Brief Answer: Underlying disease needs to be managed Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. Before starting any treatment for osteoporosis or osteopenia, you need to know the pathogenesis and cause of underlying disease. Osteoporosis is caused by decreased bone mass and it is common in post-menopausal females. However, it can occur in males also and that case they are age related. In females, fall in estrogen levels leads to decreased bone mass. Hormone replacement therapy is used for management of this condition in females of postmenopausal age group. Osteopenia is caused by decrease in inorganic part of the bone i.e. calcium and phosphate. Osteopenia is managed by increasing the intake of calcium and vitamin D. Physiotherapy helps to strengthen the bone but will not help in strengthening bones. If you have more queries, I will be glad to answer. Dr Shailja P Wahal

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Brief Answer: Hormone replacement therapy required Detailed Answer: Hello and welcome again, During menopause there is fall in levels of estrogen. Fall in estrogen levels lead to decrease in bone mass. Decrease in bone mass causes osteoporosis. Osteoporosis is managed by hormone replacement therapy and calcium-vitamin D supplements. Consult your doctor for prescription of the required drugs. Thanks and take care Dr Shailja P Wahal

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