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OSTEOPOROSIS AND WAYS TO HELP IMPROVE YOUR BONE HEALTH…

Osteoporosis (brittle bones) is a condition that weakens bones, making them fragile and more prone to fracture. It develops slowly over several years and is often only diagnosed when a fall or sudden impact causes a bone to break (fracture). Menopause can also increase the chances of developing osteoporosis because decreased oestrogen levels can lead to bone loss.

The most common injuries in people with osteoporosis are:

However, breaks can also happen in other bones, such as the arm or pelvis. Sometimes a cough or sneeze can cause a broken rib or the partial collapse of one of the spine’s bones.

Although a broken bone is often the first sign of osteoporosis, some older people develop the characteristic stooped (bent forward) posture. It happens when the bones in the spine have broken, making it difficult to support the body’s weight.

The stage before osteoporosis is called osteopenia. This is when a bone density scan shows you have lower bone density than the average for your age, but not low enough to be classed as osteoporosis. I was diagnosed with this two years ago but with the right treatment, you can still not develop osteoporosis.

I have been put on a calcium and vitamin D tablet which I take twice a day. A diet that’s low in calcium contributes to reduced bone density  (the amount of calcium and other minerals that are found in your bones), premature bone loss, and an increased risk of fracture.

Men do get osteoporosis but it is more common in women because women tend to have smaller, thinner bones than men, and may experience bone loss during menopause.

People who do not exercise regularly are also more at risk of developing osteoporosis than people who do regular exercise.

Several studies show that smoking is a risk factor for osteoporosis and bone fracture as does drinking lots of alcohol.

People who are very thin (with a BMI of 19 or under) are more at risk of developing osteoporosis, as they usually have less bone mass to draw from.

Other factors can also increase the risk of developing osteoporosis, including:

  • taking high-dose steroid tablets for more than 3 months
  • other medical conditions – such as inflammatory conditions, hormone-related conditions, or malabsorption problems
  • a family history of osteoporosis – particularly a hip fracture in a parent
  • long-term use of certain medicines that can affect bone strength or hormone levels, such as anti-oestrogen tablets that many women take after breast cancer
  • having or having had an eating disorder such as anorexia or bulimia

Some great ways to help improve your bone health include eating more vegetables, staying active, trying weight-bearing exercises, making sure you are getting plenty of Vitamin D by being out in the sunshine or taking supplements, eating calcium-rich foods, keeping your smoking or drinking to a minimum or not at all and maintain a healthy weight.

Source: NHS, Restless

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WORLD OSTEOPOROSIS DAY WEDNESDAY 20th OCTOBER…

World Osteoporosis Day is Wednesday 20th October.

What is Osteoporosis? Worldwide, one in three women and one in five men aged 50 years and over will suffer an osteoporotic fracture. Osteoporosis causes bones to become weak and fragile, so that they break easily – even as a result of a minor fall, a bump, a sneeze, or a sudden movement. Fractures caused by osteoporosis can be life-threatening and a major cause of pain and long-term disability.

1 in 3 Women and 1 in 5 Men get Osteoporosis.

Fractures due to osteoporosis have a devastating impact on millions of people worldwide and result in enormous socio-economic costs to society and healthcare systems. Yet, despite effective medical advances to reduce fractures, a minority of men and women receive treatment.

Only 20% of patients with osteoporotic fractures are actually diagnosed or treated for osteoporosis, the underlying disease. In 2010, in Europe alone some 12.3 million people considered to be at a high risk for osteoporotic fractures were left untreated.

THE 5 STEPS TO HEALTHY BONES AND A FRACTURE-FREE FUTURE

1. Exercise regularly – keep your bones and muscles moving. Weight-bearing, muscle-strengthening and balance-training exercises are best.

2. Ensure your diet is rich in bone-healthy nutrients. Calcium, vitamin D and protein are the most important for bone health. Safe exposure to sunshine will help you get enough vitamin D.

3. Avoid negative lifestyle habits. Maintain a healthy body weight, avoid smoking and excessive drinking.

4. Find out whether you have risk factors. Bring these to your doctor’s attention, especially if you’ve had a previous fracture, have a family history of osteoporosis, or take specific medications that affect bone health

5. Get tested and treated if needed. If you’re at high risk you will likely need medication and lifestyle changes to help protect yourself against fractures.

To find out more about Osteoporosis and prevention check out the World Osteoporosis Day website.

Source: World Osteoporosis Day

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LIVING WITH THE PAIN OF OSTEOARTHRITIS…

Osteoarthritis is the most common form of arthritis. It is often referred to as “wear and tear” arthritis or degenerative joint disease. Osteoarthritis patients are mostly affected in the hands, hips and knees, experiencing pain, aching, stiffness, decreased range of motion and swelling.

The main symptoms of osteoarthritis are joint pain and stiffness, and problems moving the joint. Some people also have symptoms such as: – swelling – tenderness – grating or crackling sound when moving the affected joints

The severity of osteoarthritis symptoms can vary greatly from person to person, and between different affected joints.

For some people, the symptoms can be mild and may come and go. Other people can experience more continuous and severe problems which make it difficult to carry out everyday activities.

Almost any joint can be affected by osteoarthritis, but the condition most often causes problems in the knees, hips and small joints of the hands as spoken about above.

Genetics can play a part in determining whether a person will develop osteoarthritis, but other factors are also at work. It is the process of the breaking down of cartilage in the joints and the inflammatory response to that.

The symptoms may come and go in episodes, which can be related to your activity levels and even the weather. In more severe cases, the symptoms can be continuous. Mine seem to come and go and I am definitely very stiff and in pain first thing in a morning. A morning hot shower and some medication soon gets me moving better.

My main pain is in my sacroiliac joint and given the vital role that the large SI joint plays in transferring upper body weight to the lower extremities, it is commonly affected in osteoarthritis. In particular to people who have had lumber spinal fusion which puts more pressure on the SI joint. People who have osteoarthritis in their SI joints often develop osteophytes or bone spurs around the joint, leading to pain and dysfunction. I have just had this confirmed after my recent MRI.

Other symptoms you or your doctor may notice include:

  • joint tenderness
  • increased pain and stiffness when you have not moved your joints for a while
  • joints appearing slightly larger or more “knobbly” than usual
  • a grating or crackling sound or sensation in your joints
  • limited range of movement in your joints
  • weakness and muscle wasting (loss of muscle bulk)

They say you should make sure you are not overweight ( I’m not) and to try and exercise daily. Regular exercise can build muscle strength, ease joint pain and stiffness and lower your disability risk. Stretching, walking and water aerobics are good activities for people with osteoarthritis. I can only manage walking but I try and walk at least 20 minutes each day which is around 3,000 steps.

There’s no cure for osteoarthritis, but the condition does not necessarily get any worse over time. In a few cases, where other treatments have not been helpful, surgery to repair, strengthen or replace damaged joints may also be considered.

Surgery for this problem would mean fusion surgery, a bone graft and/or instruments are used to encourage bone growth over the sacroiliac joint and create one immobile unit. Joint fusion can effectively reduce pain and instability caused by sacroiliac joint dysfunction or inflammation (sacroiliitis). This is a last resort if my steroid injection doesn’t last for long but not one I am thinking of embarking on in the near future.