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UNDERSTANDING OSTEOPOROSIS

I.M. Doctor, M.D. My Office My City, State. UNDERSTANDING OSTEOPOROSIS. Understanding Osteoporosis. What is Osteoporosis Osteoporosis myths Osteoporosis facts. Understanding Osteoporosis. Osteoporosis symptoms and warning signs Who is at risk? Diagnosing Osteoporosis.

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UNDERSTANDING OSTEOPOROSIS

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  1. I.M. Doctor, M.D. My Office My City, State UNDERSTANDING OSTEOPOROSIS

  2. Understanding Osteoporosis What is Osteoporosis Osteoporosis myths Osteoporosis facts

  3. Understanding Osteoporosis Osteoporosis symptoms and warning signs Who is at risk? Diagnosing Osteoporosis

  4. Understanding Osteoporosis • Treatment options • Medication • Treatments • Steps you can take to prevent Osteoporosis

  5. What is an orthopaedic surgeon? MD or DO who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)

  6. What is an orthopaedic surgeon? The expert in treating the musculoskeletal system The expert in maintaining musculoskeletal health

  7. Educating an Orthopaedic Surgeon • College • Medical School • Internship • Orthopaedic Residency • Fellowship (optional) • 2 Years Practice TOTAL 4 4 1 4 (1) 2 16 years!

  8. What do orthopaedic surgeons do? • Diagnose • Treat • Medication • Physical Therapy • Exercise • Brace • Surgery • Prevent Injury and/or Disease Progression

  9. Osteoporosis, or porous bone, is a progressive disease that robs its victims of bone mass. Osteoporosis

  10. Osteoporosis Normal Bone Osteoporotic Bone

  11. It is a progressive disease and irreversibly weakens bones Minor trauma can cause debilitating fracture Chronic pain and disability are the potential outcomes Hip fractures can cause death Myth #1: “Osteoporosis is not serious enough for me to worry about”

  12. Myth #2: Osteoporosis Myths “I’m a healthy person. I eat right and exercise so I am not at risk.”

  13. It is never too early to prevent Osteoporosis Osteoporosis can strike at any age Bone is a living, growing tissue that constantly rebuilds Myth #3: Osteoporosis Myths “I’m too young to worry about osteoporosis.”

  14. Myth #4: Osteoporosis Myths “It’s too late for me to do anything about Osteoporosis.” 14

  15. More than 10 million Americans suffer from Osteoporosis 80% are women 1 in 2 women and 1 in 4 men over 50 years old will be diagnosed Prevalence Source: National Osteoporosis Foundation

  16. 2 Million Fractures Annually Vertebral Fractures: 550,000+ Wrist Fractures: 400,000+ Hip Fractures: 300,000+ Other Fractures: 810,000+ 16 Source: National Osteoporosis Foundation, 2000

  17. $19 billion in 2005 Approximately $52 million daily Burden of Disease

  18. Burden of Disease

  19. Most patients with hip fractures are hospitalized for about one week. One in four adults who lived independently before their hip fracture has to stay in a nursing home for at least a year after their injury. One in five hip fracture patients dies within a year of injury. Burden of Disease Source: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention

  20. Osteoporosis Normal Spine Osteoporotic Spine 20 Source: National Osteoporosis Foundation, 2000

  21. Persistent, unexplained back pain Shorter than you used to be Can no longer stand up straight Spinal deformities Symptoms and Warning Signs

  22. Recurrent fractures Fracture from minimal trauma Experiencing chronic medical problems Symptoms and Warning Signs

  23. Female Thin or small frame Older age Family history Smoking Risk Factors

  24. Advanced age History of fragility fracture Family history - primary relative with Osteoporosis or fragility fracture Risk Factors

  25. Post Menopausal Hormonal imbalances can result in rapid bone loss Women can lose up to 20% of their bone mass in 5-7 years Risk Factors

  26. Amenorrhea, anorexia, and bulimia Diet low in calcium Certain medications Low testosterone in men Risk Factors

  27. Risk Factors Inactive lifestyle Cigarette smoking Excessive alcohol consumption

  28. Ethnicity & Osteoporosis • Hispanic women at highest risk • 10% of Hispanic women over 50 have osteoporosis now • 49% are estimated to have low bone mass, putting them at riskfor the disease Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services

  29. Ethnicity & Osteoporosis • Hispanic womenget less calciumthan RDA • Twice as likely todevelop diabetes • Rate of hip fractureson the rise Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services

  30. Ethnicity & Osteoporosis Caucasian and Asian-American Women also at high risk Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services

  31. African-Americanwomen get 50% ofRDA of calcium Lupus and sickle-cell anemia canraise osteoporosis risk Ethnicity & Osteoporosis Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services

  32. Osteoporosis undertreated in African-American women Risk doubles every 7 years African-American women more likely to die from hip fractures Ethnicity & Osteoporosis Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services

  33. Men & Osteoporosis Underdiagnosed Unrecognized Underreported Inadequately researched 33

  34. 2 million American men suffer from osteoporosis Millions more are at risk 80,00 hip fractures each year One-third die one year after fracture Men & Osteoporosis Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services

  35. Diagnosis • Medical history • Physical exam • X-rays • Bone densitometry • Specialized lab tests

  36. Bone Densitometry

  37. Anyone with a fragility fracture All women age 65 and older Postmenopausal women younger than 65 with risk factors Men over 50 with risk factors Bone Densitometry

  38. Diagnosis Before Your Appointment • Prepare to describe your symptoms • Gather medical history • Make list of medications • Write down concerns and questions and bring them

  39. Expect what from treatment? Treatment effect on daily activities? How to prevent further disability? Diagnosis During Your Appointment

  40. Treatment

  41. Bisphosphonates Estrogen Replacement Therapy Medications made from natural hormones SERMs (Selective Estrogen Receptor Modulators) Medication

  42. Appropriate treatment of fragility fractures Surgery if necessary Treatment

  43. Calcium and Vitamin D Intake Adults: 1000-1200 Units per day 400-800 IU vitamin D per day Consult your physician for dosage Prevention

  44. Prevention

  45. Weight-Bearing Exercise Consult your physician first 45

  46. Prevention: 10-20 Year Olds

  47. Prevention: 20-35 Year Olds

  48. Prevention: 35-50 Year Olds

  49. Prevention: Over 50

  50. Getting You Back In the Game Name: Ruth C. Snyder Age:Over 50 Injuries/conditions: Fracture of dorsal lumbar spine, Osteoporosis, hip fracture, and trigger finger

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