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Hi! this is for my mother .her age is 60 years weight 72 kg she suffers from osteoporosis she does some breathing exercises in the morning she has constant back ache issue special while lying down and getting up from bed. Dr. had told her keep taking calcium and vitamin d she used to take supracal is goldcal max good for her for how many months should she take goldcal max and can she take deviry along with that for 2 months once in a week .besides backache she has no other issues her bp and sugar level is ok.

BHMS
Homeopathy Doctor, Noida
Hi! this is for my mother .her age is 60 years weight 72 kg
she suffers from osteoporosis she does some breathing exe...
Below are exercises that strengthen the lower back and help manage lower back pain: 1. Bridges—lie on the ground and bend the knees, placing the feet flat on the floor hip-width apart. Press the feet into the floor, keeping the arms by the sides. Raise the buttocks off the ground until the body forms a straight line from the shoulders to the knees. Squeeze the buttocks with the shoulders remaining on the floor. Lower the buttocks to the ground and rest for a few seconds. Repeat 15 times and then rest for 1 minute. Do 3 sets of 15 repetitions. 2. Knee-to-chest stretches— lie on the back on the floor. Bend the knees, keeping both feet flat on the floor. Use both hands to pull one knee in toward the chest. Hold the knee against the chest for 5 seconds, keeping the abdominals tight and pressing the spine into the floor. Return to the starting position. Repeat with the opposite leg. Repeat with each leg 2–3 times twice a day. 3. Lower back rotational stretches—lie back on the floor with bent knees and feet flat on the ground. Keeping the shoulders firmly on the floor, gently roll both bent knees over to one side. Hold the position for 5–10 seconds. Return to the starting position. Gently roll the bent knees over to the opposite side, hold, and then return to the starting position. Repeat 2–3 times on each side twice a day. 4. Draw-in maneuvers— lie back on the floor with knees bent and feet flat, keeping the arms by the sides. Breathe in deeply. While breathing out, pull the bellybutton toward the spine, tightening the abdominal muscles and keeping the hips still. Hold the position for 5 seconds. Repeat 5 times. 5. Pelvic tilts— lie back on the floor with knees bent and feet flat, keeping the arms by the sides. Gently arch the lower back and push the stomach out. Hold for 5 seconds, then relax. Flatten the back and pull the bellybutton in toward the floor. Hold for 5 seconds, then relax. Increase the number of repetitions daily, building up to 30. 6. Lying lateral leg lifts— lie on one side with the legs together. Keep the lower leg slightly bent. Draw the bellybutton into the spine to engage the core muscles. Raise the top leg about 18 inches, keeping it straight and extended. Hold the position for 2 seconds. Repeat 10 times. Turn onto the other side of the body and repeat, lifting the other leg. Perform 3 sets on each side. 7. Cat stretches— get onto the hands and knees with the knees hip-width apart. Arch the back, pulling the bellybutton up toward the spine. Slowly relax the muscles and allow the abdomen to sag toward the floor. Return to the starting position. Repeat 3–5 times twice a day. 8. Supermans— lie face down on the ground and stretch both arms out in front of the body, keeping the legs stretched out and flat on the ground. Raise both the hands and feet, aiming to create a gap of about 6 inches between them and the floor. Try to pull in the bellybutton, lifting it off the floor to engage the core muscles. Keep the head straight and look at the floor to avoid neck injury. Stretch the hands and feet outward as far as possible. Hold the position for 2 seconds. Return to the starting position. Repeat 10 times.
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Prone To Fractures - Can It Be A Sign Of Osteoporosis?

MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedic Doctor, Delhi
Prone To Fractures - Can It Be A Sign Of Osteoporosis?
Your bone is a living tissue that is continuously undergoing the process of being broken and repairing. Osteoporosis is a disorder characterized by brittle and weak bones. Osteoporosis affects one s hips, spine and the wrist, thus rendering a hunched posture and a shrunk appearance resulting from the collapsed vertebra.

Factors behind osteoporosis:

Excessive consumption of alcohol and tobacco
A sedentary lifestyle with not much physical activity
Certain medical disorders such as liver and kidney disease, cancer and arthritis
Medications such as corticosteroid or prednisone which interfere with the bone building cycle
Medicines to fight cancer, seizures, gastric reflux and transplant rejection
Low estrogen count in women due to menopause (a phase wherein menstruation stops completely)
Dip in the testosterone levels in males because of age or other treatments and surgery
Over secretion of thyroid
Treatments:

Medications such as bisphosphonates include Ibandronate, Zoledronic acid, Risedronate and Alendronate and other substitutes such as Teriparatide and Denosumab can be administered. However, these bring with them certain side effects such as nausea, abdominal pain or heartburn.
In women, estrogen therapy post menopause can help maintain bone density but at the same time, this can make one vulnerable to heart diseases, cancer or blood clotting.
Alternative medicines include Ipriflavone which is a laboratory manufactured medicine and when combined with calcium, can prevent bone loss and acute pain.
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Is collaflex and collacee same? I have osteoporosis and knees are paining with really little gap.

MS - Orthopaedics, DNB (Orthopedics)
Orthopedic Doctor, Mumbai
Is collaflex and collacee same? I have osteoporosis and knees are paining with really little gap.
Hello, yes. They are same. But only taking collagen peptide won't help in osteoporosis and knee pain. You have to be started on some other medications also. Sometimes knee pain is because of severe vitamin d3 deficiency. We need to run some blood tests also. Consult me on Lybrate for detailed discussion and consultation
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Osteoporosis & Osteomalacia - How Distinct Are They?

MBBS, DNB - Orthopedics/Orthopedic Surgery, Fellowship in Minimally Invasive Knee and Hip Replacement, Fellowship in Joint Replacement & Arthroscopy
Orthopedic Doctor, Pune
Osteoporosis & Osteomalacia - How Distinct Are They?
Osteoporosis:

Osteoporosis is a condition whereby the density of the bone decreases and the body ceases to manufacture the same quantity of bone as it did previously. Although it tends to affect both females as well as males, it is most commonly seen in women. The reason for this is the decreased production of estrogen during the menopause phase. The hormone, estrogen provides protection against osteoporosis.

When someone suffers from this condition, all their bones become weak and they become highly susceptible to fractures in the event of an accident or even a slight knock.

The word osteoporosis means porous bones. Once a person crosses the age of 35 years the rate of bone renewal or rebuilding slows down. When this happens on a prolonged basis the concerned person is highly prone to develop osteoporosis.

Key Points:

Those who smoke and have a poor diet are more likely to suffer from osteoporosis.
Osteoporosis targets areas of the body such as the hip, wrists and spine.
Although there is no particular outward sign of osteoporosis you are likely to develop a stoop as a result of a weak spine. This will further lead to bone pain.

Osteomalacia:

Osteomalacia is a condition that is similar to osteoporosis where the bones are weakened. But what makes this condition different from osteoporosis is that in osteomalacia there is difficulty in the process of bone-building. In osteoporosis, existing bones become weak.

Reasons for Osteomalacia:

Osteomalacia occurs when there is vitamin D deficiency. As a nutrient, the benefits of vitamin D are enormous because it is instrumental for the absorption of calcium in the stomach.

Vitamin D is helpful for the maintenance of phosphate and calcium levels which is needed in the proper formation of bones. Vitamin D can be acquired from ultraviolet rays of the sun and also from food items such as fish and dairy products.

Signs of Osteomalacia:

Signs of osteomalacia are few. The most common signs include fracturing of the bones and weakening of the muscles. A person who suffers from the condition of osteomalacia has a difficult time walking and may develop abnormal gait.

Treatment of Both Osteoporosis and Osteomalacia:

When it comes to the treating osteoporosis it is mainly focussed on preventing the onset, maintaining healthy bone density, preventing fractures and reducing pain. This treatment is done by making adjustments to your lifestyle as we daily meal plan in addition to taking medications and health supplements.

As the first line of treatment of osteomalacia, the patient will be prescribed a number of phosphate, vitamin D and calcium health supplements. Additionally, the patient will be asked to spend some time out in the sun for the absorption of sunlight.
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Osteoporosis And Healthy Bones - Ways To Manage It!

MS - Orthopaedics, AO Fellowship in Trauma, Fellow Spine Surgeon, fellow in Endoscopic Spine Surgery
Orthopedic Doctor, Gurgaon
Osteoporosis And Healthy Bones - Ways To Manage It!
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.
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My mother is suffering from severe rheumatoid arthritis, osteoarthritis and osteoporosis. She is having constant pain in the body joints especially knee, shoulder and neck. She is taking folitrax and antimalarial and pain killer medicines. And some Ayurveda medications also still there is no relief from last 3 years. She has been given vit d3, vit b complex injections. But, no permanent relief. Can you please suggest some good medicine for permanent relief from arthritis and osteoporosis.

MBBS, MS - Orthopaedics, F. KUMC, Fellowship in Joint Replacement, Fellowship in Arthroscopy, Cadaveric workshop in Knee and Shoulder Arthroscopy, Cadaveric Workshop in Knee Arthroscopy
Orthopedic Doctor, Vadodara
My mother is suffering from severe rheumatoid arthritis, osteoarthritis and osteoporosis. She is having constant pain...
If arthritis is severe, she would need an intervention by a rheumatologist or an orthopedic surgeon. Some kind of surgery like replacement of joint or local steroid injection could help. As no detailed pictures or investigations are posted, teriperatide is another option for osteoporosis. Thanks.
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Osteoporosis - Are You At Risk?

MBBS, Diploma in Orthopaedics, DNB - Orthopedics, Fellowship in Joint Replacement Surgeon
Orthopedic Doctor, Mumbai
Osteoporosis - Are You At Risk?
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.
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Osteoporosis - What Can Cause It?

M.D Medicine, MBBS, Fellowship in Rheumatology
Rheumatologist, Hyderabad
Osteoporosis - What Can Cause It?
Osteoporosis in very simple terms is a condition that causes spongy bones. The bones develop pores and become fragile with 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 of 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 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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DEXA Scan For Osteoporosis - An Overview!

Post Graduate Diploma in Diabetology (PGDD), MBBS
Endocrinologist, Mumbai
DEXA Scan For Osteoporosis - An Overview!
Osteoporosis is a disease that affects the bones of its sufferers. This is most commonly found in women, especially in those women 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.

1. 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.

2. 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 to 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.

3. 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.

4. Easy and Standardised: This method of scanning usually happens with the help of a mounted X-ray machine type, a handheld gadget which can be extended to conduct the scan. This is an easy and standardized method that releases low levels of radiation which also makes it a healthier option.

5. 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.
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Osteoporosis - How To Avert It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Kolkata
Osteoporosis - How To Avert It?
Osteoporosis is a bone disease that happens when bone density decreases and the body stops producing as much bone as it did before. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps. It can affect both males and females but it is most likely to occur in women after menopause, because of a sudden decrease in estrogen, the hormone that usually protects against osteoporosis.

Symptoms of Osteoporosis-

The early stages of osteoporosis do not cause any symptoms or warning signs. In most cases, people with osteoporosis do not know that they have the condition until they have a fracture. If symptoms do appear, some of the earliest ones may include receding gums, weakened grip strength, weak and brittle nails, back pain, loss of height over time, a stooped posture, and a bone fracture that occurs much more easily than expected.

Causes of Osteoporosis-
Some of the leading reasons behind osteoporosis include the following:

Age: The biggest cause of osteoporosis is age. It mostly affects people aged above 50.
Menopause: Another primary cause of osteoporosis in women, which occurs around the age of 45 to 55 years. Due to the changes in hormone levels associated with it, menopause can cause a woman s body to lose bone even more quickly.
Reduced sex hormones: Lower estrogen levels appear to make it harder for the bone to reproduce.
Ethnicity: White people and Asians are more susceptible than other ethnic groups.
Bone structure: Being tall or slim increases the risk of osteoporosis.
Vitamin D deficiency: In the case of vitamin D deficiency, the body cannot absorb adequate amounts of calcium from the diet to prevent osteoporosis.
Risk Factors for Osteoporosis-
A number of factors can increase the likelihood of osteoporosis, these may include your age, race, lifestyle choices, and medical condition and its associated treatment. Some of the risk factors for osteoporosis are out of your control, including sex, age, race, family history, and body frame size. Osteoporosis is more common in people who have too much or little of certain hormones in their bodies. Examples include sex hormones, thyroid hormones, and hormones released by the adrenal glands. Osteoporosis is more likely to occur in people who have low calcium intake, eating disorder, and gastrointestinal surgery. Osteoporosis has also been associated with medications used to combat or prevent seizures, gastric reflux, cancer, and transplant rejection. Even lifestyle choices such as sedentary lifestyle, excessive alcohol consumption, and tobacco use can increase your risk of osteoporosis.

Prevention of Osteoporosis-
There are many risk factors for osteoporosis that you cannot control. These include being female, getting older, and having a family history of osteoporosis. There are some of the factors, however, that does fall within your control. Some of these ways to control osteoporosis include getting plenty of vitamin D and calcium, doing weight-bearing exercises, abstinence from smoking and for women, weighing the pros and cons of hormone therapy. If you are at an increased risk of osteoporosis, talk to your doctor about the best way to prevent it and do that as early as possible.
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