Osteoporosis: A Battle of the Bones. by Hong S. Lee, MD, and Pauline M. Camacho, MD, FACE. Osteoporosis [os-tee-oh-puh-ROW-sis] is a disease of bones. Throughout our life, our bones are constantly being broken down and built up again. Osteoporosis occurs when there is a disruption in this. There's good news, though: There may be other ways to prevent, and even treat, bone loss. For that reason they are approved by the FDA not just to prevent osteoporosis but also to treat it. Calcitonin increases bone density in the spine and reduces the risk of spinal fractures but.
Bones Battle Osteoporosis: Your A For
As a result, their back muscles are pulled, twisted, or even torn. While it may be bearable, a muscle strain should be examined by a doctor so proper therapy can be recommended. These are often acute injuries that happen on the spot and can compromise the bond of your nerves, tendons, ligaments, and even muscles around the injured area.
Shoulder dislocations often happen in contact sports. Sure, one of your buddies can pop your shoulder back into its socket, but it would be downright irresponsible to not have it checked by a physician.
A physiotherapist at Focus Athletics. Though cases are varied, a stress fracture is an injury which happens to the bones over time. Think small cracks that, if left unchecked in time, will cause any structure to break. Lingering pain is a common symptom of a stress fracture and it commonly occurs in the heel and ankle.
Your bone snapping into two or more sections which results in misalignment is called a displaced fracture. You also have non-displaced fractures where bones are broken yet remain in place.
These all fall under the umbrella of closed fractures. What happened to Kevin Ware is called a compound injury where the broken bone punctures the skin after it has snapped. Open fractures present high risk in deep bone infection.
Walking it off is unwise. Call an ambulance if you can or have a buddy do it for you. No benefit can be gained from subjecting your bones to undue stress, asserts Julio Veloso, M. Apply these hassle-free measures to your workout habits and expect better results. Know which exercises truly matter. Focusing first on body-weight movements allows you to train functionally and efficiently. Hindi pwedeng biglaan na you align yourself to pro level just because you think kaya mo na.
Fine-tuning the different aspects of your fitness not only makes you a more complete athlete, but also improves your overall bone structure.
Hindi naman din pwede na puro power ka lang, wala kang endurance. Remember to follow the form and order of the exercises. Feel free to substitute dumbbells for kettlebells depending on equipment availability.
Stand with your feet wider than shoulder-width apart, with each foot pointed outward by about 30 degrees. Keep your shoulders pulled back and down to avoid rounding your back. Swing the kettlebell forward while squeezing your glutes and thrusting your hips forward.
Stand with your feet shoulder width apart. Bend at the waist and grab your toes. Drop your hips to the ground and lift your chest up. Push your hips up and back until you feel your hamstrings are stretched. Keep your back straight. Then, drop your hips back to the ground and repeat. Stand holding 2 kettlebells in front of your shoulders with your elbows up. Squat until your thighs are parallel to the floor, initiating the movement with the hips. Return to the starting position by pushing through with your hips.
Assume a pushup position with your hands on the floor and your feet on a bench or a box. Contract your core and keep your torso engaged and straight while bending your arms to lower yourself toward the floor.
Push back up as far away from the floor as possible. With your knee on a soft pad or mat and the opposite foot flat on the ground in front of you, hold a pair of dumbbells at your sides. Curl the dumbbells to your shoulders, then press the weights overhead while keeping your legs and torso stable. Lower the weights back to the starting position. Finish the set and switch leg positions for the second set.
Pull your chest towards the handles while keeping your torso straight and your glutes contracted. Pause, then lower yourself down to the starting position. Stand on your right foot while holding a kettlebell with an overhand grip in your right hand. Weight-bearing exercises build bone strength by making you move against gravity while staying upright and can be divided into those that are high-impact - such as dancing, running, tennis, and aerobics - and those that are low impact.
Many gym machines such as treadmills, stair-step machines and elliptical trainers are low impact as is fast walking outside. Low-impact weight-bearing exercises are a safe alternative to high-impact exercise in those people with osteoporosis or at risk of breaking a bone. While yoga and pilates can also improve strength, balance, and flexibility, certain positions - such as those that make you bend forward - may not be safe for people with osteoporosis.
Swimming and cycling are also great sports for building muscle strength; however, they do not improve bone density. Several different types of medicine are used to treat osteoporosis. Treatment should be considered in postmenopausal women and men age 50 and older presenting with either a hip or vertebral fracture, a bone density T-score of less than Bisphosphonates are the preferred treatment; however, hormone therapy, raloxifene , denosumab or teriparatide may be a better option in some people.
All require a prescription from a doctor, and apart from teriparatide, all decrease the rate at which bone is broken down. Teriparatide increases the rate at which bone is built up and also increases the absorption of calcium. Your insurance plan will determine how much your insurance company pays for your osteoporosis medication, and you may have to pay a certain amount or a co-pay.
Check your insurance companies website for a list of osteoporosis medications that they are approved to pay for. Some people may also qualify for the Medicare Prescription Drug benefit.
Be very cautious about buying prescription medicine online, either with or without a prescription. Never buy a prescription medicine without a prescription - you never know what you are getting. Bisphosphonates block the action of osteoclasts - responsible for breaking down bone tissue - thereby slowing bone loss.
They are the preferred treatment for osteoporosis; however, they may not be suitable for everyone. Twenty-to-thirty years ago, hormone replacement therapy HRT was considered the gold standard for preventing not only osteoporosis but treating menopausal symptoms as well.
That all changed after publication of the results of the Women's Initiative Trial in which showed the risks associated with HRT use an increased risk of breast cancer, blood clots, heart attacks, and stroke outweighed the benefits decreased rates of hip and vertebral fractures and colon cancer. HRT may consist of either estrogen therapy alone or an estrogen-progestin combination. While not recommended as first-line osteoporosis therapy, estrogen may still be used to prevent osteoporosis in young women with premature menopause or primary ovarian failure.
In women who are postmenopausal, it is usually reserved for those with persistent, intolerable menopausal symptoms or in those who do not tolerate other osteoporosis treatments. Examples of hormonal treatments include Premarin , estradiol , and Femhrt. Although raloxifene is not a hormone, it mimics the action of estrogen on bones while at the same time blocking the effect of estrogen on other tissues. Therefore, long-term use of raloxifene does not carry the same risk to breast and womb tissue associated with estrogen-based hormone therapies.
However, raloxifene can increase the risk of deep vein thrombosis and stroke and may increase the incidence of hot flushes and leg cramps. Raloxifene may also be used to treat osteoporosis in postmenopausal women with invasive breast cancer.
Evidence suggests it may not be as effective as bisphosphonates or estrogen at preventing bone loss. The bazedoxifene component of the drug acts as an estrogen antagonist and prevents some of the estrogen side effects such as excessive growth of the uterine lining that could occur if estrogen was used by itself. Duavee increases both lumbar spine and hip bone mineral density but carries similar risks to other hormonal products so should only be considered if alternative non-estrogen products are not suitable.
Denosumab Prolia is an antibody that targets RANKL - a receptor directly involved in the formation of osteoclasts, the cells that break down bone. Denosumab improves bone mineral density and decreases fracture risk and is approved in postmenopausal women and men with osteoporosis at high risk of fracture. It may also be used to treat bone loss in men with prostate cancer or women with breast cancer undergoing hormone ablation therapy, or for the treatment of glucocorticoid-induced osteoporosis in those at high risk of fracture.
Denosumab is usually reserved for people intolerant of or unresponsive to oral or intravenous bisphosphonates. Teriparatide Forteo , is a synthetic form of parathyroid hormone - a hormone produced naturally by the body which helps maintain blood levels of calcium within a very tight range; which in turn controls calcium levels within bone - determining how strong and dense the bones are.
As an osteoporosis medication, teriparatide is unique in that it stimulates bone formation. It may be used by postmenopausal women or men and is given as a daily injection.
Evidence suggests it has more of an effect on building bone density and reducing fracture risk in the spine compared to other areas. Forteo is expensive, so is usually reserved for people with severe osteoporosis. Calcitonin is a hormone that works together with naturally occurring parathyroid hormone to help regulate calcium concentrations on the body. It may be given by nasal spray or injection to women who are five years postmenopausal; however, the nasal spray is preferred because the injection tends to cause nausea and flushing.
Other treatments are usually preferred over calcitonin for the prevention of osteoporosis because it is not clear if calcitonin increases bone density in areas other than the spine or if it prevents fractures.
Calcitonin is also used to relieve sudden, intense pain caused by vertebral fractures. Tymlos abaloparatide , approved in April , is a man-made version of a protein related to human parathyroid hormone. It may be considered in postmenopausal women who have tried and not responded to, or been intolerant of, other medications for osteoporosis. Tymlos significantly reduces the risk of vertebral and nonvertebral fractures. Some animal studies have found that Tymlos is associated with an increase in the risk of osteosarcoma a type of cancerous bone tumor.
It is not known if this increased risk translates to humans; however, authorities have warned that Tymlos should not be given to women already at increased risk of osteosarcoma, including those with Paget's disease of the bone, pre-existing bone malignancies, prior radiation therapy, or hereditary disorders that increase their risk of osteosarcoma. Tymlos is given by self-injection just under the skin and is available as single-use prefilled pens.
There's a lot you can do to decrease your risk of osteoporosis or slow its progress once you have it:. For those already diagnosed with osteoporosis, take care to reduce your chances of having a fall around your home or when out and about:.
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Bone of contention: How to avert a late-life battle with osteoporosis
A bone density test measures a small part of one or a few and can tell how likely you are to have osteoporosis. Exercise for Osteoporosis · Osteoporosis: Fracture Prevention: 6 Tips to Fight. Osteoporosis can lead to serious and sometimes disabling fractures, Animal protein tends to leach calcium from the bones, leading to its excretion in the urine . Osteoporosis is, for those of us devoted to abolishing this disease, the battle being lost on The decline in bone mineral density testing by dual-energy x-ray .