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Posts Tagged ‘Take Control Naturally’

Start with a Complete Bone Health Evaluation

June 24, 2020 @ 6:57 am
posted by Dr Ginther

You just tripped and suffered a minor fracture?  You just started menopause or male low “T”?  You are now on Medicare?  Are you concerned about your bone health?  If not, you should be.  At least concerned enough to check it out.

Don’t just get a DXA.  DXA alone misses 85% of Fracture Risk, especially in older individuals.  You should get a Complete Bone Health Evaluation to catch any problems early.  “Take Control Naturally” with enough calcium, Vitamin D, protein, and exercises every day.

What is a Complete Bone Health Evaluation?

DXA read by an ISCD Certified Clinical Densitometrist is a start.  ISCD certification assures proper reading.

Vertebral Fracture Assessment (VFA) identifies vertebrae which have collapsed, up to 80% of which are not recognized.  (I missed mine.)

FRAX calculates Fracture Risk far more accurately than DXA and Bone Mineral Density alone.

Blood tests include CBC and CMP routinely done for annual check-ups.  We add monohydroxy Vitamin D, PTH, TSH and phosphorous.

History and physical examination focused on bone health and 20-30 minutes consultation solely about bone health, fracture prevention, osteoporosis prevention, or osteoporosis treatment.

A Complete Bone Health Evaluation allows many of our patients to Take Control Naturally with proper nutrition and exercise alone.

Jay Ginther, MD

Proper body mechanics for bending and lifting will prevent unnecessary fractures.

NOF has visual aids in learning good body mechanics at https://cdn.nof.org/wp-content/uploads/2016/04/SherriBetz_Osteoporosis_Graphic.pdf

If you need help learning proper bending and lifting techniques, CVMS Physical Therapy can assist you.

Most of us know exactly what we should do to minimize risk of injury when bending or lifting.  The hard part is remembering to do it right every time.  Practice will make it a habit.

Jay Ginther, MD

Not everyone gets osteoporosis and unnecessary fractures.  Some risk factors are genetic about which we can do nothing directly.  But we can optimize our nutrition, follow a healthy lifestyle and control chronic diseases like diabetes.

Click on the Take Control Naturally category to your left to get started on the risk factors for osteoporosis you can control, especially the “If you don’t take care of your body, where are you going to live” series from 2017.

NOF has an excellent 9 page summary at https://cdn.nof.org/wp-content/uploads/2017/04/Who-Gets-Osteoporosis-BONE-BASICS.pdf

At least you should Take Control Naturally of those things you can.  And if you are at high risk from factors you cannot control, get a Complete Bone Health Evaluation and work with your healthcare professional to change your odds.

Jay Ginther, MD

NOF Tip for 7 May – Calcium Rich Foods

May 7, 2020 @ 7:07 am
posted by Dr Ginther

BMD (Bone Mineral Density) = Calcium in Bone.  If you want strong bone you must get enough calcium.  Calcium in food is best.  Take control naturally with calcium in foods.

Different listings of calcium in foods look different.  They include different foods.  They have different serving sizes.  We have a handout at the office.  The key is to pick out foods that you like well enough to want to eat them.  Then check serving size.

NOF lists 25 common calcium rich foods at https://cdn.nof.org/wp-content/uploads/2017/04/25-TIPS-Calcium-rich-Foods.pdf

Remember to spread out your calcium over multiple meals.  Remember to take enough vitamin D that you can absorb the calcium you consume.

Jay Ginther, MD