Thickening the trabeculae versus increasing the trabecular number
I'm interested in how to improve the quality/strength of specifically my trabecular bones.
I read at: "several reports have shown that jumping increases the trabecular bone mass by thickening the trabeculae, whereas treadmill running and swimming add to the trabecular bone mass by increasing the trabecular number, rather than the thickness. "
I 'm completely new to this subject. Does this mean for people with severe osteoporosis (T-value of -3.9) that it would be best or safest to first work on the trabecular number before working on thickening the trabeculae?
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Connect

I wonder if this will offer something useful.
https://academic.oup.com/jbmr/article/40/2/193/7917137
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2 Reactions@gravity3 Thanks for sharing this article on the effects of Romosozumab on the trabecular bone score in postmenopausal women with osteoporosis.
I hope to be starting Abaloparatide in a few weeks time.
As for exercises, I wonder whether it's better or safer to start trainings meant to make the trabecular number higher before starting any high impact training for thickening the trabeculae?
@wilweten
I am a patient and not a physician or very knowledgeable about exercise for osteoporosis. I wonder if melioguide.com might have some info on that or links to specific resources. I imagine there might be someone here on Connect who can direct you to resources. Have you asked the physician who is treating you if they might? Please let us know what you discover.
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2 Reactions@gravity3 Yes, I've already started watching melioguide's videos.
My internist is focused on what might have caused this situation and we discussed which medicine would be best for me.
I've been waiting for a physiotherapist to call me back for some sessions, but they seem rather busy at the moment (or on holidays).
Yes, I'll share what I discover.
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3 Reactions@wilweten I finally found a PT who has extra osteopathic training and can focus on my individual best path for bones, while dealing with back pain., a tall order !
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1 Reaction@gravity3 I agree Melioguide/Margaret Martin has the best information and exercises modified by yiur FRAX fracture risk. She is a physiotherapist specializing in osteoporosis. Lots of free information on her FB, website and YouTube.
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1 Reaction@wilweten Margaret Martin/MelioGuide website also has lots of articles and interviews with top Osteoporosis doctors (eg., endocrinologists) etc about Osteoporosis pharmaceutical treatments too. This might also help you develop your questions for your doctor about your treatment. Fyi the type of bone in our hips and femur neck does not respond as well to treatment as does our spine. But frim the research I have done, Evenity has had the most success relative to other pharmaceuticals.