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Parathyroid Hormone Treatment - What Should You Know About It?

Dr. Mukesh Kumar Agarwal 89% (10 ratings)
MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Guwahati
Parathyroid Hormone Treatment - What Should You Know About It?

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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Calcispray 200Iu Nasal Spray how many doses in this pack and can it safe for the user above 80 yrs. Old.

Dr. Jatin Soni 93% (36286 ratings)
General Physician, Mumbai
Calcispray 200Iu Nasal Spray how many doses in this pack and can it safe for the user above 80 yrs. Old.
It is usually given to old age patients and if the individual perse does not tolerate the spray than it needs to be discontinued and otherwise there is no harm in using it for a 80 years Patient , unless until proven otherwise
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Osteoporosis: Prevention Is Better Than Cure

Dr. Arvind Kanchan 91% (123 ratings)
MD - Physiology, MBBS
General Physician, Lucknow
Osteoporosis: Prevention Is Better Than Cure

Osteoporosis is very more common in elderly women.

It affects about 25% (1 in 4) of women aged 65 and over and about 5% (1 in 20) of men aged 65 and over.

Silent disease: Many people with osteoporosis do not know they have it until they break a bone. Screening is important to find these people before this happens, so they can take steps to decrease the effects of osteoporosis.

Currently, screening for osteoporosis is recommended for women who are 65 years old or older and for women who are 50 to 64 and have certain risk factors, which include having a parent who has broken a hip.

Your physician can use the FRAX Risk Assessment tool to know, if you should be screened. It uses several factors to determine how likely you are to have osteoporosis.

Screening for osteoporosis is commonly done using a type of low level x-rays called dual energy x-rayabsorptiometry (DEXA) or Bone mineral density (BMD).

Screening also can show if you have low bone mass, meaning your bones are weaker than normal, and are likely to develop osteoporosis.

Prevention strategies

There are steps you can take to improve your bone health and strengthen weak bones:

  • Take those medications to strengthen your bones and avoid medications that can make your bones weaker.
  • Eat a healthy diet that includes adequate amounts of calcium and vitamin D.
  • Perform weight-bearing exercises regularly.
  • Do not smoke.
  • Limit alcohol use.

Don’t wait until you have a broken bone to take steps to improve your bone health—you can start at any age!

You can also take steps to prevent falls, including doing exercises to improve your leg strength and balance, having your eyes checked, and making your home safer.

I am 68, having problems in knee after diagnosed of Osteoporosis. I take Calcium, Vit D as prescribed. I do not take any painkillers, as it can have prob with kidney. suggest some home remedies/topical treatment to manage this pain. Thanks.

Dr. Nishit Palo 92% (282 ratings)
ms orthopaedics, mbbs
Orthopedist, Noida
I am 68, having problems in knee after diagnosed of Osteoporosis.
I take Calcium, Vit D as prescribed. I do not take ...
Perform quadriceps exercises. Apply ice packs locally. Medications like Cartigen dn and enzomac will help. Do not take pain killers. You can try interarticular knee injections.
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Hi sir/mam, I am suffering neck humping. I was understand from 6 that will increase. Please advise me about the treatment related to neck humping available or not? Kindly regards me.

Dr. Rahul (Pt) 89% (364 ratings)
Physiotherapist, Agra
Hi sir/mam, I am suffering neck humping. I was understand from 6 that will increase. Please advise me about the treat...
Yes lets first confirm with x ray of cervical and throcic region then the treatment plan will consider for you.
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What are the painkillers completely safe for kidney? I am suffering from osteoporosis of back bone. And pain is sometimes like unbearable. I am suffering from nephrotic syndrome (fsgs)

Dr. Julie Mercy J David 88% (8925 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What are the painkillers completely safe for kidney?
I am suffering from osteoporosis of back bone. And pain is somet...
Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Knee pain more than 2 weeks:if your knee is paining since 2 weeks, then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
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Osteoporosis And Osteopenia - Tips To Prevent Bone Loss!

Dr. Shekhar Srivastav 85% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Osteoporosis And Osteopenia - Tips To Prevent Bone Loss!

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 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 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 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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How Homeopathic Remedies Can Help in Osteoporosis?

Dr. Vishesh Sareen 90% (10862 ratings)
Homeopath, Chandigarh
How Homeopathic Remedies Can Help in Osteoporosis?

Osteoporosis is a medical condition marked by a decrease in bone density. It results in the brittleness of bones and their fracture. Osteoporosis does not display any signs or symptoms but manifests itself in advanced age.

Homeopathic remedies for Osteoporosis

  1. Silica or Silicea-This remedy is for people who are often nervous, feel sweaty during the night, get easily tired and are a highly nervous lot. The injuries of such people take the time to heal/ are difficult to heal and their spine is weak. Generally, these patients have delicate or refined features.
  2. Symphytum- Meant for those fractures that occur because of mild trauma, this remedy is useful in cases where pain persists in old but healed fractures and also when bones need to be strengthened.
  3. Calcarea carbonica- This remedy is administered to people who are overwhelmed by a lot of work and stress, get tired easily after work and have a proclivity to stress a lot. Generally, these people are overweight and have a lot of body flab and easily get depressed by cold/chilly weather and dampness in the air. They have swollen joints, experience a recurring back pain and get a sweaty head in the night. An interesting characteristic of these people is also that they have a craving for eggs and sweet things.
  4. Calcarea phosphorica- This remedy is meant for people who have a deep, uncontrollable and intense desire for travel. They want a change in their environment and have a general sense of dissatisfaction. People requiring this medication have pain in their neck, upper back and hips. Fractures, if any, are slow to heal and there maybe deposits of calcium in the bones. Post-exercise, these people feel greatly tired.
  5. Phosphorus- Meant for people who experience a burning pain between their shoulder blades, phosphorus as an osteoporosis remedy is given to those people who have an intense desire for refreshing foods like ice cream, beverages, carbonated drinks etc. Such people are usually lanky and their faces often get flushed. They are sensitive, suggestible and susceptible to the imagination. They get easily tired after a round of exercise and work.

Homeopathy Dosage
Unless directed by a homeopathic physician, take doses of low potency like 6X, 6C, 12X, 12C, 30X or 30 C if you are going in for self-medication. Follow the instructions printed on the label.
If you are taking a single dose, ten wait for its response. If the medicine is working, then wait for its full effect to manifest. If there is little or no response, take another dose. If there is no response at all after taking the second dose then change the medicine.

Please note that dosage depends upon the individual and the intensity of his/her ailment,


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My mother age is 65 her she is suffering pain from last 7 months taken wide range of pain killer. Her MRI report is Acute osteoporosis compression fracture of D-11 & L1 vertibralbodies. And in ultrasound dignost CLD problem kindly guide me right. She fallen down on bed before one year that time she felt pain li left shoulder it was treated. After that pain in her back and both side of stomach and leg. Kindly guide me the best. Her weight is only 39 kg. Now she is taking medicine pantocid DSR, flexura, shelcal xt, arachitol injection after 15 days, ostospray nasal spray, metadec5lac from last 1.5 month she is feel better after taking this medicine. Dr. also suggest to take PTH injection her PTH report is 26.4. Now she is feeling better her pain reduce 80%. Kindly tell me how long these medicine will take.

The patient can consider stopping NSAID (Flexura) if pain is relieved. Rest of the medications for osteoporosis will continue for some time. Inj PTH can also be considered if PTH is within normal range. You can get a baseline DEXA, if not already done and repeat it after 9-12 months to monitor improvement. She needs a brace to support her back. Also physiotherapy in form of quadriceps n hamstring stretching, assisted/ active mobilization of patient is important However, you need to see your doctor every 15-30 days to look for development of any side effects of any of these medications. Also, see a gastroenterologist for CLD. Hope it helps. Since I have not seen the patient in person, kindly consult your doctor before altering any medication/treatment.
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