I am Dr Neetan Sachdeva I am Orthopaedic surgeon.
Let's talk about Osteoporosis, Osteoporosis is a very common disease now affecting all of us, many individuals, many ladies, elderly men-females, everybody is getting affected over period of time. About one and two females and 1 and 8 men are affected in India with Osteoporosis. Now you may be having lot of big body ache, pains, if you above 35-40 you may be a male, you may be a female, lot of pain, big aches thakawat jisko bolte hain hum log, may be tired getting up don't feel like working you may be approaching a menopause, such cases we usually trying differentiate between Arthritis and Osteoporosis. If we are going ahead with this investigations with like something like dexa scan which is usually done about 40-45 years of age not before that, in elderly men also it is done and post menopause female also it is done and it comes us to be osteoporosis, then we have treatment for that. So what is basically and Osteoporosis, Osteoporosis is porous bones or soft bones. Now the bones they collapse their own self just by small trivial injuries, just by little weight or just buy some activity you may have damage your bones that happen in osteoporosis. In routine we normally have a very good bone strength around 35 after, 35 gradually the bone strength decreases. So about 40-45 is the age when you start having osteoporosis, that is the time we should be very careful. Now what causes osteoporosis? Lack of exercise, not the right food, lack of calcium, vitamin D, you may be suffering for Rheumatoid Arthritis or any kind of arthritis you may be on steroids, obesity, obviously some comb or bit factors are always there for Osteoporosis. So how would we diagnose Osteoporosis, it is mainly the gold stand test is the DEXA scan that is a bone density, common areas which scanned is the hip, the spine, maybe the wrist and other areas are also spine, but spine is the main area where the Osteoporosis is diagnosed. There are some scores which you find on your report those are known as T-scores, T-scores are the value given by WHO from which we diagnose Osteoporosis, less than 2.5 or above is Osteoporosis. The severity of the Osteoporosis is bones treatment, the treatment maybe just adding supplements, maybe some exercise, eating good food, you may have calcium, vitamin D, if you have severe osteoporosis we might give you some other medication. Yes, alcohol, smoking these all things also adds to Osteoporosis. You need to decrease on those and probably stop them if anyone is having them. Osteoporosis is recently controlled very nicely on drugs and it can be controlled by exercise, you may build up your bone mask with all these supplements, and if you're still not happy with all these you may further go ahead test with Osteoporosis and other than this test Arthritis test can also be done to differentiate between Osteoporosis and Arthritis.
So, if you have any further queries you can contact me on my clinic at Rajdhani Enclave, Pitampura or you can contact through Lybrate.
Thank you very much.