A friend in the UK who had a fall and broke her leg and arm was diagnosed with osteoporosis and was put on medication but also given instructions about diet and exercise which she follows rigorously even to carrying a pedometer and goes for a walk if she hasn’t done 3000 steps per day and since the start of the treatment her bone density has increase beyond what was expected but in the UK the treatment is only free for a set number of years so it’s in her interest to get all the improvement she can.
My mother was talked into going into a rest home as she had a few falls and had been knocked down by a reversing car but never suffered from any bone fractures, so at 98 she reluctantly agreed to go into a home, after sitting around for 12 months she fell and broke her hip and was told its only to be expected at her age, but it’s like you say muscle strength is important and can deteriorate very quickly, making the risk of fractures worse. she never walked after the hip fracture and died about 6 months later but not before she received her birthday card from the Queen congratulating her on her 100th birthday. When my mother broke her hip I had wondered if she was suffering from skeletal fluorosis from the amount of strong tea she consumed and found a reference to fluorine and how it could effect the results of bone scans and give high readings when in fact the bones were brittle but I can’t seem to find the website now.
I read this about the accuracy of the DEXA tests and it seems they might have a great machine but the results are not.
This is copied from the above website.
( The error in the DXA scan is so great and the decrease in bone growth is such a small number, even in the best case scenario it takes at least 10 years to get outside the test’s margin of error.)
and a 2007 website said the error could be as high as 20% by different operators and the positioning of the scan but this could have improved over the years.
It seems you are juggling jelly when trying to use logic dealing with the medical profession, I grew up in the UK and emigrated to New Zealand just over 50 years ago and have found out how inflexible our health service is, NZ is a tea drinking culture just like the UK which means our diet is high in fluorine but because the US says fluoridation is wonderful for teeth, which maybe right if you have a low fluorine intake but hardly needed if your basic liquid refreshment contains an average of 3 mg per litre and according to Dr. Gary Whitford, Regents Professor of oral biology in the School of Dentistry Medical College of Georgia a cup of tea can contain between 1 and 9 mg per litre, I pointed this out to our heath dept and was told their research was sound and fluoridation was the only way forward, even though the research was out of date and based on recommendations from the US who as far as I know is not a tea drinking country, so my logic and theirs are completely at odds but I have seen they have removed the website that had the inaccuracies and replaced it with one that is high in the praise of fluoridation for NZ but without any reverence to tea. lol.
I am not familiar with the way the heath service works in the US. our heath service is funded by the tax payer with most drugs subsidized, as pensioners we pay $42 per visit (US$31) to the doctors and pay $5 per item on prescriptions. but hospitals are free although you can go private if you wish to pay.