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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Are Osteoporosis and Osteopenia fast turning into diseases of the young?

Bones are similar to a porous framework which is filled with minerals that make it hard and strong. With age, there is gradual degradation and the mineralized portion is lost, thereby leading to thinning of the bone. The word osteoporosis literally translates to porous bones, which is due to the gradual demineralisation. In addition to the natural ageing process, there are other diseases that can accelerate the demineralization process.

Women are more prone to demineralisation, and after the age of 40, they should take extra precaution to slow down the onset of the condition. The following are some ways to improve bone health and halt osteoporosis in the long run-

Diet: Ensure that your diet has sufficient amounts of vitamin D and calcium. Though calcium is the essential mineral for bone formation, vitamin D is required for the absorption of calcium, and therefore both these elements play a vital role in maintaining the quality of the bones in our body. Most people require about 1,000 mg of calcium and about 500 units of vitamin D for optimal bone health. This requirement goes up slightly in postmenopausal women.

Sun Exposure: In most people, exposure to the sun allows the body to make vitamin D, but careful sun protection prevents this from happening. Also, with age, the body s ability to form intrinsic vitamin D also declines. The body, therefore, relies on supplements. Most dairy products are good sources of calcium. In addition, spinach, salmon, turnips, and broccoli are some calcium-rich foods. Supplements of calcium carbonate or calcium citrate can be taken if your diet is lacking in calcium. Vitamin D also should be included in the supplementation. The treatment for osteoporosis is incomplete without these two supplements.

Exercise With Weights: The constructive tension that exercise puts on the body helps in bone building, whatever the age may be, which prevents the onset of osteoporosis. Any exercise which improves muscle mass strengthens the bones, and puts stress on the bones is advisable. Since the fractured area due to osteoporosis mainly includes the spine, lower back exercises, yoga, tai chi, and abdominal exercises all work wonders. Pick any of these and do them for 30 minutes three times a week.

Quit Smoking: Continuing to smoke while taking osteoporosis medications is completely useless. Nicotine negates all the effects which defeat the purpose of taking the medication and is as good as taking no medication at all. So if you want the bone thinning to stop, stop smoking.

Alcohol Consumption: While a drink or two per week is permissible, more than this can harm the bones significantly.

Constant Health Watch: Talk to your doctor about how other routine medications (if any) can affect your bone health. Also, identify how frequently you should check your bone mineral density and stick to the schedule.

Bone health and osteoporosis can be managed with some conscious efforts.

Bone Health And Osteoporosis - Know More About Them!

Osteoporosis is a disease that affects the bones of its sufferers. This is most commonly found in women, especially in those who are close to, or going through, menopause. Hormonal changes around this period in a woman's life usually lead to various changes in her body. One of these changes includes loss of bone tissue which can leave the patient with brittle and weak bones, a condition that is also known as osteoporosis. This condition literally imbibes the word porous, meaning hollow bones. It is born from an acute deficiency of calcium and vitamin d. The dexa scan or bone density test, also known as the dual energy x ray absorptiometry scan, is one of the most effective tests that can help you in detecting this kind of damage or thinning bones. Here's why.

- fractures: the dexa scan is an important one because it sends low energy beams to areas like your joints and tissues to show how susceptible you are to fractures. It does so by measuring the strength of the tissues as well as the bones to see how brittle they may be.&nbsp;

- other ailments: measuring the thinning of your bones can also point to the presence of other ailments that may have gone unnoticed or undetected, earlier. These can include kidney disease, hyperparathyroidism which happens due to overactive secretions of the said gland, as well as liver disease due a malfunctioning liver, intestinal disease and various disorders in the intestinal tract, and a serious vitamin d deficiency. With this scan, you can get an insight into the other parts of the body affected by the bone density, and whether or not they are functioning properly.&nbsp;

- estrogen: simply checking the estrogen levels cannot ascertain whether or not you have osteoporosis, as a high estrogen level can be credited to a particularly heavy period cycle. It does not show the bone health the way a dexa scan does.&nbsp;

- easy and standardised: this method of scanning usually happens with the help of a mounted x ray machine type, hand held gadget which can be extended to conduct the scan. This is an easy and standardised method that releases low levels of radiation which also makes it a healthier option.

- bone density scores: the t scores and z scores point towards the bone density and help in diagnosing the condition efficiently. With a systematic scoring system, it is a sure shot test for osteoporosis.

Osteoporosis is a serious condition. The first step in treating the same is to get a detailed scan like the dexa scan done, so as to test the extent of the bone thinning to ensure that proper and timely treatment takes place.&nbsp;


Why Is The DEXA Scan Important For Osteoporosis Patients

The bones are a porous matrix which is filled with minerals like calcium and phosphorus which make them strong. Over a period of time, the mineral content is lost and therefore the matrix gets brittle. Bones are more likely to fracture in these people.

Causes/Risk factors:

The bones get fragile and brittle with age in most people, and people over 60 years of age are likely to be affected
Asian women about the age of 45 are prone to osteoporosis
Reduced vitamin D intake (either by sun exposure or through diet) also makes bone porous and prone to fracture
Sedentary lifestyle with minimal or no exercise
Lower levels of estrogen, especially post menopause
Cigarette smoking
Reduced testosterone levels
With fracture, there is severe pain, loss of mobility, and need for prolonged nursing.
Foods which can help control/prevent osteoporosis:

Yoghurt: Derived from milk, it is rich in animal protein and also contains good amounts of vitamin D and B2, calcium, phosphorus, and magnesium. It helps in maintaining estrogen levels during menopause, thereby preventing osteoporosis. They also provide a good supply of gut bacteria, which improves immunity.
Milk: Similar to yoghurt, this is also rich in various minerals that are essential for bone health. The vitamin D in it also improves calcium absorption, thereby prolonging the occurrence of osteoporosis.
Fish and meat: Lean meat and fish are good sources of oils and protein and form an essential part of diet for preventing osteoporosis. Sardines and salmon are ideal as the tiny fish are rich sources of calcium.
Eggs: This contains good amounts of natural protein, minerals, and vitamins essential for bone health. It also helps in estrogen formation, which has a bone-protective effect.
Cabbage: Any form of cabbage is good for preventing osteoporosis. It promotes bone metabolism and has calcium which help in strong bone formation.
Bananas: Another effective food in preventing osteoporosis, it helps improve absorption of calcium and other essential nutrients to ensure bones are formed and maintain health. It also has natural oils, potassium, and vitamins A and C in good quantity.
Almonds: It forms an integral part of preventing osteoporosis by increasing bone density and promoting bone health. It also has good oil content, which is also essential for bone health.
Legumes: Beans and other legumes are rich source of proteins and minerals and therefore prevent onset of osteoporosis.
Chickpeas: Another great source of various minerals and vitamins, it is very low in calories and sugar and is great to lose weight. It also improves bone health by increasing density.

Osteoporosis - How A Healthy Diet Can Reduce Its Risk?

The bones and muscles tend to get worn with age and other conditions. Osteoporosis is a condition described by a reduction in bone thickness. Bones tend to become weak and fragile in this condition. The most common consequence of osteoporosis is fractures. Osteoporosis does not cause signs or side effects until it has reached an advanced state. Certain signs and symptoms of osteoporosis include:

Back pain

Loss of growth after some time

A stooped stance

Crack of the vertebra, wrist, hip or other bone

Homeopathy has been a very beneficial modus operandi in the campaign against Osteoporosis. Homeopathic remedies will not reverse existing bone loss, but can help control pain, will slow down or stop further bone loss, can promote stability and healing.

Homeopathic remedies will allow the essential minerals and nutrients to be absorbed more efficiently, thus, further preventing bone fractures, or accelerating healing of any existing fractures by strengthening the bones.

Homeopathic constitutional approach takes into account a patient s characteristic symptoms, their overall physical and mental condition and understands the way a person s body reacts to Osteoporosis.

The purpose of Homeopathic approach is to vitalize the body s natural healing and self-repair ability to create the highest state of health and well-being.

The aim and objective of Homoeopathic management can be achieved by:

Dietary intake of intake of calcium required by body.

Correction of intake of calcium apart forms food to regulate the daily requirement of calcium.

Correction of intestinal absorption of calcium.

Correction of assimilation of calcium channels in body by constitutional approach.

Exercise, in the form of light exercises and/or meditation.

Therapeutic correction in case the above criteria fail or partially improve the patient.

Various homeopathic prescriptions are accessible to cure bone loss and keep up bone mass. They tend to get rid of the condition from its roots and prevent it from happening in the future. These include:

Symphytum Officinale: It is the best homeopathic solution for treating fractures in osteoporosis. This homeopathic cure helps in joining the cracked bone proficiently. Fractures, where patients complain of a prickling pain in the fractured area, can be significantly soothed by giving this regular homeopathic treatment. This common homeopathic medicine can likewise help in decreasing irritability of the fracture.

Ruta Graveolens: It is yet another very effective homeopathic cure used for the treatment of fractures in osteoporosis. Whenever a bone gets broken, the ligaments and tendons of bones that surround it additionally get harmed. It is in this circle where homeopathic medicine Ruta Graveolans demonstrates its great impact. This regular solution helps in mending torn ligaments and tendons.

Hypericum Perforatum: It is yet another helpful natural homeopathic solution that can be used with certainty for the excruciating pain in the back because of crushed nerves in the middle of harmed vertebral bones.

Calcarea Phosphorica: Calcarea phosphorica is a very effective medication used in homeopathic treatment of the curvature of the spine and flow of blood in patients of osteoporosis. It is mostly given to those patients who have a weak spine and delicate bones, which cause the curvature and stop the flow of blood.

Phosphorus: Phosphorus can also give the best results in curing the curvature and flow of blood in patients of osteoporosis. If blazing sensation in spine remains along with the curvature, this treatment is the most effective. This regular homeopathic cure is also valuable for pain and weakness in the spine.

Calcarea Fluorica: It is a brilliant solution for osteoporosis patients who complain of pain in the back, which is more painful while resting and better when walking or doing some physical exercise.

Syphilinum and Fluoric Acid: These are homeopathic prescriptions that can be used as a part of homeopathic treatment of osteoporosis where the pain occurs in the long bones and is more painful during the night.

Sulfur: It is used for those patients of osteoporosis who have an arch in the spine and walk and sit in a stooping position.  

How To Treat Osteoporosis Effectively With Homeopathy?

A decrease in bone density leads to osteoporosis. In this condition, the bones become weak and brittle. Fractures are a common result of osteoporosis. Symptoms or signs do not show up until it is too advanced.
To maintain bone mass and slow the deterioration of the bone, a number of homeopathic medicines are available. Mild osteoporosis is easier to treat with homeopathy. In advanced cases, homeopathy can be taken along with conventional medicine for best results.

What are the best remedies for osteoporosis?

1. For treating fractures in osteoporosis, the best natural homeopathic remedy is Symphytum officinale which helps in knitting/uniting the fractured bone by increasing the production of callous.When a bone is fractured and the surrounding tendons and ligaments of the bone also get severely damaged, the natural homeopathic medicine Ruta Graveolens is given. It also helps in mending the damaged bones, decreasing the pain, soreness and stiffness. If nerves get crushed between damaged vertebral bones, the pain can be managed by Hypericum perforatum. Silicea is prescribed when pus or fistula has formed at area of the fracture. If a patient is having troubles in assimilating calcium, Silicea can help to enhance digestive powers.

2. Calcarea phosphorica, Phosphorus and Sulphur are used for treating the curvature of bones in patients with osteoporosis.

3. For pain, patients of osteoporosis are given Calcarea fluorica. If there is pain in long bones and it gets worse during night time, patients are prescribed Syphilinum and Fluoric acid. Besides these natural homeopathic remedies, a diet filled with adequate vitamin D and calcium should be followed along with regular exercise.

Homeopathic Remedies for Osteoporosis

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