Coastal Roots registered massage therapy victoria

Osteoporosis Preventions

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

Diagnosing Osteoporosis

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
  • RA
  • Chronic Kidney disease
  • Corticosteroid medication
  • Antiseizure drugs
  • Hyperparathyroidism
  • Other Risk Factors
  • Fx history of Osteoporosis
  • Drinking Alcohol
  • Smoking
  • 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:

  • Age
  • Fx after 50 y/o
  • Mother fx after 50 y/o
  • Smoker
  • Weigh 125 lbs. or less
  • Need to use arms to assist yourself in standing up from a chair

Symptoms

  • 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

References:

  1. http://www.niams.nih.gov/Health_Info/bone/Osteoporosis/osteoporosis_ff.asp (sourced 12/21/10)
  2. 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.
  3. http://ods.od.nih.gov/factsheets/Calcium-QuickFacts/
  4. Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride. National Academy Press. Washington, DC, 1999.
  5. http://www.umm.edu/altmed/articles/osteoporosis-000120.htm
  6. http://ods.od.nih.gov/FactSheets/Zinc/
  7. Sinaki et al. The role of exercise in the treatment of osteoporosis.  Curr Osteoporos Rep. 2010 Sep;8(3):138-44.
  8. 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]
  9. 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.
  10. 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.
  11. Rude et al. Magnesium deficiency induces bone loss in the rat. Miner Electrolyte Metab. 1998;24(5):314-20.