Posts Tagged ‘Stop Smoking’
Smoking is a major risk factor for fractures. Smoking suppresses the osteoblasts (the cells that make new bone). The osteoclasts (cells that eat away bone) then can easily outdo the osteoblasts, and you lose bone mass. Lower bone mass = more fractures.
Stopping smoking altogether is the best for your bone health. That is really tough to do. E-cigarettes have not proven less harmful to bone. Nicotine patches help only if they eventually lead to less nicotine intake than with smoking.
The damage smoking does to your bones (and lungs, and heart) is dose related. Therefore, cutting way down is almost as good as quitting, and often much easier to do.
Especially if you are trying to heal a fracture, stopping smoking, even for a few weeks, is really important. 1 ppd smokers are 5 to 10 times as likely to not heal a fracture. The same is true for infection rate after surgery.
Steroid Inhalers also suppress osteoblasts and bone formation. Unfortunately many cannot get off their steroid inhalers, even after they quit smoking. Major bummer.
Take Control Naturally of your bone health. Stop Smoking. Or at least cut way back.
Jay Ginther, MD
The goal of Bone Health Evaluation and Treatment is Fracture Prevention! DXA and Bone Mineral Density (BMD) are useful tools for evaluation. But DXA and BMD are only one out of many tools for bone health evaluation. DXA t-score and BMD should never be the sole goal of treatment.
As an orthopedic surgeon, my goal is always Decreasing Fracture Risk. In the USA we sometimes seem to have forgotten that real goal. We focus too much on DXA t-scores. We should focus on the patient. We should treat “Clinical Osteoporosis”. The patient deserves a complete Bone Health evaluation.
My patient desperately wants to avoid taking medication for her worsening osteoporosis. She considers medications to be unnatural. She has already maintained her 25-hydroxy Vitamin D level above 40 ng/mL and her total Calcium intake at 1500 mg daily for the past year. Her lab tests show no problems to correct.
Still her Bone Mineral Density (BMD) has fallen further. Her Vertebral Fracture Assessment (VFA) has slightly worsened. There is nothing left for her to do other than add medication……….except for one drastic action. She will Stop Smoking! That should work even better than adding a medication! And she will Take Control Naturally!
You know that Smoking can cause Lung Cancer, Asthma, Emphysema, and COPD.
Smoking also increases the Risk of Fractures, the Risk of Fractures Not Healing, and the Risk of Osteoporosis. And it’s not just Tobacco!