Posts Tagged ‘kyphosis’
Last time we discussed the disabilities caused by “humpback” kyphosis.
A major factor in “humpback” is weak back muscles. Upright posture decreases the strain of gravity pulling you forward. Strong back muscles maintain upright posture. A great exercise is to lie on your stomach and then lift your chest and thighs off the floor (or firm mattress). Do this several times a day.
Far more important is workplace posture. Too many of us slouch forward because our computer screens are below eye level. Adjust your work station so that you are comfortable sitting upright, looking straight ahead. If you are reading from a book or paper, use a slanted stand to bring your work to you. Don’t be a pretzel trying to bring yourself to your work.
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.
Several patients in the last month have decided not to take the “unnatural” risk of taking medication for their Postmenopausal Osteoporosis. They have been scared by the media emphasis on rare possible risks and side effects of taking osteoporosis medication. They are not aware of the much greater Natural Fracture Risk of being a Post-menopausal Woman.
One patient specifically cited the risk of OsteoNecrosis of the Jaw (ONJ) as her reason. Her risk of ONJ if she takes an Antiresorptive is less than 1 /10,000 per year. Her FRAX calculation shows a total fracture risk of 1/10 per year and hip fracture of 1/35 per year if she does not take medication. She is 1000 times more likely to fracture without medication as she is to have ONJ with medication. Natural Risk can be a Bummer!
Aunt Henrietta is celebrating her 89th birthday, and 4 1/2 years without a fracture! This is a major victory for her. She is one of our many stars!
Despite starting on enough calcium and enough vitamin D over 6 years ago, Henrietta broke one wrist, then the other wrist, and finally a shoulder. Finally she added osteoporosis medications. Despite falling all the way down the attic stairs, she has not broken anything since.