Contact and Hours:

1580 Valencia Street Suite 703
San Francisco, CA 94110
Phone: 415-642-0707
Fax: 415-648-7988

Monday through Thursday:
7:30 am to 4:30 pm

Friday 8:00 am to 3:00 pm

Closed Saturday and

Osteoporosis Patient Education

Osteoporosis: Osteoporosis is a disease in which the bones become weak and are more likely to break. If not treated, it can progress without pain until a bone breaks. The main areas for bone fractures include hip, wrist and vertebral (spine) fractures.

Nutrition: Nutrition should include a balanced diet with adequate protein, calcium and Vitamin D intake. Excessive amounts of salt and protein should be avoided. A diet high in caffeine containing foods, such as coffee, appears to increase bone loss. Extra fiber sprinkled on food might interfere with calcium absorption. Some calcium rich foods include: milk, yogurt, cheese, ice cream, fish and shellfish (such as oysters, sardines, salmon, and shrimp), vegetables (such as broccoli, soybeans, almonds, and tofu). Your physician may recommend calcium supplements. Some Vitamin D rich foods include fortified milk, some fortified cereals, and cold saltwater fish (such as salmon, halibut, herring, tuna, oysters and shrimp). Vitamin D can be manufactured in the skin following direct exposure to sunlight.

Exercise: Women and men older than age 35 can slow bone loss with regular weight bearing exercise. Walking, hiking, stair climbing, tennis and dancing are good exercises to prevent osteoporosis. Low impact exercises are better if you have osteoporosis. If you have heart problems, high blood pressure, diabetes, obesity, or are over 40 years old, check with you family physician before starting an exercise routine. If you have any chest pain or discomfort, stop exercising and contact your family physician.

Smoking Cessation: Smoking can increase the risk for osteoporosis. Smokers are encouraged to stop smoking as soon as possible.

Reducing Alcohol Intake: Alcohol can increase the risk for osteoporosis. Alcohol can increase the risk for falls.

Medication: Although there is no cure for osteoporosis, there are several medications that are approved by the FDA to prevent and/or treat osteoporosis. It is important to take your medications as ordered by you physician.

Blood Tests And Diagnostic Testing: Specialized tests called bone mineral density (BMD) tests can measure bone density in various parts of the body. Bone density is important to determine risks of fractures. It is important to complete any blood work that your physician recommends.

Reduce Risks For Falls: Keep all rooms free from clutter, especially on the floors. Keep surfaces smooth, but not slippery. Wear supportive, low heeled shoes. Do not walk around in socks. Make sure that all carpets have skid proof backings or are tacked to the floor, especially on the stairs. Use a rubber bath mat in the shower. Install grab bars in the bathroom. If unstable on your feet, use a shower chair. Keep a flashlight with fresh batteries beside the bed. Have light switches located when you enter the rooms (or use voice activated lights). Have a portable phone or cell phone that you can carry with you. Reorganize items to minimize difficult reaching. If unstable on your feet, use a walker or cane. Have vision and hearing checked. Alcohol can slow reflexes and increase chance of falls. Have your family physician review medications that may cause dizziness.