Osteoporosis and Proper Treatment Protocols
Sooke and Victoria
What is Osteoporosis?
- Thinning of bone tissue
- Decrease in bone density
Who is at Risk?
- Skeletal maturity between 20- 25 y/o
- Women over 50 y/o
- Men over 70 y/o
World Health Organization establishes bone mineral density measurement 2.5 standard deviations below normal young adult
What causes Osteoporosis?
- Decreased bone synthesis
- Increased bone degradation
- Combination of decreased bone synthesis and increased degradation
Other Causes of Osteoporosis
- Nutritional deficiency
- Confined to bed
- Chronic Kidney disease
- Corticosteroid medication
- Antiseizure drugs
- Other Risk Factors
- Fx history of Osteoporosis
- Drinking Alcohol
- Low body weight
- Hx of hormone tx for prostate and breast cancer
- Absence of menstrual periods for extended periods of time
- Decreased Calcium intake
- Circulatory Problems
- Osteoporosis International and National Foundation
Fracture index and scoring for osteoporosis risk:
- Fx after 50 y/o
- Mother fx after 50 y/o
- Weigh 125 lbs. or less
- Need to use arms to assist yourself in standing up from a chair
- Early Stages: no symptoms
- Later stages:
- Bone pain
- Muscle Pain
- Fx with little trauma
- Loss of height (as much as 6 inches)
- Neck and Low back pain
- Stooped Posture
How to Prevent Osteoporosis?
- Nutritional analysis
- Hormone level assessment
- Bone density study
- Blood and urine testing- medical conditions
Goals from Proper Treatment
- Decrease Pain
- Slow down or stop bone loss
- Prevent bone fractures with stabilizing exercises, supplements, and medication thatsupport bone strength
- Minimize the risk of falls that may cause fractures
- Increase ROM
How to Treat and Prevent Osteoporosis?
- Medications- Bisphospinates, Calcitonin, Raloxifene,
- Hormone replacement and parathyroid hormone therapy
Natural Options with Dr. Gratton
How to Treat and Prevent Osteoporosis
Exercise is integral in building strength in bones
- Improved stability
- Reinforces and improve muscle, tendon, ligament, joint, and bone tissue
- Increases mobility
Types of Exercise to Perform
*Obtain a detailed assessment from a professional
- Circuit exercise- Improves Mobility and health-related quality of life
- Weight Bearing Exercise: Walking , tennis, dancing, vibratory platform
- Vibratory Platform-2x/wk reduces risk of falls and improves balance
- Resistance Exercise: free weights, weight machines, stretch bands
- Balance Exercise: Tai chi, yoga, pilates, vibratory platform
- Stationary bike and rowing machines
*Avoid any exercise that increases the risk of falling or high impact compression. Strive to obtain 30 minutes of exercise every day.
* Treatment plans must be designed specific for you in order to obtain optimum bone density results
Maintain Regular Chiropractic Checkups
- Increases stability, flexibility, spine mobility, and bone density with specific exercise protocols
- Decreases pain (esp. neck, low back, hip, and rib)
- Ergonomic, nutritional, and exercise counseling
*Make certain your practitioner is well-versed in osteoporosis modalities and reviews the results of bone density and x-ray imaging.
Ancillary Modalities: ice/ cryotherapy, infrared laser therapy, e-stim to reduce inflammation, support braces may be recommended
All techniques are gentle and mindful of any osteoporotic condition
- http://www.niams.nih.gov/Health_Info/bone/Osteoporosis/osteoporosis_ff.asp (sourced 12/21/10)
- Slemenda et al: Long-term bone loss in men: effects of genetic and environmental factors. Ann Intern Med. 1992 Aug 15;117(4):286-91.
- Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride. National Academy Press. Washington, DC, 1999.
- Sinaki et al. The role of exercise in the treatment of osteoporosis. Curr Osteoporos Rep. 2010 Sep;8(3):138-44.
- Bergland et al. Effect of exercise on mobility, balance, and health-related quality of life in osteoporotic women with a history of vertebral fracture: a randomized, controlled trial. Osteoporos Int. 2010 Nov 9. [Epub ahead of print]
- Nikander et al. Targeted exercise against osteoporosis: A systematic review and meta-analysis for optimizing bone strength throughout life. BMC Med. 2010 Jul 21;8:47.
- Wayne et al. Tai Chi for osteopenic women: design and rationale of a pragmatic randomized controlled trial. BMC Musculoskelet Disord. 2010 Mar 1;11:40.
- Rude et al. Magnesium deficiency induces bone loss in the rat. Miner Electrolyte Metab. 1998;24(5):314-20.