Hip Fracture - Treatment Overview
Exercising and staying active help you keep your bone strength.
Weight-bearing exercises such as walking, jogging, and light weight training
help to minimize bone loss. Talk to your doctor about an exercise program that
is right for you. Begin slowly, especially if you have been inactive. One study showed that moderate physical
activity, such as walking, was linked to a substantially lowered number of hip
fractures in postmenopausal women.7
Don't drink more than 2 alcoholic drinks a day
if you are a man, or 1 alcoholic drink a day if you are a woman. Drinking more
than this puts you at higher risk for osteoporosis. Alcohol use also raises
your risk of falling and breaking a bone. See pictures of standard alcoholic drinks .
Don't smoke. Smoking puts
you at a higher risk for osteoporosis and increases the rate of bone thinning
after it starts.
Talk to your doctor about taking hormone replacement
therapy or other medicines if you are at risk for
osteoporosis. Some doctors recommend
hormone therapy for osteoporosis, although its risks
and benefits should be considered. Other medicines such as
bisphosphonates, including alendronate (Fosamax) and
zoledronic acid (Reclast); raloxifene (Evista); and calcitonin (Calcimar or
Miacalcin) are also used to prevent or treat osteoporosis. Studies show that
the bisphosphonates, in particular, significantly reduced the risk of hip
fracture in older women who have osteoporosis.8 For more
information, see the topic
For more information, see the topics Fitnessand
Almost all hip
fractures in older adults happen because of a fall. Things that increase your
chance of falling include:
- Having poor balance and
- Having weakness in one or both
- Using certain medicines that may cause sleepiness, weakness,
- Having vision problems.
- Drinking too much
- Feeling confused or having impaired reasoning (caused by
age or conditions such as dementia).
You can reduce your risk for falls by:
- Removing anything in your house that may
cause you to fall. Household hazards that can cause falls include slippery
floors, cords, poor lighting, cluttered walkways, furniture placement that does
not allow a clear pathway for walking, and throw rugs.
nonslip mats and grab bars in the bathtub and shower.
- Making sure
stairways have handrails. Having rails on both sides of the stairs is best.
Also be sure to turn on the lights when you use the stairs.
sure you have enough light to see obstacles or pets as you move around your
- Exercising to help you keep your strength and balance.
- Taking medicines only as directed and periodically reviewing
your medicines with your primary care doctor, especially if you have more than
one doctor. Some medicines, such as sleeping pills or pain relievers, can
increase your risk of falling.
- Wearing low-heeled shoes that fit
- Using walking aids correctly.
For more information, see the topic