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Posts Tagged ‘Hip Fracture’

If you fracture, your risk of a second fracture within a year is 3 to 5 times as great!  If that first or second fracture is a hip, you have a 25% chance of dying and a 25% chance of spending the rest of your life in a nursing home.  Scary.

Sometimes nutrition and lifestyle changes are enough.  Often medications are needed to effect real improvement.  The anabolic medications Teriparatide (Forteo), Abaloparatide (Tymlos), and Romosozumab (Evenity) not only prevent further fractures by increasing bone mass, but also speed healing.  The antiresorptive medications decrease fracture risk by preventing bone loss.

The NOF video at https://vimeo.com/267839997 discusses the likelihood of benefit in relation to the very small risk of harm from antiresorptive medications.

Understand the relative risks of taking a medication compared to the relative risks involved in not taking a medication.

Jay Ginther, MD

The numbers are scary if anyone actually pays attention.  Every year about 75,000 Americans die of complications of a hip fracture.  Another 75,000 wind up in a nursing home for the rest of their life.  Most of the remaining 150,000 need a walker or cane to walk across a room.  And this goes on year after year.

We spend over $50Billion every year treating patients for 2 million fractures due to osteoporosis.  We only test or treat about 1/5th of the patients with fractures.

NOF offers http://www.nof.org/wp-content/uploads/NOF_infographic_Osteoporosis-by-the-Numbers.pdf

50% of second fractures could have been prevented with treatment, sometimes simply correcting diet and lifestyle.

Protect yourself and older loved ones.  Get a complete bone health evaluation.

Jay Ginther, MD

This week I had a patient who has decided that she does not need to treat her Osteoporosis because she does not yet have symptoms.  This could be a problem for her.  The first symptom of Osteoporosis usually is a Fracture.  Ouch!

Actually she has had symptoms.  She has 5 Vertebral Compression Fracture Deformities in her thoracic spine.  As is usually the case, she had aching, but not sharp pains, from these “crumble-type” fractures.  Therefore she doesn’t really believe that they are “real” fractures.

Vertebral Fractures generally occur about a decade before Hip Fractures.  They are the early warning that much more obvious, and much more inconvenient, fractures may be coming.  You ignore that warning at your peril.

Clinical Osteoporosis is a Silent Disease until the first major Fracture (Bone Attack).  Heart disease may be silent until the first Heart Attack.  High Blood Pressure may be silent until the first stroke (Brain Attack).  Each of these can change your whole life.

Osteoporosis with Fracture is far easier to prevent than to treat – for the patient as well as the doc.  Why wait for a fracture?  Why not start treatment before ruining your life for a few weeks – or forever.

Take Control of Your Life.

Jay Ginther, MD

Keep Your Dad Fracture Free For Fathers’ Day

June 19, 2015 @ 10:04 pm
posted by Dr Ginther

Do better than another shirt or tie for Fathers’ Day.  Make sure your Dad stays Fracture Free!  What?  Men don’t have Osteoporosis or Fractures.  But they do!

25% of all Osteoporosis patients are Men.  Each year 80,000 men have hip fractures.  Over 30% of those men die of complications of their hip fractures.

1/4 of all Men over 50 will Break a Bone due to Poor Bone Health (Osteoporosis).  More Men over 50 will Break a Bone than will have Prostate Cancer.

Many diseases and some medications increase fracture risk.  So do many modern lifestyle errors.  The good news is that simple measures can Decrease Fracture Risk.

Enough Absorbable Calcium spread out through the day.  Enough Vitamin D3 to achieve a 25-hydroxy Vitamin D level of at least 40.  1 gram of Protein for every kilogram of body weight daily.  Multiple Vitamins & Minerals.  Balance and Weight-bearing exercises daily.

Go to the National Osteoporosis Foundation website (www.nof.org) or click the link at your right.  Read The Man’s Guide to Osteoporosis.

Get a Complete Bone Health Evaluation.  Fix potential problems.

Take Control.  You can Avoid Fractures.

Jay Ginther, MD