Osteoporosis, also known as bone loss, is a chronic metabolic disease of the bones. The cause can be unspecific, occur as a concomitant disease with endocrine problems (also during the menopause) or be triggered by the treatment of other diseases via drug therapies (e.g. cortisone). A familial clustering can sometimes be identified, with women being affected more frequently than men. In total, around 6 million people in Germany are considered to be affected by osteoporosis in various stages and forms.
The symptoms of osteoporosis usually begin gradually, for example during hormonal changes in women during the menopause, as the production of the protective sex hormone oestrogen is reduced during this time. Bone density is reduced as the osteoclasts break down weakened bone tissue, but the new bone formation by the osteoblasts can no longer compensate sufficiently. The first indication of this is bone fractures after minor falls.
The diagnosis is based on a detailed medical history, a measurement of bone density as an examination of the mineral salt content of the bones. If osteoporosis is present, individual treatment planning is important in addition to drug therapy and an examination of the diet and nutrient supply. The treatment plan can focus on reducing bone loss, promoting bone formation or a targeted combination of both. In all variants, regular and appropriate exercise is an important element. Pilates can also be an ideal addition to the treatment plan for osteoporosis.