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Tomorrow my running event is there I would like take decca durabolin injection for one day, how much dose should I take please suggest me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Tomorrow my running event is there I would like take decca durabolin injection for one day, how much dose should I ta...
You should not take injection decadurabolin now & ever, as it is likely to reject you in competitive sports.
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Know Risk Factors Of Osteopenia Or Osteoporosis!

MBBS, MS - Orthopaedics
Orthopedist, Kanpur
Know Risk Factors Of Osteopenia Or Osteoporosis!
Osteopenia is a medical condition that gradually causes thinning of bone mass. While the thinning mass is not considered as severe, the real danger looms when osteopenia aggravates to osteoporosis, resulting in a bone fracture. Osteopenia is mostly witnessed in people above the age of 50. The difference between the diagnosis of osteopenia and osteoporosis lies in the measure of bone density.

Osteoporosis, on the other hand, is the loss of bone mass due to the deficiency of calcium, magnesium, vitamin D and other minerals and vitamins. Osteoporosis can lead to broken bones, height loss, acute pain and humpback. It is estimated that over 54 million people in the US suffer from osteoporosis.

Bone mineral density (BMD):
The calcium deposit in the bone is measured by the bone mineral density (BMD) test. This test rightly estimates the chances of bone fracture in a person. Furthermore, it helps a doctor to distinguish between osteopenia and osteoporosis. Being non-invasive in nature, this test can be performed anytime on areas such as hip, shin bone, spine etc. BMD can either be measured by plain radiographs or DEXA. The latter is a form of X-ray that has lesser exposure to radiation. Post the test, a score is given based on the calcium availability of the bones.

How is a BMD comprehended?
Every BMD result is evaluated in the form of T-score. The T-score is derived by comparing the result of the BMD with a normal person in the 30 s having the same race and sex. The difference of score between a healthy individual and a patient affected with osteoporosis or osteopenia is referred to as Standard Deviation. A patient with a T-score in the range of (-1SD) to (-2.5SD) is considered a prime candidate for osteopenia. A patient having a T-score lesser than -2.5SD is diagnosed with osteoporosis.

Risk factor for osteopenia or osteoporosis:
While not everyone runs the risk of getting either osteopenia or osteoporosis, there are certain risk factors attached to it:

Gender: Women run a higher risk of getting affected with osteopenia or osteoporosis.
Race: Women who belong from the Caucasian or Asian origin run a higher risk of getting these diseases.
Age: Most people tend to get these diseases above the age of 50. Humans have a tendency of losing close to 0.5 percent of bone every year after a certain age.
Family history: A person with a family history of osteopenia or osteoporosis has more than 50% chance of getting either osteopenia or osteoporosis.
Lifestyle: Poor diet, excessive smoking, alcohol, lack of exercising etc. goes a long way in contributing towards these diseases.

Osteoporosis Spine Fractures - Signs & Symptoms To Watch Out For!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Hyderabad
Osteoporosis Spine Fractures - Signs & Symptoms To Watch Out For!
Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In case of osteoporosis, the creation of new bones doesn t happen in accordance with the removal of old bones.

Spinal Fractures:

The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.

Risk Factors:

Increasing age

Abnormally less or high body weight

Smoking

Menopause or low levels of sex hormones

Gender: This disorder is more likely to affect women as compared to men. Also women, who are above 50 are more likely to suffer from this debilitating disorder.

Race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.

Having a family history of osteoporosis will put you at a greater risk of this disorder.

Symptoms:

Fractured or collapsed vertebra causing back pain

A stooped posture

A shrunken appearance (as if one has had loss of height)

Very fragile bones, thus increasing risks of fractures

Severe and sudden pain in the back

Difficulty in twisting or bending the body

Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.

Diagnosis and Treatment:

Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis.

Medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronate and zoledronic acid.

Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle-strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.

Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.

Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor. But, it is used only in selected cases.
2694 people found this helpful

Osteoporosis - What Causes It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, Fellowship in Rhuematology, DNB (Internal Medicine)
Rheumatologist, Chennai
Osteoporosis - What Causes It?
Osteoporosis in very simple terms is a condition that causes spongy bones. The bones develop pores and become fragile with an increased susceptibility to fractures. In average, all our bones get weak after the age of 35 years which means that the bone mass decreases. Women after menopause are especially susceptible to this condition and also osteoporotic fractures. What are the other risk factors for osteoporosis? Knowing this is important for your bone health as it will help to prevent fractures. But before we discuss the causes of osteoporosis, it is important to point out that osteoporosis has no symptoms and it can only be diagnosed when you have a fracture for no reason at all, or you get a bone density test to diagnose osteoporosis.

Some of the factors that can lead to osteoporosis are:

Genetics
Lack of exercise
Low calcium and low vitamin D levels
A personal history of fracture as an adult
Smoking
Excessive alcohol consumption
Rheumatoid arthritis
Low body weight
Family history of osteoporosis which means having a mother with an osteoporotic hip fracture doubles your risk of a hip fracture as well
Chemotherapy for treating cancer also increases the risk for osteoporosis as it causes early menopause.
In men low testosterone levels known as hypogonadism can cause this condition.
The absence of menstrual periods known as amenorrhea in younger women also predisposes them to osteoporosis as it causes low estrogen levels. Amenorrhea can occur in women who undergo extremely vigorous physical training or those that practice extreme dieting. As their body fat goes down they experience amenorrhoea.
Chronic inflammation, due to chronic inflammatory arthritis and also liver disease can cause osteoporosis.
Any condition that interferes with walking such as stroke can cause spongy bones.
Hyperthyroidism, a condition that causes an increase in production of the thyroid hormone can cause spongy bones too.
Some other factors that can lead to it

Hyperparathyroidism a disease where there is an increased parathyroid hormone production by the parathyroid gland. This hormone maintains blood calcium levels by absorbing calcium from the bones. This can cause osteoporosis.
Low vitamin D causes low absorption of calcium from diet and hence you are at a risk of developing osteoporosis. Conditions such as celiac sprue or biliary cirrhosis which hamper the absorption of vitamin D can also cause osteoporosis.
Medications such as heparin, a blood thinner, anti-seizure medicines such as Dilantin and phenobarbital, and long-term use of oral corticosteroids- can all up osteoporosis risks.
The diagnosis of osteoporosis is simple and it is advisable that older people especially women get periodic X- rays and bone density tests to rule out this bone condition.
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The Effect Of Osteoporosis & Low Levels Of Calcium On The Spine!

MBBS, D - Ortho, DNB - Orthopaedic Surgery, MNAMS, Fellowship Advanced Spine Surgery, Fellowship Disc Replacement Surgery, Visiting Spine Fellowship, Visiting Fellowship Spine Deformity Correction, Felloship Minimal Inavsive Spine Surgery
Orthopedist, Jaipur
The Effect Of Osteoporosis & Low Levels Of Calcium On The Spine!
Osteoporosis is a medical condition that makes bones weak. They become brittle and vulnerable to wear and tear. It is a very common bone ailment with around 10 million people being diagnosed with osteoporosis in India every year.

With osteoporosis and the accompanying calcium deficit, the chances of the bones of the spine breaking are quite high. Sometimes, cracks develop along the spinal bones. These fractures are called vertebral compression fractures. And they are responsible for severe back pain. The pain intensifies and makes activities like standing up, sitting down or walking or lifting objects difficult hard.

How can you tell that your bones have developed fractures?

Doctors often find it hard to diagnose spine fractures because not all patients show the symptoms of bone fractures. But the usual symptoms are-

Severe and unmitigated back pain
Sharp jabbing pain when you stand up or sit down
Pain when you try to twist your body or try to bend forward.
You begin to slouch or the spine becomes curved
Loss of height

If the fracture is located in the lower spine it causes more pain than an upper spine fracture. Sometimes more than one bone fractures in the spine.

Risks of spine fracture

Women are at greater risk of getting spine fractures, especially women over 50 when their bone density decreases. The older a woman gets, the weaker her bones become. Around 40% of all women in their 80s have a spinal bone fracture.

Treatment for a spinal fracture

If your doctor suspects that you have a spine fracture, she/he will recommend an X-Ray or a computerized tomography (CT). Based on the result of the tests, your doctor will suggest

Further tests especially a dual x-ray absorptiometry which measures your bone density and the severity of your osteoporosis. Once your treatment starts, you might have to get this scan periodically so that your doctor can judge how well the treatment is working.
Medicines to build your bone strength.
Pain and anti-inflammatory medication to subdue your backache. The dosage will depend on the intensity of the pain.
Calcium and vitamin medicines to repair bone damage
Physiotherapy sessions to restore full functionality and mobility of the spine. You might be advised to go on regular walks to increase the flexibility of your spine.
You might have to purchase a brace for your back which heals your spine by holding the bones in place for long stretches of time
Rest and relaxation because your body needs a lot of energy to heal bones.
If chronic back pain continues unabated despite rest and medication, surgery might be needed.

Can spine fractures be prevented?

Osteoporosis causes bone fractures and so the best way to protect your bones is to prevent osteoporosis. Even if osteoporosis has set in, you can reverse it or stop it from deteriorating.

One of the chief reasons for osteoporosis is obesity. So you should exercise regularly to keep weight gain in control.
Avoid fad diets because they might leave you malnourished which might take a toll on your bones.
Avoid alcohol consumption and smoking and cut down on coffee.
Make sure your diet consists of leafy green vegetables, dairy products especially cottage cheese, fish and nuts-all of which contain calcium. Calcium strengthens your bones
You will need Vitamin D (best source is the sun) which helps process calcium.

Osteoporosis is an enemy to your spine. But with proper treatment, the effects of osteoporosis and calcium deficit can be overturned.

Myelopathy - Knowing The Types, Causes & Symptoms Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedist, Bhubaneswar
Myelopathy - Knowing The Types, Causes & Symptoms Of It!
Myelopathy refers to any neurological deficit pertaining to the spinal cord. The three most common types of myelopathy are Cervical myelopathy, Lumbar myelopathy and Thoracic myelopathy. Here are the causes and symptoms of myelopathy.

Causes:

Injury: This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.
Spinal stenosis: This is a condition in which the spinal cord narrows and is one of the leading causes of myelopathy.
Degenerative disc disorders: As you get older, disc disorders are more likely to occur, as well as other conditions which affect the spinal column, such as osteoporosis, etc.
Tumor: It is a little known fact that tumors very often do cause myelopathy.
Multiple sclerosis: There are many other diseases, which may cause myelopathy and multiple sclerosis is one of them.
Symptoms:

There are many indications that you are suffering from myelopathy and should consult a medical expert. Here are some of them:

Change in coordination: It refers to the state, wherein, all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, it may affect your whole body as well.
Sudden muscle weakness: It is highly likely, that if you have myelopathy then you will experience sudden weakness in your muscles.
Decreased hand-eye coordination: This is perhaps the biggest indicator of myelopathy since hand-eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be affected.
These are just some of the symptoms of myelopathy, however, the doctor cannot diagnose myelopathy until he conduct certain tests. These tests include MRI scans and other tests as well as a regular physical check-up along with a check of your medical history.
4349 people found this helpful

Bone Health & Osteoporosis - Everything You Should Be Aware Of!

MS - Orthopaedics
Orthopedist, Raipur
Bone Health & Osteoporosis - Everything You Should Be Aware Of!
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 osteoporosisliterally 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 a 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.
2927 people found this helpful

Bone Health & Osteoporosis - What Should You Know?

Jawaharlal Nehru Medical College, Wardha, Nagpur, Ms- Ortho, Fellowship in Complex Trauma And Limb Reconstruction, FELLOW IN JOINT REPLACEMENT AND ARTHOSCOPY SURGERY
Orthopedist, Pune
Bone Health & Osteoporosis - What Should You Know?
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 osteoporosisliterally 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 a 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 & Osteoporosis - What Should You Know?

MBBS, MS - Orthopaedics, Diploma In Orthopedics
Orthopedist, Nashik
Bone Health & Osteoporosis - What Should You Know?
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 a 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.
4322 people found this helpful

Homeopathic Treatment For Osteoporosis!

BHMS
Homeopath, Ludhiana
Homeopathic Treatment For Osteoporosis!
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.