For people who experience problems or side effects with other treatments, two other medications are available, including etidronate (Didronel) or pamidronate (Aredia). Both are bisphosphonates, like alendronate and risedronate.

How well a treatment works is monitored by bone density measurements every one to two years. To get the most accurate comparison, all bone density measurements should be done on the same machine in the same facility.

If a person with osteoporosis fractures a hip, surgery may be needed to realign and stabilize the hip. A wrist fracture may heal well simply by being put in a cast, or surgery may be needed to restore proper alignment and function. Other treatments for fracture include pain medication and rest for a short time. Calcitonin injections may reduce spine pain from a new compression fracture.