Posts Tagged ‘Nutrition’
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.
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.
Recently a patient finished her half hour visit by saying, “so there is nothing you can do for me”. We had discussed Low Bone Mineral Density (BMD) on her DXA; Vertebral Compression Fractures on her VFA; correcting her Diet – Low in Calcium, Vitamin D3 and Protein; Cutting Down her Smoking; back extension Exercises; and possibly Medications that could reverse her Clinical Osteoporosis. None of these interested her.
She was not interested in what she could do to prevent future fractures. She wanted me to “delete” her current Fragility Fracture and the problems she was having from it. She did not believe that she has clinical osteoporosis. She did not believe she is at risk for future fractures. She certainly did not believe that she should be expected to take any action to help herself.