Osteoporosis is a disease where bone density and quality decreases, making bones fragile and prone to fractures. It affects over 55% of people over age 50. Key factors that determine peak bone mass attained by young adulthood include heredity, physical activity, nutrition and lifestyle. While bone density scans can help assess risk, most fractures occur in those with normal or low bone density. Exercise that loads and supports the spine, like the Meeks Method, along with bracing and supplements can help prevent fractures and manage osteoporosis symptoms.
Know everything about Osteoporosis- prevention and management.
Did You Know?
The incidence of hip fracture is 1 woman to 1 man in India
Know more such facts and useful information on prevention of Osteoporosis.
According to National Osteoporosis Foundation in 2015, Osteoporosis was estimated to affect 75million people in Europe, USA and Japan and 200 million women worldwide. In this article, the role of calcium and vitamin D in bone building has been explained and has provided the relevant approaches in diagnosis of suspected cases of Osteoporosis.
Osteoporosis is a disease in which bones become fragile and can easily break. It has no symptoms in its early stages and is a public health threat to more than 44 million Americans. In this community lecture given live on our Berkeley Heights, NJ campus, Dr. Toscano-Zukor, explains how to identify your risk factors for osteoporosis as well as prevent and treat this disease.
Know everything about Osteoporosis- prevention and management.
Did You Know?
The incidence of hip fracture is 1 woman to 1 man in India
Know more such facts and useful information on prevention of Osteoporosis.
According to National Osteoporosis Foundation in 2015, Osteoporosis was estimated to affect 75million people in Europe, USA and Japan and 200 million women worldwide. In this article, the role of calcium and vitamin D in bone building has been explained and has provided the relevant approaches in diagnosis of suspected cases of Osteoporosis.
Osteoporosis is a disease in which bones become fragile and can easily break. It has no symptoms in its early stages and is a public health threat to more than 44 million Americans. In this community lecture given live on our Berkeley Heights, NJ campus, Dr. Toscano-Zukor, explains how to identify your risk factors for osteoporosis as well as prevent and treat this disease.
Osteoporosis is a condition characterized by a decrease in the density of bone, decreasing its strength and resulting in fragile bones. Know the Risk Factors for Osteoporotic Fracture, Preventive Measures and exercise for osteoporosis. For more health Tips, Visit at http://gisurgery.info
Osteoporosis is a condition characterized by a decrease in the density of bone, decreasing its strength and resulting in fragile bones. Know the Risk Factors for Osteoporotic Fracture, Preventive Measures and exercise for osteoporosis. For more health Tips, Visit at http://gisurgery.info
Osteoporosis is a progressive systemic skeletal disease characterized by low bone mass and microarchitecture deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk.
This presentation aim is to provide general awareness of Osteoporosis disease specially in India for general public, students and anyone who is interested to know about; What Osteoporosis is? What are the Risk Factors, Cases of Osteoporosis in Worldwide as well as in India, Prevention.
Slide set that accompanied a public lecture on Nutrients and Bone Health held in London September 2011. The lecture focused on the importance of diet and lifestyle in maintaining healthy bone and preventing osteoporosis. Aspects of diagnosis are reviewed and the use of bone markers to indicate bone turnover are discussed in relation to monitoring the response to treatment.
Hinduja hospital conducts regular webinars and tweetinars for online users where they can seek advice from expert doctors of hinduja hospital for free. Above is the webinar conducted by hinduja hospital on Osteoporosis where issues like osteoporosis symptoms, osteoporosis prevention, osteoporosis treatment were discussed successfully by Spine Consultant, Dr. Uday Pawar.
To know more about such upcoming webinars and tweetinars from hinduja hospital, visit http://www.hindujahospital.com/communityportal/
Definition of osteoporosis,
Types of osteoporosis,
Primary osteoporosis,
Secondary osteoporosis,
Causes of osteoporosis,
Risk factors of osteoporosis,
Pathophysiology of osteoporosis,
Clinical features of osteoporosis,
Physical examination of osteoporosis,
Bone mass density test,
FRAX
Investigation of osteoporosis,
Physiotherapy management
Osteoporosis weakens bones, making them more susceptible to sudden and unexpected fractures.
The disease often progresses without any symptoms or pain, and is not found until bones fracture. You can take steps to prevent this disease, and treatments do exist.
The word ‘osteoporosis’ means ‘porous bone.’ It is a disease that weakens bones, and if you have it, you are at a greater risk for sudden and unexpected bone fractures.
Osteoporosis means that you have less bone mass and strength. The disease often develops without any symptoms or pain, and it is usually not discovered until the weakened bones cause painful fractures.
Most of these are fractures of the hip, wrist and spine.
Osteoporosis in elderly causes and managementGovindRankawat1
“Progressive systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk”
True Definition: bone with lower density and higher fracture risk
WHO: utilizes Bone Mineral Density as definition (T score <-2.5)
Osteoporosis is silent because there are no symptoms initially.
The most common are fractures of the spine, hip, and wrist.
Osteoporosis is not an inevitable part of aging, but is a disease that can be prevented and treated, provided it is detected early.
The main goal of treating osteoporosis is to prevent such fractures in the first place.
5. A musculoskeletal disorder with
compromised bone strength that
predisposes an individual to increased
fracture risk
NIH Consensus Development Panel on
Osteoporosis Prevention, Diagnosis, and Therapy. JAMA
2001: 285:785-795
6. In other words….
Reduction of bone mass,
both quantity AND quality so that
bones become fragile and easily fracture
PEAK BONE MASS
The amount of bone we accumulate as a young adult (generally
age 30-35)
About 90-98% is accumulated by age 18-20
www.niams.nih.gov/Health_Info/Bone/Osteoporosis/bone-mass.asp
9. Also in childhood—babies are being born with it
Affects all populations—women, men, young adults, the
elderly, patients in the clinic, and anyone here in this room today
Knows no boundaries regarding age, gender, lifestyle or ethnicity
or any other factor
Affects over 55% of persons aged 50+ men & women
(Reference National Osteoporosis Foundation 2002)
Total # of people estimated to have the condition in the US—44
million
Is more prevalent than coronary heart disease (12.5 million,) heart
attack (1.1 million,) or diabetes (17 million.) (Ref: Surgeon
General’s Report 2004
Is more common than breast, uterine and ovarian
cancer, combined
11. DETERMINANTS OF
PEAK BONE MASS
Heredity – up to 75% *
Physical Activity Nutrition
Hormonal Status Ethnicity Lifestyle Factors
http://www.niams.nih.gov/Health_Info/Bone/Osteoporosis/bone_mass.asp#a
Accessed October 21, 2011
13. The Only Current Non-Invasive
Diagnostic Test Available for
Clinical Use
BONE DENSITY SCAN
Bone Mineral Density (BMD) Now
Considered a Risk Factor
For Fracture and Not the Primary Diagnostic
Tool it has Been
15. T Score
O to -1………………Normal Bone
-1 to -2.4…………….Osteopenia
-2.5 & Below………..Osteoporosis
Below -2.5 in presence of fracture…
……Severe Osteoporosis
17. HIP
•Most disabling/life threatening
•Older woman who falls backward
most likely to fracture her hip
•1/2 women with hip fracture die
within one year of fracture
•At 6 months following a hip
fracture, only 15% can walk across
a room unaided.
18. CLINICAL CONSEQUENCES OF SPINE FRACTURES
SYMPTOMS SIGNS FUNCTION FUTURE RISKS
Back Pain
(acute/chronic)
Sleep Disturbance
Anxiety
Depression
Decreased Self
Esteem
Fear of future: Falls
and Fractures
Reduced Quality of
Life
Early Satiety
Height Loss
Kyphosis
Decreased Lumbar
Lordosis
Protuberant
Abdomen
Reduced Lung
Function
Weight Loss
Impaired ADL’s
Difficulty Fitting
Clothes
Difficulty Bending,
Lifting, Descending
Stairs, Cooking
Increased Risk of
Fracture
Increased Risk of
Death
Source: Papaioannou et al. 2002. Reprinted from The American Journal of Medicine,
Diagnosis and management of vertebral fractures in elderly adults. 113(3):220-228 (2002)
Bone Health and Osteoporosis
A Report of the Surgeon General October 2004
19. However
more fractures occur in women
with normal bone
or osteopenia
than in those with osteoporosis
Pasco JA, Seeman E, Henry MJ, et al. The population burden of fractures
originates in women with osteopenia, not osteoporosis. Osteoporos Int
(2006)17:1404
Sornay-Rendu E, Munoz F, Garnero P, Duboeuf F, Delmas PD.. Identification of
osteopenic women at high risk of fracture: the OFELY study. J Bone Miner Res.
2005 Oct;20(10):1813-9. Epub 2005 Jun 20.
E. Siris & P. D. Delmas. Assessment of 10-year absolute fracture risk: a new
paradigm with worldwide application. Osteoporosis International (2008);19:383-384
20. WHO Fracture Risk Assessment Tool
10 factors identified to increase fracture risk
independent of bone mineral density
Age, sex, weight (under 125 lbs) & height, previous
fractures, parental hip fracture history, smoking
status, glucocorticoid use, rheumatoid
arthritis, secondary disorders linked to osteoporosis
such as diabetes, 3 or more alcoholic beverages per day
http://www.shef.ac.uk/FRAX
http://www.betterbones.com/bonefracture/whowillfract
ure.pdf
23. Next up…a story about something that’s guaranteed
to burn fat…tone muscles... beautify skin…
improve memory…reduce stress…
boost earning potential...enhance your love life…
reduce the risk of almost every disease…
(including osteoporosis)
and make you look and feel years younger…..
26. Principles of The Meeks Method
Site-Specific Exercise
UN-LOAD the Vertebral Bodies
DECOMPRESSION
FRONT of the Backbone
Single Best Exercise for Most Back Pain
32. “SURPRISE” THE BONES
Walk backward, sideward, on uneven surfaces
The Single Best Exercise for Most
People at almost Anytime
Promotes Weightbearing through
the Hip Joints and the Bones
W
A
L
K
I
N
G
R
u
n
n
i
n
g
J
u
m
p
i
n
g
37. THERAPEUTIC EXERCISE
Emphasis on:
Unloading/Decompression
Strengthening**
(Back Extensor, Lower Abdominal, Hip Support Musculature)
Weightbearing through the hip joint and
the entire skeleton
ALIGNMENT MOST IMPORTANT
(Alignment is EVERYTHING)
**Huntoon EA, Schmidt CK, Sinaki M – Significantly fewer refractures after vertebroplasty in patients who engage
in back-extensor-sternghening exercises.
**Sinaki M, Itoi E, Wahner HW, Wollan P,Gelzcer R. Mullan BP, Collins DA, Hodgson SF – Stronger back muscles
reduce the incidence of vertebral fractures: a prospective 10 year follow-up of post-menopausal women
38. PURPOSES OF BRACING
Support and protection
Control of motion
Prevent fracture
Allow weight-bearing activities
Bracing usually associated with weakening
of body part it is designed to protect
40. “The Spinomed orthosis is the single, most
significant advancement in the conservative
management of osteoporosis and compression
fracture EVER.”
Sara M. Meeks, PT, MS, GCS
Backed up by a peer-reviewed research study - Michael Pfeifer, Bettina
Begerow, Helmut Minne 2004
Ordered by Physician and fitted by Orthotist
Strengthens rather than weakens – even with more wear time; begin slowly and increase
as patients can experience muscle discomfort from muscle activation
Can fit to very severe thoracic hyperkyphosis
Can be worn under clothing – inconspicuous
Combine with Meeks Method of exercises for optimum results
Orthosis should be worn when up and active, can be worn when sitting but
patient will not get the benefit of it
Goal is to Prevent the Next Fracture
45. THANK YOU!!!!
Questions?
Interested in a class?
Need more information? If you feel you may benefit from
physical therapy for osteoporosis and would like to schedule an
appointment, please call the number below
dwyerm@fauquierhealth.org
(540) 316-2680 FH Physical Medicine and Rehabilitation at the
MOB (Medical Office Building)
www.Therapy2bYourself.blogspot.com
