja mother's name: Sri Devi address:Attur thalaivasal, mummudi Indra Nagar. phone:7904676477. Blood group: 'o'positive extra curricular activities:Dance and sing skill 1month basic computer course in thalaivasal I'm active person,naughty and helping to all human's in all situations

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Sathish K

Psychologist

Completed a Diploma in yoga for Human Excellence(DYHE) at Annamalai University in the year of 2017 with First class distinction. M.sc Clinical Psychology at Annamalai University in the year 2020 with first class. Clinical Psychology internship at Athma hospital In the year May 2017 at Trichy. June 2018 Intern as a Clinical Psychology at Spark de-addiction and psychiatry hospital, Madurai. Trainee as a Clinical Psychology at Naveen Hospital, Coimbatore. From July 2018 to March 2020 Trainee As a Clinical Psychology at Rajah Muthiah Medical College and Hospital (RMMCH), Chidambaram. From April 2022 work as a Clinical Psychologist at Vinayaka Mission Kirupanandha Variyar Medical College and Hospital, Salem.

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Vignesh A

Psychologist

Degree B.sc Psychology from PSG college of arts & science, Coimbatore. M.sc Applied Psychology PSG college of arts and science (Bharathiyar University), Coimbatore. PG diploma in Rehabilitation Psychology from Osmania University, Hyderabad. M.Phil. Psychology from college of arts and science (Bharathiyar University), Coimbatore. Working as a Rehabilitation psychologist in District early intervention Centre (DEIC) Govt medical college hospital Salem. Worked as a clinical Psychologist in District mental health program Dindigul for past four years. Organized School mental health program and life skills training for Higher secondary teachers. Worked as a Assistant professor in Department of Psychology PSG College of Arts and Science Coimbatore. Worked as a Visiting Faculty in Nursing & Educational colleges, Coimbatore and Salem. Worked as a Psychologist in Naveen Mental Hospital and De-Addiction Centre Coimbatore. Worked as a child psychologist in Madhuhari Counselling Centre Coimbatore. Organized Personality Development, Social responsibility building Classes in PSG CAS Coimbatore.Worked as a Rehabilitation psychologist Trainee in Sweekaar Academy of Rehabilitation Sciences, Secunderabad from 2011-2012.Clinical exposure & typical work activities included in Internship Assessing client's needs, abilities, behavior using a variety of methods, including psychometric tests, Neuropsychological assessments, interviews & direct observation of behavior. Devising and monitoring appropriate programmers of treatment, including therapy,
counseling or advice, in collaboration with a multidisciplinary team along side Psychiatrists, Neurologists, social workers, education professionals, health visitors, nurses and other therapists.Offering therapy and treatments for difficulties relating to mental health problems such as Anxiety, depression, Learning disability, Intellectual disability, ADHD, Autism challenging behavior and social interpersonal problems.Offering counseling and supporting career guidance.Internship Training in Integrated Yoga Therapy SVYASA DEEMED UNIVERSITY Bangalore, guided by Psychiatrists, Clinical Psychologist and Clinical Yoga Therapists.Participated, attended seminars and Presented papers:Presented a paper entitled ‘Test anxiety among college students’ in NACIACP 2007, Salem.Presented a paper entitled‘Life Skills of Specific Learning Disability children’in National level seminar on Learning disability Organized by Lady Doak College Madurai.Served as Resource person in state level conference organized by NIEPMD 2019 Chennai presented topic psychosocial Rehabilitation. Participated in the following Workshops : Cognitive Behavior Therapy, Behavior Management and Applied Behaviour Analysis for Autism , Assessment Remediation & Management of learning disabled, cognitive behavior therapy for psychosis, Data Analysis Through SPSS and of psychology in HR practice.Participated National child & Adolescent psychiatry CME Organized by Indian psychiatric society, Madurai2018.Participated in the Following Seminars: Sign Language, Applied Behaviour Analysis, Learning Disability, Memory development Program.

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Priyadharshini K

Psychologist

Aks insured Puspham hospital 6 month experience Nursing care assistant

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Vasuki Vijaya Krishnan

Senior Consultant & Speech Therapist

Mrs. Vasuki Vijaya Krishnan B.sc(SLH), DSc(MR). Senior consultant audiologist and speech Language pathologist. More than 25 years of experience in the field. She was the first speech language pathologist to Salem. District in the year 1995.Received Distinguished Aluminum Award from MAHE University. Having vast experience in handling patients with speech language and Swallowing Disorders.

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Mruthula Vijaya Krishnan

Junior Consultant and Speech Therapist

Ms.Mruthula Vijaya Krishnan B.AsLP. Junior consultant Audiologist and Speech language Pathologist. Expert in handling children with Autism Spectrum Disorder and patients with swallowing difficulties and neurogenic Speech disorder

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Priyanka Devi K

HBOT Technician

Completed UG degree of B.sc Chemistry at Salem Sowdeshwari college in the year of 2018, Salem.3 years of Working Experience at Priyam Hospital as a HBOT technician, Salem.

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Indra K

House Keeping

From 2000, 12 years of working experience at VIMS hospital, Salem. 8 years working experience at Neuro foundation. 2 years of working experience at Dharan hospital, Salem. One year of Experience at Kavery Hospital, Salem.

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R Sivagama Sundari M.Sc

Coordinator - Occupational therapy & Tele Rehabilitation Services

Graduated Bachelor degree from JKKMMRF College of Occupational therapy in the year 2009.M. Sc Applied Psychology from Annamalai university.13 + years of working experience with areas of expertise in pediatric rehabilitation, child psychiatry & adult neurological disorders.A poster presentation in Asia oceanic congress on Neuro rehabilitation (AOCNR) in August 2021 in the title ' Standardization of GMFM - 88 Tool as Parent administering -Occupational Therapist [PA -OT] Observed tool for Tele - Rehabilitation services with a Custom made simulation [DOLL],Over 1000 sessions in Tele rehabilitation services & received appreciation award for the same.

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