Osteoporosis is a condition of porous bones that makes your bones weak and fragile. There are 3 thing you can do to avoid falling prey to Osteoporosis:
*Consult your doctor to figure what's the optimum amount of Calcium you should be taking. Pregnant women, for instance, need more calcium than normal people.
*Take Sun-bath daily to ensure adequate amount of Vitamin D for your body. There are other sources of Vitamin D too. Consult your doctor to find out what are those sources and what's the right amount.
*Regular exercise is extremely necessary for good bone health. Make a plan and stick to it

3 Important Things to do to Avoid Osteoporosis

Yoga vs gym  
Any form of regular exercise is a must for a healthy lifestyle. While some people prefer to work out in a gym, others like the calmness of their own house where they can practice yoga or a walk in the park. Each style of exercise has its own pros and cons. Let's take a look at working out in the gym vs yoga and regular walks.

Benefits of yoga and walking over going to gym:

Good for both - the mind and the body
Yoga is a lifestyle and not merely an exercise routine. Thus, it not only builds and tones muscles but also strengthens your lung capacity, digestive system etc. It is also said to increase the ability of the mind to focus and attentiveness.
You could walk on a treadmill in the gym but taking a walk outdoors does more good to your body. Being with nature when you walk outdoors is known to be an effective stress buster and helps you calm your senses. Walking can also help improve your moods and is a form of treatment for depression as well.

Does not need any special equipment
With yoga, there is no need for weights or special shoes. All you need is a flat, firm surface which could be the carpet in your bedroom or your lawn outdoors. The only equipment you need for a walk is a pair of sturdy, comfortable walking shoes. This makes yoga and walking budget friendly as well compared to gym membership costs.

Can be done anywhere
Since yoga does not need any special equipment, it can be practiced anywhere and at any time. Taking a break from sitting at your desk - try doing pranayam. Keep a pair of walking shoes handy and at lunch break take a quick walk around the block - there's nothing to stop you.

Less chances of injuring yourself
Once again, since yoga does not need specialized weights or equipment, there are less chances of injuring yourself. Yoga also does not focus on speed, allowing you to move comfortably - in a way that your body always feels good.
Walking again is an exercise that allows you to work at your own pace and does not make you compete with others. As long as you see where you are going and avoid walking on tarred surfaces, the chances of injuring yourself while walking are also very low.

Long term weight loss  
A reason most gym enthusiasts prefer a strenuous workout to yoga and walking is faster weight loss. These techniques do help lose weight but the process is slow. However, since this weight has been lost gradually, it is more likely to stay off.

Yoga Vs Gym

To keep up good health, it is absolutely necessary for one to indulge in physical exercise or activities. Physical activities, in general, are linked to a host of good benefits, such as reduced stress and a healthier and better outlook, besides increasing the body's resistance against complications like heart problems, high blood pressure, diabetes and muscle pain among others problems.

Similarly, the practice of yoga is an ancient tradition well known for its health benefits. In addition, walking can further complement the practice of yoga and they can together prove to be highly advantageous, to the extent where they can be possibly regarded a better alternative to the act of gyming.

Benefits
Here are a few benefits of gym workouts followed by the benefits of yoga plus walking: 

Benefits of gym and other exercises:
1.  Keep muscles fit
2.  Enhance respiration and perspiration
3.  Helps in weight loss
4.  Relieve stress
5.  Increase appetite and food consumption

Benefits of yoga and walking:
1.  Keep you active throughout the day
2.  Help bowel movement
3.  Increase mind control over the body
4.  Improve blood circulation
5.  Relieve anxiety and keeps one stress free
6.  Can be practiced anywhere and everywhere

Differences
Although it can be argued that gym workouts are better than yoga and vice-versa, the subject matter is highly ambiguous and debatable. Since both activities are good for your health, physically as well as mentally, it is very difficult to say which one is better; perhaps a detailed comparison of the differences between the two may be more helpful:

1.  While gymming and other exercises focus on building the body and helping you attain the desired body figure, yoga and walking aims at regulating the entire body mechanism, with more emphasis on mental control.
2.  While gym workouts may be more expensive, yoga requires minimal accessories and is therefore, more economically convenient.
3.  Yoga is suitable for people of all ages, whereas gymming and other intense physical activities are not advisable for old people or those with specific medical ailments like hypertension and heart problems.
4.  There are minimal withdrawal effects with yoga, in contrast to gym workouts.
5.  Gymming requires you to go to the gym, whereas yoga and walking can be done anywhere and everywhere.

Benefits of Yoga + Walking Vs Gyming

Many of us thrive on the diet rich in processed fast foods as we hardly get time to cook a wholesome meal for ourselves in this fast-paced schedule. Moreover, junk foods hardly have anything to contribute to our body while the baked goods strip off all the essential nutrients. These are some of the prime reasons behind vitamin deficiency. Even though that doesn t mean that it will leave your body impaired or lead to any disease, but it can prevent some organs from functioning properly.

This is because vitamins & supplements are regarded as co-contributors for all the essential biochemical reactions within the body. Fatigue, shortness of breath, weight loss and irregular heartbeats are some of the well-known signs of vitamin deficiency, but you should be aware of the unusual vitamin-deficiency signs as well.

White and red acne on the arms, thighs, and cheeks: Dietitians say this means that your body is not just deficient in Vitamins A and D, but some essential fatty acids as well. If you spend long hours in air-conditioned spaces and live in a region high in pollution, you are more likely to suffer from these deficiencies. You should eat a lot of fishes, eggs and green leafy vegetables in this case. You should consume dairy products since they contain healthy fats along with all the fresh fruits and vegetables you can think of.
Tingling sensation followed by numbness in the hands and feet: This indicates that your body is deficient in B vitamins such as B12, B6, and folate or B9. It is a health issue directly connected with the peripheral nerves and their ending on the skin. These symptoms may be accompanied by depression, anemia, fatigue and even hormone imbalances. Foods like eggs, mutton, chicken, nuts, wheat germ, brown rice, grains, and sprouts are an excellent source of vitamin B.
Cracks at the corner of the mouth: This is a common symptom indicating a deficiency of B vitamins along with iron and zinc. This problem is mostly seen among vegetarians since they do not eat enough iron, zinc and Vitamin B12. It could also mean that you are cutting down on some proteins required for your immunity building owing to excessive dieting. You should include more poultry products, tomatoes, lentils, and peanuts. Make sure that you eat dairy products such as paneer, yogurt, and ghee or clarified butter.
Muscle cramps along with throbbing pain in calves, arches of feet and back portion of the legs: If this is the case with you, then you are not just deficient in vitamin but calcium, magnesium and potassium as well. This may also happen if you are training hard since you are likely to lose more minerals through heavy sweating. Have a lot of fresh fruits, dry fruits and vegetables to fix these issues.
The key to avoiding such problems is to have a balanced meal every day. 

Vitamin Deficiency - 4 Signs Your Body Is Giving You!

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended world-wide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through small incision and it eliminates the chances of human error. A perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicate knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.

Knee Replacement

Why osteoporosis and osteopenia are fast turning into diseases of the young

Did you know that osteoporosis causes more than 8.9 million fractures worldwide every year? what is frightening is many of these fractures are now taking place among the youth due to deficit diet and poor lifestyle coupled with genetic predisposition. Both osteoporosis and osteopenia are two forms of bone loss conditions, with the latter being a precursor to the former. To distinguish between the two a bone mineral density test is usually performed.

What is the difference between osteoporosis and osteopenia?

A BMD (bone mineral density) t-score between -1 sd and -2.5 sd indicates osteopenia with a high chance of osteoporosis. On the other hand, a t-score of -2.5 sd and below stands for osteoporosis. A higher bone density (above -1sd) is usually indicative of stronger bones. Fragility index is more accurate way to assess the risk of fractures.

In osteoporosis the bone loss or weakening of bones take place over a long period of time, and results in unexpected fractures and severe bone problems. Disfigurement, fractures in the spine, loss of mobility and independence are usual characteristics of this bone disease once it progresses further.

Prevention is better than cure, always!

To keep bones strong and healthy, calcium and phosphate is continuously absorbed by the body. But after 30, the body?s ability to absorb calcium slows down and there?s a decrease in the production of new bones. In contrast, bone desorption (the process of transferring calcium from the bone to the blood) continues unabated.

When the body starts absorbing the store of calcium in the bones to meets its needs, it leads to calcium depletion and is one of the causes of the weakening of the bone.

At present, the age limit (50-60 years) for osteoporosis has seen a drop with many younger people increasingly suffering from the ailment. Factors like unhealthy lifestyle, late-night shifts, smoking and alcohol consumption have been found to be the culprits behind the rise in osteoporosis cases among the young. Recent studies have identified vitamin d deficiency as a major factor for poor bone health and bone mass density in the young.

How to keep your bones strong and healthy? and manage osteo - penia/porosis complications:

Bone loss can be prevented by adopting these very simple but effective ways:

- exercising can help in building strong bones and muscles, while preventing bone loss.

- maintaining a calcium intake of 1000 mg for pre-menopausal women and 1200 mg for women post menopause.

- staying out in the sun for 20 minutes to produce requisite amount of vitamin d for calcium absorption and using supplements of vitamin d.

- there are many safe medicines available to prevent and treat osteoporosis like alendronates, calcitonin, parathyroid, teriparatide preparation etc.

- in osteoporosis induced /associated fractures we have to to modify implants to negate weak purchase of implants in bone and improve mobility. We have been using these modifications in established osteopenia/porosis case in fractures treatment/joint replacement/ arthroscopic fixations and MIS spine fracture management.


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