Hi, I have been using inhaled steroid (Seretide) 500 mcg twice a day and it provides me good relief. I am a senior citizen (70 yrs) and was told that long term use of inhaled steroids can lead to osteoporosis in Sr citizens. What corrective action can I take to prevent this i.e. Osteoporosis? Are there non- steroidal medicines available which are equally effective and do not have side effects like osteoporosis?

Dr. Julie Mercy J DavidPhysiotherapist21yrs exp

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Osteoporosis TreatmentThe treatment of osteoporosis involves reducing any of the factors contributing to poor bone health. Your doctor may advise you to address current exercise regime, review your medications or review current lifestyle factors that predispose you to osteoporosis. Your doctor may also advise you to increase your: ?Calcium intake via your diet or with supplements. Calcium is used to build and maintain bone health. ?Vitamin D intake via supplements or exposure to low levels of sunlight. Vitamin D is used to absorb calcium in the bone and regulate calcium in the blood. Tips for osteoporosisWeight bearing exercise, such as walking, can help to strengthen bones Exercises to improve your balance and strength will help to prevent falls Follow a healthy diet that includes enough calcium and Vitamin D Use this handy calculator to make sure you are getting enough calcium. Wear sensible, well-fitting shoes to avoid fallsAvoid rugs and sloppy slippers ? both can cause trips Have good lighting on your stairsGet your eyesight checked regularly (free for people over 60) Try to avoid heavy lifting ? consider home delivery grocery shopping This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain.  

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