Treatment options (general)
In terms of treatment options, we have to distinguish between the therapy of osteoporosis itself, the therapy of any effects of osteoporosis such as pain, treatment of any broken bones or reduction of an increased risk of falling, and the therapy of any other underlying diseases that may cause osteoporosis (secondary osteoporosis). In principle, we have the following options for this:
The differences between prevention (precaution) and therapy (treatment) are fluid. With regard to the importance of diet and exercise, the same applies in principle as in the point of precaution. However, depending on the age, the respective symptoms (pain) and the general state of health, you have to discuss with the respective patient what is still feasible and what is not.
For example, it makes little sense to put an 80-year-old woman with advanced, overt osteoporosis in a gym for exercise therapy or a 53-year-old woman with osteopenia who is otherwise in good health and still relatively fit in a gymnastics group for seniors to send.
These differences must also be taken into account with regard to recommendations on eating habits. The physical treatment options, like the pain treatment, primarily serve to alleviate the symptoms and pain, but do not directly affect the bones in the sense of a causal treatment of osteoporosis.