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There is another silently progressing, common disease other than diabetes and hypertension that can cause potentially serious risk to your health in old age. Osteoporosis meaning “porous bones” indicates a condition where your bones become more porous, thinner and weaker due to accelerated loss of bone or reduced bone formation or both. It is most evident in the vertebrae of spine, hip bones and in the wrists.
Thin and porous vertebrae fracture easily. They crumble on their own or due to minor stresses during daily activities like coughing, sneezing, bending forwards. These fractures can be painless and go unnoticed in multiple levels till the spine develops a forward bend and a noticeable loss of height. Or it can cause significant pain and disability, limitation in daily activities and increased dependence on others. A simple slip and fall at home can cause a fracture in the hip bones that can make the patient completely bed ridden. These situations commonly cause depression and general deterioration of health and leads to other risky complications in old age.
Though it is most common women after menopause, it also happens in men above age of 65 years and in those with certain risk factors like liver or kidney disease, thyroid or parathyroid disorders, and certain tumours. Smoking has been proven to cause osteoporosis. Long term steroid intake given for various conditions and medications given for seizure disorders also can cause osteoporosis.
Osteoporosis can be detected easily by a screening test called the DEXA scan. Any one above the age of 50 years should consult an orthopaedic surgeon to know if they are at risk of osteoporosis and whether he/she needs a DEXA scan. If the DEXA scan reveals that you have osteoporosis, you must be evaluated by an orthopaedic surgeon and an endocrinologist to look for other treatable conditions that can cause osteoporosis. There are medications that are prescribed to strengthen the bones and reduce the risk of fractures in future. Diet rich in calcium and vitamin D and supplementary calcium and vitamin D medications are also an essential part of treatment.
Although the vertebral osteoporotic fractures commonly heal in a few weeks with bed rest and medications, some of them may not heal in time or cause severe pain and disability. These patients might need surgical intervention. Vertebroplasty is a procedure that involves injection of bone cement into the broken vertebra and can give immediate pain relief. Kyphoplasty is a similar procedure that can restore the height of the fractured vertebral body and reduce the forward stoop in the spine. Open surgery might be required sometimes if the collapsed vertebra causes a compression of the spinal cord or nerves in the spine. Osteoporotic hip fractures and wrist fractures often need surgical treatment for fixation.
Prevention of osteoporosis should begin in childhood. Growing bones accumulate calcium and the calcium in bones reaches a peak at around age of 26 to 30 years. After that age, there is a slow decline in the bone calcium, which accelerates in old age especially in women after menopause. So those who reach a lower peak of calcium in bones by the age of 30 are at a higher risk of developing osteoporosis in old age. This means that adequate intake of dietary calcium, vitamin D and adequate exercise from young age is very important to prevent osteoporosis.
Prevention of falls and resultant fractures in those who are osteoporotic is an important aspect of treatment. This needs modification of their living spaces to remove the risks of a slip and fall. Routine exercises and an active lifestyle load the bones and make them stronger and it is a must for all those with osteoporosis and those at risk of developing osteoporosis.
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For neck pain what should be done without any surgery since I am above 70 years old. Kindly suggest.
My mother feels pain n burning in the gums, at night while sleeping the pus comes out. The mouth is always dry. What is the reason and cure. Is there any permanent cure or any home remedy? Please help.
Dear sir, It is common practice to drink milk in the morning. But some suggest to drink Luke warm milk in the night. According to medical science which is best time to consume milk to reap maximum benefit. Thank you sir. You are doing great service
Sir mujhko piliya baar baar hota hai mai kya karun iske bare mai koi badiya salah de dijiye jisse yeh rog baar baar na ho.
Hi, I have around 7, 8 lipomas in my arms. Please suggest the remedy. Presently I am taking some ayurvedic medicine like triphala and kaishor guggulu.Please tell.
I have stomach ache from last three days please Suggest me some medicine which will give some relief.
Hello doctor, I'm male 24 year old. I'm suffering from cold and cough last 3- 4 months. Now I'm very tired. What should I do?
I am 22 years old, from past 4 months my elbow hurts and was swollen went to a doctor he said its because of vitamin d deficiency and told me to take capsules and also massage elbow with this energizer oil and use hot water bag. Although there was a little difference in both pain and swollenness but with little exercise the pain was back. Now what should I do?
I need an advice regarding use of condoms. How I should use a condom and how much useful it is. I am a male aged 27 yrs and married and I am having a kid also.
How could I known that I satisfied my partner while having sex? Is there any sign to know she reached orgasm? How can we make it better or more pleasant.
Avocados may be fatty, but that doesn't mean they are bad for your health.
In fact, this fruit is a nutritional powerhouse providing numerous potential health benefits. Its creamy texture and rich taste make it a common ingredient in many dishes. It is most well known for being a key ingredient in the Mexican dip 'guacamole'. Because of its high fat content, avocado is also used as a meat substitute in sandwiches and salads. But what makes this fruit so good for you? it is an excellent source of potassium, containing more per weight than bananas. In addition, avocados are rich in vitamin k, vitamin b, vitamin c and vitamin e. They are rich in phytochemicals, which have been reported to help prevent the development of certain cancers. Fats account for around three-quarters of the calorie count of an avocado. Most of it are monounsaturated fat, in the form of oleic acid. Monounsaturated fat is considered to be a 'good fat' which reduces levels of bad cholesterol in your blood and lowers the risk of stroke and heart disease. Keeping cholesterol levels in check is vital for diabetics as they have a much higher risk of cardiovascular disease. The high levels of potassium in avocados is another important nutritional factor for diabetics due to its role in maintaining a healthy heart and regulating blood sugar. Having monounsaturated fats in a diabetic diet is also beneficial for reducing high triglyceride levels and thus improves insulin function and blood glucose levels. All in all, avocado is a very healthy food for those living with diabetes and for people who wish to lower their risk of developing the disease.'