Osteoporosis

Osteoporosis – A Silent Killer – What You Should Know??

Osteoporosis is a condition that can have serious effects. It can lead to fractures, which can be painful, take a long time to heal, and lead to other complications.For instance, treatment for a hip fracture can include staying in bed for long periods, which raises your risk of blood clots, pneumonia, and other infections.

The good news is, there’s a lot you can do both to prevent and to treat osteoporosis, from eating right and exercising to taking appropriate medications.

If you think you’re at risk of osteoporosis, or if you’ve been diagnosed with it, talk to us and we  can work with you to put together a prevention or treatment plan that can help improve your bone health and reduce your risk of complications.

We are also very proud to know that we have the exact tool to assess osteoporosis – THE DEXA SCAN – A DEXA scan(dual X-ray absorptiometry) THE GOLD STANDADRD TEST TO DIGNOSE THE LEVEL OF OSTEOPOROSIS USING THE LATEST MACHINE AVAILABLE IN THE WORLD.

What do you mean By Osteoporosis ?

Osteoporosis means “porous bone.” Bones become more brittle, usually due to hormonal changes or reduced levels of calcium or vitamin D in the body. The loss of bone mass makes them weaker and more likely to break if you fall or are otherwise injured.

There are several risk factors which makes us prone for osteoporosis. These are age, weight, gender( women are more prone to develop osteoporosis) ,smoking history, alcohol use , fracture history and of lourse a lazy lifestyle and low exposure to Sunlight.

Osteoporosis symptoms

The early stages of osteoporosis don’t cause any symptoms or warning signs. In most cases, people with osteoporosis don’t know they have the condition until they have a fracture.If symptoms do appear, some of the earlier ones may include:receding gums,weakened grip strength,weak and brittle nails

Severe osteoporosis

Without appropriate treatment, osteoporosis can worsen. As bones get thinner and weaker, the risk of fracture increases.Symptoms of severe osteoporosis can include a fracture from a fall or even from a strong sneeze or cough. They can also include back or neck pain, or loss of height.

Back or neck pain or loss of height can be caused by a compression fracture. This is a break in one of the vertebrae in your neck or back, which is so weak that it breaks under the normal pressure in your spine.

If you do have a fracture from osteoporosis, how long it takes to heal will depend on many factors. These include where the fracture is, how severe it is, as well as your age and health history.If you don’t have symptoms but have a family history of osteoporosis, talking to your doctor can help you assess your risk.

Are osteoporosis tests enough?

What Does Your FRAX Score Mean?

What is FRAX?

Because of the bone-weakening effects of menopause, 1 out of 2 women over the age of 50 will have a fracture related to osteoporosis. Men are also more likely to fracture a bone as they age.To help determine your risk for such an injury, doctors developed the Fracture Risk Assessment Tool (FRAX). Your FRAX score is your risk of having an osteoporosis-related fracture in the next 10 years.

The formula for measuring your risk uses factors such as:

age

weight

gender

smoking history

alcohol use

fracture history

Are osteoporosis tests enough?

Osteoporosis means “porous bone.” Bones become more brittle, usually due to hormonal changes or reduced levels of calcium or vitamin D in the body. The loss of bone mass makes them weaker and more likely to break if you fall or are otherwise injured.

The primary test used to diagnose osteoporosis is dual X-ray absorptiometry (DEXA). A DEXA scan measures your bone mineral density (BMD). It’s a painless imaging test that uses low levels of radiation. During the test, you lie down and a scanner passes over your body. Some tests measure the BMD of the entire skeleton. Other types of DEXA scans check a few bones, such as the hips, wrist, and spine.A diagnosis of osteoporosis isn’t a guarantee that you’ll have a fracture. A BMD test can only give you an idea of how much weaker your bones have become. A FRAX score can give you a better idea of your risk.

FRAX questionnaire

The FRAX questionnaire includes only 12 items. Each one, though, represents an important osteoporosis risk factor. The factors include:

Age. The loss of bone mass increases as you age.

Sex. Women are at a higher risk for osteoporosis and related fractures, but men can also develop osteoporosis.

Weight. Having low weight and being frail raise your risk of osteoporosis.

Height. Your height-to-weight ratio can help determine how frail you are or whether you are too overweight.

Previous fracture. Your FRAX score will be higher if you’ve had a fracture that occurred spontaneously. It will also be higher if you’ve broken a bone caused by trauma that would not usually cause a fracture in a healthy person.

Parent fractured hip. If your mother or father had a hip fracture, your risk of a similar injury is higher.

Current smoking. Smoking is a controllable risk factor for osteoporosis and weaker bones.

Glucocorticoids. These medications are used to treat allergies, autoimmune conditions, and other health problems. Unfortunately, they can also interfere with the formation of new bone tissue and with your absorption of calcium.

Rheumatoid arthritis. This autoimmune condition is associated with a higher risk of osteoporosis.

Secondary osteoporosis. This includes conditions related to osteoporosis, such as type 1 diabetes, hyperthyroidism, chronic liver disease, premature menopause (prior to age 45), and several other conditions.

Three or more alcoholic drinks per day. These include beer, wine, and spirits. Excessive alcohol consumption raises the risk of osteoporosis.

Diagnosis and OSTEOPOROROSIS TREATMENT

The treatment of osteoporosis is multimodal. Its not that if you have started taking calcium you do not or will not develop osteoporosis.You should see an orthopaedic surgeon first. It is very wisely said that a stitch in time saves Nine and yes you get your sef assessed. We may be able to help you. A proper History and avoidance of risk factors like alcohol consumption, smoking cessation  and a sedentary lifestyle changes are very important. A risk assessment is done and proper investigations is a mandate. Apart from Vitamin D levels and routine X rays – A DEXA scan(dual X-ray absorptiometry) is the gold standard test which quantitatively gives a  T score( a score to assess your fracture risk) and your  treatment is planned according to this value.

How does a bone mineral density test work?

According to the Radiological Society of North America (RSNA), a DEXA scan is the standard for measuring the density of a person’s bones and their risk for osteoporosis. This painless test uses X-rays to measure bone density.

A radiation technologist performs a DEXA scan using a central or peripheral device. A central device is more commonly used in a hospital or doctor’s office. The person lies on a table while a scanner is used to measure hip and spine bone density.

A peripheral device is more commonly used at mobile health fairs or pharmacies. Doctors call peripheral tests “screening tests.” The device is smaller and box-like. You can place a foot or arm in the scanner to measure bone mass.

According to the RSNA, the test takes anywhere from 10 to 30 minutes to perform. Doctors may also perform an additional test known as a lateral vertebral assessment (LVA). Since back pain is both a frequent symptom of vertebral fractures from osteoporosis and a common symptom in general, LVA has been assessed to determine whether it can help doctors differentiate osteoporosis from non-specific back pain. This test uses DEXA machinery to help determine if someone already has spinal fractures. The overall clinical utility of this test in the diagnosis and management of osteoporosis remains controversial.

DEXA imaging results include two scores: a T score and a Z score. The T score compares a person’s bone mass with a young adult’s of the same gender. According to the National Osteoporosis Foundation, the scores fall into the following categories:

greater than -1: normal

-1 to -2.5: low bone mass (called osteopenia, a potential precursor condition to osteoporosis)

less than -2.5: typically indicates osteoporosis

A Z score compares a person’s bone mineral density to that of people their same age, gender, and overall body type. If your Z score is below -2, something other than normal aging may be responsible for your declining bone mineral density. Further testing may be warranted.

These diagnostic tests don’t mean you will definitely experience osteoporosis or a bone fracture. Instead, they assist your doctor in assessing your risk. They also cue a doctor that further treatment may be needed and should be discussed.

FAQ on DEXA scan

What IS A DEXA SCAN?

DEXA scan is a high-precision type of X-ray that measures your bone mineral density and bone loss. If your bone density is lower than normal for your age, it indicates a risk for osteoporosis and bone fractures. DEXA stands for dual energy X-ray absorptiometry.

What is a DEXA scan used for?

Bone density scans, also known as DEXA scans, help to work out your risk of breaking a bone. They’re often used to help diagnose bone-related health problems, such as osteoporosis, or to assess the risk of getting them.

Is a DEXA scan safe?

How safe are bone density (DEXAscans. Bone density scans are very safe. They use a much lower level of radiation than standard X-rays, which means that the radiographer (the technical specialist carrying out the scan) can stay in the scanning room with you during the scan

How long does a DEXA scan take?

An X-ray detector inside the scanning arm measures the amount of X-rays that have passed through your body. This information will be used to produce an image of the scanned area. The scan usually takes 10 to 20 minutes.

What can show up on a DEXA scan?

The most common purpose of a DEXA scan is to assess whether a person’s bones are weak and or at risk of fracture. It also helps a doctor diagnose osteoporosis. Osteoporosis causes the bones to lose density or become thin. When the bones get thin, they also become fragile, which makes them more susceptible to breaks.

Does a DEXA scan show body fat?

A BodySpec DXA scan (also known as a DEXA scan) is a simple, 10-minute body fat test that takes a comprehensive snapshot of your exact breakdown of bone, fat tissue, and muscle mass. The DXA scan is the most accurate and precise body fat test available. DXA stands for dual-energy x-ray absorptiometry.

 Can a DEXA scan show a tumor?

DEXA scan measures bone mineral density. Short for dual-energy X-ray absorption, the DEXA scan helps the doctor evaluate bone health and determine the likelihood of osteoporosis or bone fractures. This scan also may help detect whether cancer has metastasized, or spread, to the bones.

What should I do before a DEXA scan?

DEXA scans are usually outpatient procedures. There aren’t any special preparations needed, except to stop taking any calcium supplements for 24 hours before the test. Wear comfortable clothing. Depending on the body area being scanned, you may have to take off any clothes with metal fasteners, zippers, or hooks.

Can a DEXA scan show a fracture?

DEXA scan detects weak or brittle bones to help predict the odds of a future fracture and, sometimes, to determine if someone should be taking medication (such as a bisphosphonate) to slow bone loss.

 

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