It has been under study for many years with variable results. The Effect of Fluoride Treatment on the Fracture Rate in Postmenopausal Women with Osteoporosis. A slow release form of sodium fluoride is under study but has not received formal FDA approval. At the present time, the decision about whether or not fluoride would be appropriate for treatment of a patient with osteoporosis is best left to consultants and consultation may be considered if fluoride treatment is appropriate. An attempt to evaluate the circumstances and mechanisms of falls should be undertaken.
Caregivers can help to reduce falls.
In some studies, a multi-fracture intervention program has reduced falls, but long term evaluation and cost effectiveness of these programs is not available. Although the magnitude of the exercise effect on bone density is small, patients who exercise regularly maintain their leg strength and coordination and, may thus fall less. The establishment of a good falls prevention program may require a home visit from a health care professional such as an occupational therapist. Without a history of falling, fall prevention educational material can be given. Increased physical activity is helpful in building bone during the phases of mineral acquisition and bone consolidation.