Osteoporosis

Osteoporosis

Who gets osteoporosis and why?
More than 10 million people in the United States have osteoporosis, and another 34 million are at risk due to low bone density (osteopenia). Each year, this disease contributes to more than 1.5 million fractures.

Eighty percent of people with osterorosis are women, and it is the main cause of bone fractures in post-menopausal women and the elderly. However, men get osteoporosis as well. You could be a risk for osteoporosis from a medical condition like rheumatoid arthritis or lupus, or from medications like corticosteroids (such as prednisone).

Prevention, early detection and treatment are important because once your bones are porous enough to cause one fracture, you're likely to have several more.

Risk Factors
The amount of bone mass you have as a young adult, and the rate at which you lose it as you age determine your risk for osteoporosis It is more common in:
• Women, especially those past menopause, or of advanced age
• Women who go through menopause early (before 45) or who have irregular or missed menstrual periods
• Women who have had their ovaries removed through a hysterectomy
• People who are thin or have small body frames
• People with a family history of osteoporosis, or who are of Caucasian or Asian ancestry
• People with a history of bone fractures after a minor injury
• People with an inflammatory form of arthritis, such as rheumatoid arthritis or lupus
• People with a type of spondyloarathropathy, such as ankylosing spondylitis, reactive arthritis (including Reither's syndrome), psoriatic arthritis, or inflammatory bowel disease-associated spondyloarthropathy
• People who take drugs that reduce bone strength such as corticosteroids (cortisone, prednisone or methylprednisolone), anticonvulsant medications (anti-seizure medications), or heparin
• People who eat diets with few calcium-right foods, such as daily products
• People with celiac disease, inflammatory bowel disease (IBD), hyper-thyroidism, chronic obstructive pulmonary disease (COPD), Crohn's disease, ulcerative colitis or multiple myeloma (bone marrow cancer)
• People who have had bariatric surgery
• People who have thyroid or parathyroid disease
• Smokers
• People who drink more than two alcoholic beverages a day
• People with a history of anorexia nervosa or other eathing disorders
• Women who don't exercise regularly, or who exercise so much that menstrual periods stop
• Men with low levels of testosterone
• People who have had long periods of immobility or bed rest

If you have one or more of these risk factors, talk to us about ways to reduce your risk and about whether you should have your bone density tested.

Treatment Options

Two treatment options are: Calcium 1500mg and Vitamin D3 2000IU. Summer also recommends prescription medications if needed.

Diagnosis


Because osteoporosis development doesn't cause any noticeable symptoms at first, you may not even be aware you have it until you break a bone, notice a loss in height or find that your upper back bends forward.

However your doctor can determine from your medical history if you may have osteoporosis or are at risk for developing it. He will ask you questions about your overall health, medications, fractures, diet and family history.

You may need a physical examination and blood and urine tests to rule out other diseases that weaken bones, such as kidney disease, inflammatory bowel disease (IBD), hyperthyroidism, chronic obstructive pulmonary disease (COPD), or multiple myeloma (bone marrow cancer). If you're at risk of developing osteoporosis or already show signs of the disease, your doctor may suggest a bone density test. Not only is it the best way to measure bone mass, it can also help you and your doctor evaluate the need for preventative measures and treatment.

Bone-density tests should be conducted for people who:

• Are taking corticosteroids and expect to do so for long periods     
•Are women age 60 or over and are not taking bone-protecting drugs     
•Have a history or family history of fractures     
•Have diseases that affect calcium absorption or bone strength, such is celiac disease or IBD.

Bone-density tests maybe recommended for some women as early as 50 if they are at high risk for osteoporosis. Bone-density measurement it quick and painless. The most accurate test is done with a tool called a bone densitometer, which uses dual-energy X-ray absorptiometry (DEXA).

The DEXA scan can measure as little as 1 percent to 2 percent loss of bone density. The DEXA scan also is you to follow changes in bone density over time and with treatment.

Bone X-rays are useful for finding fractured bones but not accurate in determining bone density - you'd have to lose 30 percent or more of bone mass before X-rays can detect the loss. Specialized computerized tomographic (CT) scans also can measure bone density.

Some doctors have special training and experience that help them diagnose and treat people with osteoporosis. These doctors include rheumatologists, endocrinologists an orthopaedic surgeons. Some general internists, radiologists, orthopaedists and specialists in women's health may also have special training in bone density measurement.



Think you might have osteoporosis? Contact Innovative Healthcare and get relief today.

(928) 854-7666


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