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Osteoporosis Health Feed

Osteopenia or Osteoporosis - Know More About It!

Dr. Rakesh Kumar 91% (129 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Osteopenia or Osteoporosis - Know More About It!

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:

  1. Gender: Women run a higher risk of getting affected with osteopenia or osteoporosis.
  2. Race: Women who belong from the Caucasian or Asian origin run a higher risk of getting these diseases.
  3. 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.
  4. Family history: A person with a family history of osteopenia or osteoporosis has more than 50% chance of getting either osteopenia or osteoporosis.
  5. Lifestyle: Poor diet, excessive smoking, alcohol, lack of exercising etc. goes a long way in contributing towards these diseases.

Can Yoga Asanas Help Manage Osteoporosis?

Dr. Sorubini Loganathan 91% (107 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Rasa Shastra & Bhaisajya Kalpana
Ayurveda, Vijayawada
Can Yoga Asanas Help Manage Osteoporosis?

Along with curing anger and stress, yoga is also beneficial in treating osteoporosis, either by itself or in combination with different medicines. Osteoporosis is an illness described by weak and diminishing bones that can result in cracks and fractures in the bones. Some of the postures that can be helpful in treating osteoporosis are as follows:

  1. Utthita trikonasana: Uttihita trikonasana is an expanded triangle posture which is helpful in curing many diseases. Along with diminishing the side effects of osteoporosis, it additionally avoids soreness, increases strength and gets rid of spinal pain. Begin this posture by standing straight with your legs separated by four feet. Then, extend the arms to the ground with the palm facing downwards. Slide the left leg across the right side of your body. You need to slide it behind the left leg. Now extend your right leg towards the left side of your body. This will leave you in a sitting position. Where your right leg is placed on top of your left leg, make sure both your knees are on top of each other. Now straighten your body to an upright position.
  2. Ardha chandrasana: This asana is also called as the half-moon posture. This posture comes under hatha yoga and is beneficial for various medical issues, for example, osteoporosis, menstrual issues, exhaustion, sciatica and stomach-related cramps. You can practice this pose to get rid of osteoporosis and appreciate a sound body.
  3. Padangusthasana: This stance delicately stretches and strengthens persistently tight hamstrings.
  4. Adho mukha svanasana: It is one of yoga's most commonly practiced postures. Adho mukha svanasana offers a definitive wholesome, reviving stretch.
  5. Utthita hasta padangustasana: In this pose, keeping up the balance while standing on one foot strengthens your endurance capabilities.
  6. Utthita parsvakonasana: Discover the flexibility in your sides of the body from your heel to your fingertips with an extended side angle pose.
  7. Utthita trikonasana: It is a broadened triangle posture and is important as a standing posture in many styles of yoga.
  8. Ardha chandrasana: Make proper balance with your leg and the lower part of your leg as you look for strength and flexibility into this adjusting posture.
  9. Parivrtta parsvakonasana: This revolved side angle pose, a variation of utthita parsvakonasana requires a considerable measure of adaptability to bend flexibly and balance on the back heel.
  10. Uttanasana: Uttanasana will awaken your hamstrings and will help you to calm your brain.
  11. Urdhva dhanurasana: Urdhva dhanurasana can help in strengthening your arms, legs, abdomen and spine all at once.
  12. Virabhadrasana: Named after a wild warrior, an incarnation of Shiva, this adaptation of a warrior pose increases the stamina.

Yoga is one of the most secure measures and medicines for osteoporosis. It is something that anyone of any age can do at any place. The advantages are numerous and dangers are few if done properly.
 

1 person found this helpful

I have been taking omnacortil 5 mg for the past 5 years due to lupus and ILD. Also I am suffering from osteoporosis on my left wrist. Is there any other alternative medicine. I am 34 years old mother of two kids and full time working. Also I suffer from severe pain in my shoulder and back. Please advice.

Dr. K Shanmuganandan 89% (237 ratings)
Rheumatologist, Chennai
I have been taking omnacortil 5 mg for the past 5 years due to lupus and ILD. Also I am suffering from osteoporosis o...
Hi lybrate-user Thanks for the query you have osteoporosis due to steroids Please consult through Lybrate for analysis.
1 person found this helpful
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Osteoporosis -How To Treat It With Homeopathy?

Dr. Hiral Kumar Rakholiya 90% (1616 ratings)
BHMS
Homeopath, Ahmedabad
Osteoporosis -How To Treat  It With Homeopathy?

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:

  1. Back pain

  2. Loss of growth after some time

  3. A stooped stance

  4. 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:

  1. Dietary intake of intake of calcium required by body.

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

  3. Correction of intestinal absorption of calcium.

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

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

  6. 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:

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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 Exercises Can Help Treat Osteoporosis?

Dr. R K Mathur 84% (10 ratings)
MS - Orthopaedics, DNB (Orthopedics), MNAMS - Orthopaedics, Fellowship in Joint Replacement
Orthopedist, Jaipur
How Exercises Can Help Treat Osteoporosis?

Osteoporosis wreaks havoc in many senior citizens, especially women. This is a disorder that systematically weakens the bone and can fracture the spine and the hip. If not treated early, it poses a serious threat to mobility. While medicine is a prerequisite to treating this condition, exercise goes a long way in helping patients of osteoporosis. Regular exercise can improve balance and strengthen the muscle. This being said a doctor should be consulted for a fitness assessment and bone density test before going ahead with any exercise routine.

What is the right exercise for you?
Exercises are recommended depending on the degree of osteoporosis a person is suffering from. Some exercises may not be suitable for a person while some can greatly help. It is therefore suggested that a doctor or physiotherapist is consulted before starting any exercise. Here is a list of exercise that doctors often suggest:

  1. Strength training: Strength training aims at strengthening the spine and other muscles. It includes the usage of free weights and lifting own body weight. In case the exercise involves the usage of weight machines, utmost care should be taken to ensure that the spine does not get twisted. Resistance training, on the other hand, should be designed in such a way that it fits the tolerance and ability to cope up.
  2. Flexibility exercises: When the joints are allowed to go through the range of motion, it helps in muscle function. Stretching, for instance, should only be done when the muscle is warmed up. Care should be taken that stretching is done gently which is devoid of any bouncing. The spine should not be flexed. Any exercise that demands to bend towards the waist should also be avoided. An experienced physiotherapist should be able to suggest which stretching exercise is suitable for patients with osteoporosis.
  3. Aerobic training: Aerobic training necessarily means that the bone supports the body weight. This exercise helps the bone from mineral loss and is good for body balance strength and flexibility. Some aerobics that can be easily performed by patients with osteoporosis include dancing, stair climbing, cycling and walking. These exercises also help in blood circulation and cardiovascular diseases.
  4. Exercises you must avoid: High-impact body activity exercises such as jogging, jumping and running should be strictly avoided in order to avoid bone fracture and weaken muscle. Unlike exercises with controlled movements, these exercises can twist the spine and cause severe immobility in movement.
  5. Twisting: For patients with osteoporosis, an exercise that involves forward bending resulting the waist to come down should be avoided. Exercise such as this can cause compression fractures leading to restriction in physical movement for a temporary to longer duration. Any sort of bending and twisting, therefore, should be avoided.

How To Diagnose Fracture?

Dr. Romil Rathi 87% (22 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Nagpur
How To Diagnose Fracture?

Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.

  1. Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
  2. Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.

Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

Diagnosis
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Treatments
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed.

I am 29, I have very weak bones and spine, I will smoke daily just bcos of that loosing bones please help me how to grow my bones again.

Dr. Karuna Chawla 93% (1157 ratings)
BHMS
Homeopath, Noida
I am 29, I have very weak bones and spine, I will smoke daily just bcos of that loosing bones please help me how to g...
You know the cause and still you r trying to find a solution. Solution is in your hands only. Unless and until you do something for yourself Quit smoking asap. Its not only affecting your bones etc, lungs, mouth, teeth, tongue are all getting affected. Do favour to yourself and quit this habit.
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Sir I am suffering with sciatica pain since 4 years of my right leg. But recently the doctor told that I am also suffering with osteoporosis and as such required BMD test. I have taken calcium test and the same is normal. Please suggest me. Recently my right leg fingers are also very weakness and as such I am unable to walk perfectly.

Dr. Avinash Jain 87% (84 ratings)
MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
Sir I am suffering with sciatica pain since 4 years of my right leg. But recently the doctor told that I am also suff...
Dear lybrate-user It's 4 years now and as per your saying you had stated developing finger weakness too! It's better to evaluate you spine with MRI 1st to rule out any compression over nerves! Definitely a detailed evaluation is required! If you wish you can share your osteoporosis reports and others through private chat and can get the relevant advices.
1 person found this helpful
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Osteoporosis - What Causes It?

Dr. Sunil V Nukapur 85% (10 ratings)
MBBS, Ph. D - Orthopaedics
Orthopedist, Bangalore
Osteoporosis - What Causes It?

What is osteoporosis?

Osteoporosis is a disease concerning the bones. Decreased strength of the bones poses a risk for them to break. Osteoporosis is very common among older people, whose bones become brittle with age. The most common bones affected by this disease include the backbone, forearm bones and the hip bone. There are no such symptoms until a broken bone occurs. The bones weaken to such an extent that a break may happen in case of very minor stress. Usually, a broken bone is followed by chronic pain and the disability to perform daily activities. Surveys show that 15% of white people in their 50s and 70% of white people in their 80s are affected by osteoporosis.

What are the common causes and symptoms of osteoporosis?

  1. May occur due to the lowering of the "peak bone mass index".
  2. In women, bone loss increases after menopause stage due to lowering down of estrogen level.
  3. Also occurs because of another disease or previous treatments. This includes alcoholism, surgical ovary removal, hyperthyroidism, anorexia or any form of kidney disorder.
  4. Anti-seizure medicines, chemotherapy, selective serotonin reuptake inhibitors and taking of performance-enhancing drugs like steroid increase the bone loss rate.
  5. Lack of regular exercise may lead to osteoporosis.
  6. Osteoporosis is defined as a "bone density of 2.5 standard deviations below than that of a young adult".
  7. Osteoporosis is hereditary in nature. People having a family history of osteoporosis are at a high risk of getting the disease.
  8. More than thirty genes are linked with osteoporosis development.
  9. If you have had a fracture before, you are at a risk of a repeat.
  10. Early menopause in women is also responsible for osteoporosis.
  11. People with a small structure and body build are at a risk of getting osteoporosis.
  12. Protein and vitamin deficiency makes your bones weak and makes you vulnerable to osteoporosis.
  13. Phosphoric acid present in soft drinks is another threat, which may cause the disease.
  14. People suffering from malnutrition are likely to get osteoporosis.
  15. Over replacement of L-Thyroxine may lead to osteoporosis.
  16. Use of heparin and warfarin for a long time decreases the bone density.

How can Osteoporosis be prevented?
The best way to avoid getting osteoporosis in the future is to maintain a preventive lifestyle.

  1. Exercise regularly.
  2. Indulge in natural calcium sources.
  3. Maintain intake of Vitamin D and Vitamin K.
  4. Do not smoke and consume alcohol.
  5. Don't undertake stressful physical activities.
  6. Go for regular health checkups.
  7. Stay fit and stay away from obesity.

Osteoporosis is a disease you must stay away from. It leaves you physically incapable and unfit. Comment here for other questions on osteoporosis. In case you have a concern or query you can always consult an expert & get answers to your questions!

3749 people found this helpful

How Parathyroid Hormone Treatment Works In Osteoporosis?

Dr. Pardeep Bageja 86% (10 ratings)
DNB - Orthopaedics, MBBS
Orthopedist, Delhi
How Parathyroid Hormone Treatment Works In Osteoporosis?

What is Osteoporosis?
Osteoporosis is a medical condition wherein the bone becomes fragile and breaks easily even with a minor fall. The bones of spine, wrists and hips get affected the most. These fractured bones lead to severe pain and can force a person to become immobile. A spine fracture can even lead to a loss of height.

What is parathyroid hormone?
Parathyroid is a naturally occurring hormone that regulates the amount of calcium present in the body. They mitigate the risk of bone breakage in the body for a patient suffering with osteoporosis. These hormones are injected into the body on a daily basis to maintain the normal flow of calcium in the body.

How does the treatment work?
Treatments are available in the form of drugs and injections. A doctor can prescribe drugs, if the patient is at an increased rate of bone breakage. The parathyroid hormone helps to protect the bone from breaking, but have no role when the bone actually breaks. The body has a natural process of breaking a bone and rebuilding it by itself. Osteoporosis sets in motion when this process of bone formation is disturbed.

When does a doctor prescribe hormonal treatment?
If a patient has undergone a number of vertebral compression fractures and the condition has not improved, a doctor might suggest to undergo parathyroid hormone treatment. The treatment requires nursing support due to a patient’s delicate bone condition. A maximum dosage of 20 micro grams of parathyroid can be injected for a time duration not exceeding 2 years.

Things to know about the treatment:

  1. Be informed: It is good to be well informed about the course of the treatment, treatment duration, plausible problems etc. This will help a patient to be on top of the decision making process. The helpline of the 'National Osteoporosis Society' can be reached to understand the preparation required for a patient to undergo the treatment.
  2. Take the right dosage at the right time: Parathyroid injections should be injected on a daily basis for a maximum time period of 2 years. These injections are taken daily at the same time. It should be ensured that none of the injections are skipped without the prior approval of a doctor. The injection, which lasts for 28 days, needs to be stored in a refrigerator. In case a patient is travelling, special bags are available that has space for storing gel packs.
  3. Side effects: Most patients do not report any side effects, but they do exist. Possible side effects include dizziness, arthralgia, depression and headache. These symptoms often suggest that your body is reacting to the parathyroid hormone treatment. A doctor may or may not prescribe any further drugs to address these symptoms.
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