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Psychosomatics of osteoporosis

Osteoporosis doesn’t hurt for years. Often people find out about it when a bone breaks after a fall from standing height.

Psychosomatics of osteoporosis: explained by Aizhan Li, author of the Ladder method
Айжан Ли
Aizhan LiAuthor of the Ladder method
Updated

What psychosomatics says

In psychosomatics, bones are linked to your sense of worth, and osteoporosis to a feeling that with age you’ve become worth less. “I’m not who I used to be,” “I can’t do what I used to.”

It often starts after events that change your place in life. Retirement. Your grown children moved away, and you ask yourself, “What am I needed for now?” Work and home don’t need you the way they used to.

Age by itself doesn’t take away your worth. Your thoughts about yourself do. Psychosomatics helps you find where you stopped valuing yourself and see what makes you important now.

Quick check: what may be behind it

  1. When did you first think “I’m not who I used to be”?

  2. What changed when your children grew up or your work ended?

  3. What makes you valuable right now, not in the past?

What it is

With osteoporosis, bones lose density and become fragile. That’s how the clinical protocol of the Ministry of Health of Kazakhstan (2016) describes it: bone mass decreases, its structure breaks down, and the risk of fractures grows.

The protocol lists being female among the main risk factors. The UK’s National Health Service (NHS) says women lose bone especially fast in the first years after menopause, and the risk is higher if menopause started before 45.

According to the International Osteoporosis Foundation, one in three women and one in five men over 50 will break a bone because of osteoporosis.

The risk goes up with family history, low body weight, smoking, alcohol, little movement, a lack of calcium and vitamin D, and long-term use of glucocorticoid hormones. Bone density is checked with densitometry, a quick, painless scan.

How it shows up

If your hip hurts badly after a fall, you can’t stand on your leg, or your back suddenly starts hurting, see a doctor or an emergency room right away: it may be a fracture.

A general practitioner, gynecologist or endocrinologist will assess your risk. They’ll send you for densitometry and blood tests for calcium and vitamin D.

Frequently asked questions

Can osteoporosis be caused by stress?

Doctors see the main causes of osteoporosis in age, menopause, family history, a lack of calcium and vitamin D, little movement and some medicines. Psychosomatics adds its own view: what was happening to your sense of worth when your bones started getting weaker.

What does osteoporosis mean in psychosomatics?

It’s linked to a feeling that with age you’ve become less valuable: “I’m not who I used to be,” “What am I needed for now?” It often starts after retirement or when children leave home.

If I’m being treated for osteoporosis, do I need psychosomatics?

A doctor prescribes treatment based on densitometry and tests, and it’s best not to interrupt it. Psychosomatics goes alongside: it helps bring back your sense of worth. One doesn’t get in the way of the other.

Sources

  1. Клинический протокол «Остеопороз». Министерство здравоохранения Республики Казахстан, 2016
  2. Osteoporosis. Национальная служба здравоохранения Великобритании (NHS), 2022
  3. About osteoporosis. Международный фонд остеопороза (IOF)

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Related topics

Psychosomatics does not replace tests and treatment. Only a doctor can make a diagnosis.