Bone is a sort of tissue that is constantly being absorbed and replaced, but with age, a person’s bone mass and density typically decrease and lose the density or firmness.
Osteoporosis is a skeletal or arthritic progressive condition that weakens bones, making them fragile and more likely to fracture or break. It is the thinning of bones mass mainly due to loss of calcium.
It develops slowly over several years and its victims are mostly women, especially those who past their menopause are the principal suffers although it may affect people who are in their mid-twenties.
Osteoporosis is when small holes or weakened areas are formed in the bone that can lead to fractures, pain, and a Dowager’s hump that is generally seen in older women.
In chronic or severe osteoporosis, the bones become so brittle that a fall or even mild stresses such as bending over or coughing can cause a break.
Most common signs & symptoms.
It is considered a “silent disease” because there are virtually no symptoms of bone loss in the early stages. But its key symptoms include.
- Increased risk of bone deformity and fractures specially around hips, wrist of spine.
- The bones become very brittle
- Sever back pain
- Loss of height over time
- A stooped posture – A curve in the spine, also known as a dowager’s hump – kyphosis
- Limited mobility.
- Pain in various joints.
- Gums may recede if the jaw is losing bone
- Weaker hand grip strength
- Brittle fingernails
Common causes and Risk factors
- Hereditary tendency.
- Nutritional deficiencies e.g., of calcium and / or vitamin D
- Prolonged immobility because of paralysis or illness
- Inactivity – lazy lifestyle
- Prolong use of Steroids such as prednisone and cortisone, interferes with the bone-rebuilding process.
- Emotional stress
- Due to chronic diseases of liver, kidney, or thyroid
- Malabsorption syndromes, where calcium is not absorbed properly.
- Alcohol, smoking.
- The older you get, the greater your risk of osteoporosis.
- People who have small body frames tend to have a higher risk because they might have less bone mass to draw from as they age.
- Hormone levels – more common in people who have too much or too little of certain hormones in their bodies, e.g., lowered sex hormone levels tend to weaken bone. The fall in oestrogen levels in women at menopause is one of the strongest risk factors for developing osteoporosis.
- Treatments for prostate cancer that reduce testosterone levels in men and treatments for breast cancer that reduce estrogen levels in women are likely to accelerate bone loss too.
- Overactive thyroid – too much thyroid hormone can cause bone loss. This can occur if your thyroid is overactive or if you take too much thyroid hormone medicine to treat an underactive thyroid.
- Osteoporosis has also been associated with overactive parathyroid and adrenal glands.
- Severely restricting food intake and being underweight weakens bone in both men and women.
- Gastrointestinal surgery to reduce the size of stomach for weight loss or to remove part of the intestine for other gastrointestinal issues limit the amount of surface area available to absorb nutrients, including calcium.
- Certain other medicines use for Seizures, Gastric reflux, Cancer etc.
- The risk increases for patients suffering of medical problems such as Celiac disease, IBD – Inflammatory bowel disease, Kidney or liver disease, Cancer, Multiple myeloma, Rheumatoid arthritis,
Prevention – DO’S AND DONT’S
- Avoid a sedentary lifestyle.
- Exercise moderately but regularly.
- Yoga helps in relieving bone problems.
- Avoid strenuous exercise which may increase stress of peripheral bone sites.
- Include diet rich in calcium and Vitamin D . e.g. skimmed milk, soups. Take plenty of protein – soya beans, nuts, grains and pulses.
- Calcium rich food – cauliflower, yoghurt, dark green leafy vegetables, Low-fat dairy products, canned salmon or sardines with bones, Soy products, such as tofu, Calcium-fortified cereals and orange juice.
- Avoid red meat, soft drinks which may prevent calcium absorption.
- Avoid smoking, alcohol and caffeine.
- Maintain your weight -with diet and exercises.
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