Archive for the ‘Fracture’ Category
Any fracture, especially after age 50, in a woman or a man, requires a Complete Bone Health Evaluation. This was preached from the podium at the National Osteoporosis Foundation (NOF) meeting last month.
ANY Fracture must be taken seriously. Whether you “fell really hard” on concrete or ice, or fractured in sports, or even if you broke bones in a car crash, ALL Fractures indicate increased Future Fracture Risk.
Studies of injuries in car crashes, after matching passengers for seat positiion, closing speed of the collision, belted or not, tell the story. Those with the best Bone Health are least likely to break. Those with poor Bone Health are much more likely to break.
Age 50 approximates menopause in women, but menopause at any age is more significant than age alone. So are parental fractures, especially of hip or spine. And don’t forget men.
Fractures at any age indicate an increased Fracture Risk. After your first fracture, try to avoid your next fracture by improving your bone health.
Most of us can decrease our Fracture Risk before even considering medications. Enough Calcium, Vitamin D3, Protein, Balance and Strengthening Exercises, go a long way to improve your bone health. This is especially true if you start LONG BEFORE age 50.
Did you fracture? Take Control of your Future. Find what you need to change with a Complete Bone Health Evaluation.
Jay Ginther, MD
Fracture Prevention was the theme at NOF (National Osteoporosis Foundation) this year. This has always been their goal, but it has not been well communicated.
Fractures are bad. Fractures are painful. They keep you from doing things you want to do. For weeks. Or months. Or even forever.
Fractures ruin your finances. They cost a lot to treat. They cost even more if you cannot work.
Fractures can disable you temporarily, or even permanently. You can lose your Independence. You could spend the rest of your life in a Nursing Home.
Clinical Osteoporosis is an Increased Risk of Fracture.
One fracture doubles your risk of a second. Two fractures increases the risk 5 times. Fracture Risk is multiplied 9 times by 3 fractures.
You can decrease Fracture Risk. A Complete Bone Health Evaluation will identify nutrition and lifestyle details that you can improve for better Bone Health.
Many Fractures can be prevented by simple non-medication measures. You can start with proper Calcium, Vitamin D3, Protein, Balance and Strengthening Exercises, Multiple Vitamins & Minerals. These measures are necessary even if you also take osteoporosis medications. Often they are enough, at least for a few years.
Take Control of your Future. Prevent Fractures and all the misery they can bring.
Jay Ginther, MD
Spring is here. The birds are singing. Soon flowers will be blooming. All the world is coming to life. And more hips will be breaking.
32% of all hip fractures (nearly 1/3) occur in Spring! Nearly 1/3 of hip fractures over 70 are in men. And nearly 1/3 of those men die within months from medical complications initiated by their hip fractures. Dangerous!
What can we do to avoid those fractures? Decrease Fracture Risk! How? Do the following:
It is March; this is Iowa; almost 90% of persons not on major doses of Vitamin D3 are low. (By late September that falls to less than 60% that are low.) Remember that if you have a low Vitamin D level, you cannot absorb enough of the Calcium you consume in food and/or supplements. Take extra Vitamin D3.
Remember that while Calcium Citrate is always absorbable, Calcium Carbonate often is not. Remember that you need enough Magnesium to absorb Calcium. A Senior Multiple Vitamins & Minerals has enough Magnesium for those of us over age 50, and lots of other good stuff too.
Protein is a big deal, especially over age 60, when our protein needs actually increase. 80% of bone and 90% of muscle are protein. Regular exercises, including Balance Exercises, are necessary to Prevent Falls.
Take Control Naturally with proper nutrition and exercises.
Jay Ginther, MD
Falls are the immediate cause of most “wrist”, shoulder and ankle fractures, and of many Hip fractures. Two or more falls in a year indicate a need for more than basic balance and strength training. You need to analyze why you fell. Then work to avoid repetition. Formal Physical Therapy, teaching exercises to do at home, is best.
Major Fall Risk Factors: loose rugs and minor step-ups into a room; the scuffing gait needed for slippers, sandals or clogs; poor vision and bifocals; bending to pick something off the floor without hanging on to support; not using chair arms; slow gait; and not using a cane or walker on uneven surfaces (out-of-doors). If you have any of these, work to eliminate them.
Walking for exercise does NOT reduce falls. Even walking over a mile daily. Balance and strength training DO reduce falls. The simplest to do at home is to stand on one leg. The goal is 30 seconds. Many of us need to hang on to something solid at first and gradually work up to “no hands”. PT will teach additional exercises as you improve.
Lifestyle Integrative Functional Exercises! Look at all daily activites, then modify your lifestyle to avoid Fall Opportunities. Avoiding Falls is just as important as taking osteoporosis medications for Avoiding Fractures.
Take Control Naturally. Avoid Falls. Avoid Fractures.
Jay Ginther, MD