1 understanding osteoporosis i.m. doctor, m.d. my office my city, state
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Understanding Osteoporosis
I.M. Doctor, M.D.
My Office
My City, State
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Understanding Osteoporosis -Outline
Orthopaedics and The Bone and Joint Decade
What is Osteoporosis
Osteoporosis myths
Osteoporosis facts
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Understanding Osteoporosis - Outline
Osteoporosis symptoms and warning signs
Who is at risk?
Diagnosing Osteoporosis
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Understanding Osteoporosis - Outline
Treatment options
Medication
Treatments
Steps You Can Take to Prevent Osteoporosis
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A Medical doctor with extensive training in helping you keep your bones, joints, ligaments, muscles, tendons, cartilage and spine in good working order.
Who is an orthopaedic surgeon?
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Educating an Orthopaedic Surgeon
College
Medical School
Internship
Orthopaedic Resident
Fellowship (optional)
2 Years Practice
Total
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4
(1)
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16 years!16 years!
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Who is an orthopaedic surgeon?
Greatest knowledge of wide range of conditions and treatment options available
Greatest experience in treating musculoskeletal health
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What do orthopaedic surgeons do?
Use most effective & efficient diagnostic tools
Determine best course of treatment
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Why Musculoskeletal Problems?
Musculoskeletal conditions affect hundreds of millions of people
$230 billion per year spent
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Why Musculoskeletal Problems?
Most common causes of severe long-term pain and physical disability
Research is at a critical point
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Understanding Osteoporosis
Your Orthopaedic Surgeon
Getting You Back Into The Game
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Osteoporosis
Osteoporosis, or porous bone, is a devastating disease that robs its
victims of bone mass.
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Normal Bone Osteoporotic Bone
Osteoporosis
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“Osteoporosis is not serious enough for me to worry about”
It is a progressive disease and irreversibly weakens bones
Any movement or bump can cause debilitating fracture
Chronic pain and disability are the potential outcomes
Hip fractures can cause death
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“I’m a healthy person. I do the right things so I am not at risk.”
Osteoporosis Myths
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Osteoporosis Myths
“I’m too young to worry about Osteoporosis now.”
It is never too early to prevent Osteoporosis
Osteoporosis can strike at any age
Bone is a living, growing tissue that constantly rebuilds
Osteoporosis Myths
“It’s too late for me to do anything about Osteoporosis.”
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More than 28 million Americans suffer from Osteoporosis
Prevalence
80% are women
1 in 2 women & 1 in 8 men over 50 years old
Wrist Fractures:200,000+
Hip Fractures:300,000+
Vertebral Fractures:700,000+
Other Fractures:300,000+
Source: National Osteoporosis Foundation, 2000
1.5 Million Fractures 1.5 Million Fractures AnnuallyAnnually
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$14 Billion Annually
Burden of Disease
Approximately $38 million daily
Congestive heart failure costs $8 billion annually
Asthma costs $9.8 billion annually
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Burden of Disease
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Burden of Disease
1 out of 4 osteoporotic hip fractures result in long-term nursing home care
One half of these are unable to walk without assistance
24% greater risk of dying within one year
OsteoporosisNormal Spine Osteoporotic
Spine
Source: National Osteoporosis Foundation, 2000
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Symptoms and Warning Signs
Persistent, unexplained back pain
Shorter than you used to be
Spinal deformities
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Symptoms and Warning Signs
Recurrent fractures
Fracture from minimal trauma
Experiencing chronic medical problems
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Risk Factors
Female
Thin or small frame
Low body weight
Smoker
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Risk Factors
Advanced age
History of fragility fracture
Family history- primary relative with Osteoporosis or fragility fracture
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Risk Factors
Post Menopausal
Hormonal imbalances can result in rapid bone loss
Women can lose up to 20% of their bone mass in 5-7 years
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Risk Factors
Amenorrhea, Anorexia & Bulimia
Diet low in calcium
Certain medications
Low testosterone in men
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Inactive lifestyle
Cigarette smoking
Excessive alcohol consumption
Risk Factors
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Ethnicity & Osteoporosis
13-16% with Osteoporosis now
36-49% of Mexican American women 50+ have experienced significant bone loss
Hispanic Women at Highest Risk
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Ethnicity & Osteoporosis
Caucasian & Asian-American Women Also High Risk
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Ethnicity & Osteoporosis
10% of African-American women 50+ have Osteoporosis
30% more have low bone density
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Ethnicity & Osteoporosis
300,000 African-American women suffering from Osteoporosis today
80-95% of all fractures suffered by African-Americans 64+ are osteoporotic
African-American women more likely to die from hip fractures
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Ethnicity & Osteoporosis
Risk of hip fractures doubles approximately every 7 years
50% less calcium than RDA
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Underdiagnosed
Unrecognized Underreported
Inadequately researched
Men & Osteoporosis
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Men & Osteoporosis
2 million American men suffer from Osteoporosis
3 million more are at risk
1/3 of male hip fractures related to Osteoporosis
1/3 of these men will not survive 1 year after fracture
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Diagnosis
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Diagnosis
Before Your Appointment
Prepare to describe your symptoms
Gather medical history
Make list of medications
Write down concerns and questions and bring them
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Diagnosis
1. Expect what from treatment?
2. Treatment effect on daily activities?
3. How to prevent further disability?
During Your Appointment
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Bone Densitometry
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Bone Densitometry
Anyone with a fragility fracture
All women age 65 and older
Postmenopausal younger than 65 with risk factors
Men over 50 with risk factors
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Treatment
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Medication
Bisphosphonates
Estrogen Replacement Therapy
Medications made from natural hormones
SERMs
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Vitamin D metabolites
Parathyroid hormone
New bisphosphonates
New SERMs
Medication-Under Investigation
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Treatment
Appropriate treatment of fragility fractures
Hip nailing
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Prevention
Calcium and Vitamin D Intake
400-800 Units per day
Consult your doctor for dosage
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Prevention
Weight-Bearing Exercise
Consult your doctor first
Consult your doctor first
Tai-chi helps reduce falls
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10-20 Year Olds
Prevention
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Prevention
20-35 Year Olds
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Prevention
35-50 Year Olds
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Prevention
Over 50
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Name: Ruth C. SnyderAge:Over 50
Injuries/conditions: Fracture of dorsal lumbar spine, Osteoporosis,
hip fracture, and trigger finger
Getting You Back In the Game
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Osteoporosis
While you cannot change your genetics or heredity, skeletal frame, gender, race or age, you can control other risk factors
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National Osteoporosis Foundation(202) 736-1656 www.nof.org
American Academy of Orthopaedic Surgeons6300 North River RoadRosemont, IL 60018 www.orthoinfo.org
Resources
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What are your questions and concerns?
Understanding Osteoporosis
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Understanding Osteoporosisc
Thank you for participating today
Remember, your orthopaedic surgeon can help get you back into the game