Osteoarthritis Facts

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Learn how to keep your bones strong for life. Osteoarthritis can limit you and you may miss out the best times in your life!

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Osteoarthritis Facts

  1. 1. Osteoarthritis is the weakening of bones,which can lead to painful spinefractures, a broken wrist, or hip breaks.Its most common among people age65 and older, so why should anyoneyounger care?Osteoarthritis can be devastating,especially if it leads to a fracture of thespine or hip in old age. 2Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved
  2. 2. Throughout your life, you constantly lose old bone and form new bone. As a teenager and young adult, your body makes more bone than it loses, but with age, bone production drops off and bone loss increases, putting you at risk for osteoarthritis. According to the National osteoarthritis Foundation, roughly 10 million Americans have osteoarthritis and 34 million have osteopenia (low bone mass). But osteoarthritis and related fractures dont have to be inevitable.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 3
  3. 3. Osteoarthritis FactsCategory: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 4
  4. 4. 1. A broken bone might indicate you already have osteoarthritis.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 5
  5. 5. A simple fall that results in a fracture is the most telling sign that you may have osteoarthritis, says Connie Weaver, PhD, a calcium researcher and chairman of the department of nutrition science at Purdue University. "Many times, people just assume the fracture is due to the trauma and dont investigate if they need to be treated for osteoarthritis,“ People who break a bone and have other risk factors for osteoarthritis, such as a small build or a family history of fracture and low body weight, should be especially vigilant, she says.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 6
  6. 6. 2. Having diabetes raises your risk for osteoarthritis.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 7
  7. 7. People who have type 1 diabetes or type 2 diabetes are prone to weaker bones. "The quality of the bone they make isnt good," says Diane Schneider, MD, a geriatrician and author of The Complete Book of Bone Health. "In people with type 1 diabetes, there is more bone breakdown, and in people with type 2 diabetes, the bones are more fragile." Medications for type 2 diabetes can also cause bones to be weaker. Even extra body weight doesnt help. "Were finding a growing connection between bone and fat," Schneider says. "Being overweight is not as protective as we once thought."Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 8
  8. 8. 3. Being thin increases your chances for osteoarthritis.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 9
  9. 9. Having a small frame and a slight build means you have bones that are less dense and more vulnerable to osteoarthritis and fracture. Some studies show you may be especially prone to developing osteoarthritis if you weigh 127 pounds or less, Schneider says. Since there isnt much you can do about the way youre built, women who are small- boned need to take charge of osteoarthritis risk factors that they can control. "You have to pay special attention to what I call the ABCDs of bone health," Schneider says. "Activity, balance, calcium, and vitamin D."Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 10
  10. 10. 4. Not getting enough calcium puts your bones at risk.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 11
  11. 11. The fact remains that calcium is a necessary part of our diets. According to the Institute of Medicine, women need 1,000 mg of calcium each day up to age 50, and 1,200 mg of calcium a day after age 50. Diane Schneider, MD, recommends getting the bulk of your calcium from food, such as from milk, yogurt, broccoli, turnip greens, and calcium-fortified foods, and taking less than the recommended dose of calcium supplements.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 12
  12. 12. 5. Some medications can hurt your bones.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 13
  13. 13. Certain medications -- among them, antidepressants, corticosteroids and proton pump inhibitors -- can put your bones at greater risk for osteoarthritis. Anti-seizure medications, certain cancer treatments, and diabetes drugs may also cause bone loss. In most cases, the risk of osteoarthritis goes up the longer you take these meds and the higher the dose. Before going on any medication, ask your doctor about the impact on your bones. If you must take one of these drugs, work with your doctor to take the lowest dose possible, and discuss ways to lower your risk of osteoarthritis.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 14
  14. 14. 6. After menopause, your risk for osteoarthritis increases.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 15
  15. 15. For women, menopause causes a steep drop in estrogen, a hormone essential for strong bones. The earlier you go into menopause, the higher your risk of osteoarthritis. "Women lose the most bone in the first three to five years of menopause," Weaver says. "They can lose as much bone as they gain during puberty." Menopause, Weaver says, is an important time to make lifestyle choices that protect against bone loss; namely, with exercise and diet.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 16
  16. 16. 7. Your diet can encourage the development of osteoarthritis.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 17
  17. 17. Getting enough calcium and vitamin D is essential for warding off osteoarthritis. Linda K. Massey, PhD, RD, a professor of human nutrition at Washington State University in Spokane, says studies show that regular table salt, not simply sodium, causes calcium loss, weakening bones with time. Bones are about 50% protein and bone repair requires a steady stream of dietary amino acids, the building blocks of body proteins. Many soft drinks and certain other carbonated soft drinks contain phosphoric acid, which can increase calcium excretion in your urine. And nearly all soft drinks lack calcium. That combination spells trouble for women at risk of osteoarthritis. Caffeine leeches calcium from bones, sapping their strength.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 18
  18. 18. 8. A bone density test can detect bone loss.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 19
  19. 19. Bone density is commonly measured with dual-energy X-ray absorptiometry (DXA), also known as a bone density test. This simple, painless test gauges bone strength by comparing your bone mass to those of young adults of the same gender at peak bone mass, using a T-score. A T-score of -2.5 or lower means you have osteoarthritis. A score between -1.0 and -2.5 means you have osteopenia, low bone mass. A T-score of -1.0 or higher means your bones are normal. "Women usually dont need a DXA scan until theyre 65 and men until age 70," Schneider says. Talk to your doctor about when to get screened and about follow-up tests. The answer will depend on your age, osteoarthritis risk factors, and previous bone density test results.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 20
  20. 20. 9. Physical activity protects you against osteoarthritis.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 21
  21. 21. Weight-bearing exercises -- the kind that force your body to work against gravity, such as walking, running, dancing, and tennis -- are the best for keeping bones healthy. The key, Schneider says, is to be active. "It doesnt have to be exercise in the gym," she says. "You simply want to spend more time on your feet and move. You want to spend less time sitting."Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 22
  22. 22. 10. Stress can act as a catalyst for osteoarthritis.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 23
  23. 23. Osteoarthritis can be devastating, especially if it leads to a fracture of the spine or hip in old age. "A spine fracture is very painful and associated with increased risk of death," says Elizabeth Shane, MD, professor of medicine at Columbia University Medical Center, and a specialist in osteoarthritis and other bone diseases. "With a hip fracture, you cant live independently. Youll either need a caregiver or have to go into assisted living.“ Less serious in terms of health consequences is a broken wrist, which would require wearing a cast. A broken wrist makes performing everyday tasks, such as buttoning buttons or preparing a meal, a challenge.Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 24
  24. 24. Category: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 25
  25. 25. Hip FractureCategory: Arthritis ©2012 Chronic Pain and Depression All Rights Reserved 26

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