3-4 days free worldwide delivery

Orthotic Care for Osteoporosis

by MASS4D® Prescription Orthotics June 28, 2017

Orthotic Care for Osteoporosis

Osteoporosis refers to a disorder characterised by loss of bone mass density and gradual deterioration of the skeletal structure; the heightened fragility of the bones leads to an increased incidence of osteoporotic fractures, especially hip fractures that can cause permanent disability.

Clinically, a bone mineral density (BMD) which is either equal to or greater than -2.5 standard deviations is diagnosed as osteoporosis. The resultant effect on the musculoskeletal system involves a host of physical and physiological alterations such as limited mobility and joint deformities.

Dr. Lawrence G. Raisz, of the UConn Musculoskeletal Institute, clearly outlines the pathogenesis of osteoporosis as a failure to produce a skeleton of optimal mass and strength during growth; excessive bone resorption resulting in decreased bone mass and microarchitectural deterioration of the skeleton; and an inadequate formation response to increased resorption during bone remodelling.

Oestrogen deficiency represents the highest risk for the development of osteoporosis with bone remodelling accelerated at menopause, causing an increase in bone resorption and facilitating bone loss.

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

Secondary hyperparathyroidism results from a culmination of decreased calcium intake, impaired intestinal absorption of calcium and a deficiency in Vitamin D; this accelerates bone loss and fragility in addition to contributing to neuromuscular impairment that perpetuates risk of falls.

Pfeifer et al. state in their review on musculoskeletal rehabilitation for osteoporosis that the strong correlation between osteoporosis and falls makes it necessary for preventative strategies to focus on bone-related factors and on risk factors for falls.

The authors recommend proprioceptive dynamic posture training after a vertebral fracture in the form of back strengthening exercises to reduce thoracic hyperkyphosis, vertebral fracture and the kyphotic posture associated with osteoporosis and ageing.

The efficacy of including MASS4D® customised orthotics in active rehabilitation programmes stems from increased functionality in the lower limbs, improvement in gait patterns and enhanced mobility.

MASS4D® foot orthotics are highly customised and built to accommodate specific musculoskeletal changes, acting as supportive devices for the foot to prevent falls and provide protection from osteoporotic fractures that could greatly affect an individual’s quality of life.

Copyright 2017 MASS4D® All rights reserved. 

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

Related Links

Rehabilitation as an Integrated Approach
Prevention and Assessment of Fall Risks in the Elderly
Custom vs Non Custom Orthotics


  1. Raisz L. G. (2005) Pathogenesis of osteoporosis: concepts, conflicts, and prospects. The Journal of Clinical Investigation: December 2005, Vol. 115, No. 12, pp. 3318-3325
  2. Pfeifer M., Sinaki M., Geusens P., Boonen S., Preisinger E., Minne H. W. (2004) Musculoskeletal Rehabilitation in Osteoporosis: A Review. Journal of Bone and Mineral Research, 19: May 2004, pp. 1208-1214

Leave a comment

Comments will be approved before showing up.

Also in Clinicians Blog

Piriformis Syndrome
Managing Piriformis Syndrome

by MASS4D® Prescription Orthotics October 16, 2018

Piriformis syndrome is caused by the entrapment or compression of the sciatic nerve by the piriformis muscle at the infra-piriformis canal. This is commonly felt as sciatica which can intensify with certain triggering positions.

Read More

Patellar Tendinopathy
Patellar Tendinopathy

by MASS4D® Prescription Orthotics September 30, 2018

Repetitive movements such as those found in basketball and volleyball involve the constant release and storage of energy from the patellar tendons without adequate rest. This can result in patellar tendinopathy.

Read More

Injury Prevention In Gymnastics
Injury Prevention in Gymnastics

by MASS4D® Prescription Orthotics September 23, 2018

Gymnastics requires a combination of high skills and complex maneuvers coupled with long training hours – all of which can increase a gymnast's chances of developing injuries of the lower extremity.

Read More