Transcript Document
Understanding Osteoporosis I.M. Doctor, M.D. My Office My City, State 1 Understanding Osteoporosis Outline Orthopaedics and The Bone and Joint Decade What is Osteoporosis Osteoporosis myths Osteoporosis facts 2 Understanding Osteoporosis Outline Osteoporosis symptoms and warning signs Who is at risk? Diagnosing Osteoporosis 3 Understanding Osteoporosis Outline Treatment options Medication Treatments Steps You Can Take to Prevent Osteoporosis 4 Who is an orthopaedic surgeon? A Medical doctor with extensive training in helping you keep your bones, joints, ligaments, muscles, tendons, cartilage and spine in good working order. 5 Educating an Orthopaedic Surgeon College 4 Medical School 4 Internship 1 Orthopaedic Resident 4 Fellowship (optional) (1) 2 Years Practice 2 6 Total 16 years! Who is an orthopaedic surgeon? Greatest knowledge of wide range of conditions and treatment options available Greatest experience in treating musculoskeletal health 7 What do orthopaedic surgeons do? Use most effective & efficient diagnostic tools Determine best course of treatment 8 9 Why Musculoskeletal Problems? Musculoskeletal conditions affect hundreds of millions of people $230 billion per year spent 10 Why Musculoskeletal Problems? Most common causes of severe long-term pain and physical disability Research is at a critical point 11 12 Understanding Osteoporosis Your Orthopaedic Surgeon Getting You Back Into The Game 13 Osteoporosis Osteoporosis, or porous bone, is a devastating disease that robs its victims of bone mass. 14 Osteoporosis Normal Bone 15 Osteoporotic Bone “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 16 Hip fractures can cause death Osteoporosis Myths “I’m a healthy person. I do the right things so I am not at risk.” 17 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 18 Bone is a living, growing tissue that constantly rebuilds Osteoporosis Myths “It’s too late for me to do anything about Osteoporosis.” Prevalence More than 28 million Americans suffer from Osteoporosis 80% are women 1 in 2 women & 1 in 8 men over 50 years old 20 1.5 Million Fractures Annually Vertebral Fractures: 700,000+ Wrist Fractures: 200,000+ Hip Fractures: 300,000+ Source: National Osteoporosis Foundation, 2000 Other Fractures: 300,000+ Burden of Disease $14 Billion Annually Approximately $38 million daily Congestive heart failure costs $8 billion annually Asthma costs $9.8 billion annually 22 Burden of Disease 23 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 24 Osteoporosis Normal Spine Source: National Osteoporosis Foundation, 2000 Osteoporotic Spine Symptoms and Warning Signs Persistent, unexplained back pain Shorter than you used to be Spinal deformities 26 Symptoms and Warning Signs Recurrent fractures Fracture from minimal trauma Experiencing chronic medical problems 27 Risk Factors Female Thin or small frame Low body weight Smoker 28 Risk Factors Advanced age History of fragility fracture Family history- primary relative with Osteoporosis or fragility fracture 29 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 30 Risk Factors Amenorrhea, Anorexia & Bulimia Diet low in calcium Certain medications Low testosterone in men 31 Risk Factors Inactive lifestyle Cigarette smoking Excessive alcohol consumption 32 Ethnicity & Osteoporosis Hispanic Women at Highest Risk 13-16% with Osteoporosis now 36-49% of Mexican American women 50+ have experienced significant bone loss 33 Ethnicity & Osteoporosis Caucasian & Asian-American Women Also High Risk 34 Ethnicity & Osteoporosis 10% of African-American women 50+ have Osteoporosis 35 30% more have low bone density 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 36 Ethnicity & Osteoporosis Risk of hip fractures doubles approximately every 7 years 50% less calcium than RDA 37 Men & Osteoporosis Underdiagnosed Unrecognized Underreported 38 Inadequately researched 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 39 Diagnosis 40 Diagnosis Before Your Appointment Prepare to describe your symptoms Gather medical history Make list of medications Write down concerns and questions and bring them 41 Diagnosis During Your Appointment 1. Expect what from treatment? 2. Treatment effect on daily activities? 3. How to prevent further disability? 42 Bone Densitometry 43 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 44 Treatment 45 Medication Bisphosphonates Estrogen Replacement Therapy Medications made from natural hormones SERMs 46 Medication-Under Investigation Vitamin D metabolites Parathyroid hormone New bisphosphonates 47 New SERMs Treatment Appropriate treatment of fragility fractures Hip nailing 48 Prevention Calcium and Vitamin D Intake 400-800 Units per day Consult your doctor for dosage 49 Prevention 50 Weight-Bearing Exercise Consult your doctor first Tai-chi helps reduce falls Consult your doctor first Prevention 10-20 Year Olds 53 Prevention 20-35 Year Olds 54 Prevention 35-50 Year Olds 55 Prevention Over 50 56 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 57 Osteoporosis While you cannot change your genetics or heredity, skeletal frame, gender, race or age, you can control other risk factors 59 Resources American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL 60018 www.orthoinfo.org National Osteoporosis Foundation (202) 736-1656 www.nof.org 60 Understanding Osteoporosis What are your questions and concerns? 61 Understanding Osteoporosisc Thank you for participating today Remember, your orthopaedic surgeon can help get you back into the game 62