Posts Tagged ‘Vitamin D3’
Tomorrow I am at the 2014 National Osteoporosis Foundation meeting. Actually the name “National Prevent Fractures Organization” would better explain our goals. We don’t care about Osteoporosis as much as we care about Preventing Fractures.
DXA and T-score test results of “osteoporosis” only identify about 15% of the persons who will fracture. How can we identify those persons with “osteopenia” who will fracture? We use FRAX and Vertebral Fracture Assessment (VFA). My Poster # 18 tomorrow and Friday documents how adding VFA to DXA identifies additional persons at high risk for Fractures.
Last week a patient lamented that according to TV and Radio, “just about everything is bad for me”. So we discussed that reporters are paid to get people to watch and listen. Nobody wants to hear that their mother was right when she said “Drink your Milk”. But everyone will listen to a report that “Calcium is Bad for you if you take Daily Supplements “. This is true ONLY IF you take enough daily supplements and enough additional Calcium in your food to total way over 1500 mg in a day, but that ruins the story.
We miss Paul Harvey. He always told “The Rest of the Story”.
If you have a Heart Attack or a Stroke (Brain Attack), you don’t say it was an accident. You check out your heart or blood pressure to see what is wrong that can be corrected. In this way, you decrease the risk of another heart attack or stroke.
If you have a Fracture after a fall, don’t say it was an accident. Check out your Bone Health to see what can be improved or corrected. In this way, you won’t have increased Fracture Risk the next time you fall. Anyone can fall, but not everyone fractures. A fall can be an accident, but a fracture is a Bone Attack – a warning to check your bone health.
In 7 years, I have never evaluated someone for bone health without finding at least one issue that can be improved. That included myself, when I was honest and actually evaluated my own situation.
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.