Orthopaedics Q&A: Ways to improve bone strength

Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.
This week’s answers:

1. My wife aged 57 is an old patient of rheumatoid arthritis and had been regular course of steroids from 1985 to 2002. she suffered stress fracture in both her legs recently. According to the Doctor I consulted her bones have become very soft and brittle and chances are that she may encounter similar problems frequently in future. He has advised to use ankle braces and undergo a course of calcium and Vit.D. I wish to be advised what other recourses or line of treatment can be adopted to avoid recurrence of such fractures in future.
APM Sinha

Patients on long term steroids will have weak bones. The ways to improve bone strength are:
1. Regular gentle exercises
2. Calcium tablets 500 mg twice a day
3. Vit D supplements once a week
4. Anabolic steroids once a week / month / year dose.
5. Patient has to be very careful not to get injured.

Send in your questions on orthopaedics to bawarchieditor@sify.com now! And don’t forget to include `Orthopaedics FAQ` in the subject line.