Don’t Become A Humpback

March 14, 2014 @ 7:45 pm
posted by Dr Ginther

Many women and men develop a “humpback” as they age – often starting in their 30’s, 40’s, or 50’s.  “Humpback” or Kyphosis tends to run in families.  There is a genetic component.  But there are factors in nutrition and exercise that you can totally control.  Especially if you start early enough.

You cannot see your “humpback” by looking at yourself in the mirror face to face.  You have to look at yourself from the side, which is hard without a double mirror.  The first clue a woman has, is that she can no longer buy fitted clothing off the rack.  Fitted clothing is designed for people without a “humpback”.  It just doesn’t fit rounded shoulders.

“Bisphosphonate Holiday” 2014

March 8, 2014 @ 8:56 pm
posted by Dr Ginther

“You are entering a Data-Free Zone”   That was unfortunately the messasge at the joint meeting of the International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) last month.  We simply do not have data from a study involving tens of thousands of patients.  We do know some things that are helpful.

Bisphosphonates build up in bone over time.  After about 5 years of Bisphosphonate therapy, you should have enough medication in your bones to last for additional years.  How many years?  That depends.  Different individuals lose Bisphosphonates from their bones at different rates.  Different Bisphosphonates tend to stay in bone longer or shorter than others.  We call the time you are able to stop taking medication for a while (because you have enough in your bones already) “Bisphosphonate Holiday”.

Take Control Naturally – Be A Stork

March 3, 2014 @ 11:13 pm
posted by Dr Ginther

You can Prevent Fractures by being a stork for 5 minutes every day.  How? you ask.  Take Control Naturally with an exercise that improves balance and strength in your ankle and leg.

Falls are part of the reason for most fractures.  As we age, our strength and balance begin to fade.  This causes falls.  Falls cause fractures.  Yoga, Tai Chi, and formal Physical Therapy all increase leg and ankle strength and improve balance.  If you do not have time for yoga or Tai Chi, do this simple exercise every day.

The International Society for Clinical Densitometry (ISCD) met last week.  Our society has been dedicated to properly evaluating DXA to determine Bone Mineral Density (BMD) and t-score.  Now ISCD is taking the next step.

The recurring theme at the 2014 ISCD joint meeting with the International Osteoporosis Foundation (IOF) was that DXA, BMD, and t-score are only tools to reach the real goal.  The real goal is Preventing Fractures.  DXA, BMD, and t-score alone do not get us to that goal.  As health care providers, we can best prevent fractures by evaluating the reasons for Fracture Risk, and correcting those issues.