Transcript Document
1 UNDERSTANDING OSTEOPOROSIS I.M. Doctor, M.D. My Office My City, State Understanding Osteoporosis What is Osteoporosis Osteoporosis myths Osteoporosis facts Understanding Osteoporosis Osteoporosis symptoms and warning signs Who is at risk? Diagnosing Osteoporosis Understanding Osteoporosis Treatment options Medication Treatments Steps you can take to prevent Osteoporosis 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) What is an orthopaedic surgeon? The expert in treating the musculoskeletal system The expert in maintaining musculoskeletal health Educating an Orthopaedic Surgeon College Medical School Internship Orthopaedic Residency Fellowship (optional) 2 Years Practice TOTAL 4 4 1 4 (1) 2 16 years! What do orthopaedic surgeons do? Diagnose Treat Medication Physical Therapy Exercise Brace Surgery Prevent Injury and/or Disease Progression Osteoporosis Osteoporosis, or porous bone, is a progressive disease that robs its victims of bone mass. Osteoporosis Normal Bone Osteoporotic Bone Myth #1: “Osteoporosis is not serious enough for me to worry about” 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 #2: Osteoporosis Myths “I’m a healthy person. I eat right and exercise so I am not at risk.” Myth #3: Osteoporosis Myths “I’m too young to worry about osteoporosis.” It is never too early to prevent Osteoporosis Osteoporosis can strike at any age Bone is a living, growing tissue that constantly rebuilds Myth #4: Osteoporosis Myths “It’s too late for me to do anything about Osteoporosis.” 14 Prevalence 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 Source: National Osteoporosis Foundation 2 Million Fractures Annually Vertebral Fractures: 550,000+ Wrist Fractures: 400,000+ Hip Fractures: 300,000+ 16 Source: National Osteoporosis Foundation, 2000 Other Fractures: 810,000+ Burden of Disease $19 billion in 2005 Approximately $52 million daily Burden of Disease Burden of Disease 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. Source: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention Osteoporosis Normal Spine 20 Source: National Osteoporosis Foundation, 2000 Osteoporotic Spine Symptoms and Warning Signs Persistent, unexplained back pain Shorter than you used to be Can no longer stand up straight Spinal deformities Symptoms and Warning Signs Recurrent fractures Fracture from minimal trauma Experiencing chronic medical problems Risk Factors Female Thin or small frame Older age Family history Smoking Risk Factors Advanced age History of fragility fracture Family history - primary relative with Osteoporosis or fragility fracture 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 Risk Factors Amenorrhea, anorexia, and bulimia Diet low in calcium Certain medications Low testosterone in men Risk Factors Inactive lifestyle Cigarette smoking Excessive alcohol consumption 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 risk for the disease Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services Ethnicity & Osteoporosis Hispanic women get less calcium than RDA Twice as likely to develop diabetes Rate of hip fractures on the rise Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services 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 Ethnicity & Osteoporosis African-American women get 50% of RDA of calcium Lupus and sicklecell anemia can raise osteoporosis risk Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services Ethnicity & Osteoporosis Osteoporosis undertreated in African-American women Risk doubles every 7 years African-American women more likely to die from hip fractures Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services Men & Osteoporosis Underdiagnosed Unrecognized Underreported Inadequately researched 33 Men & Osteoporosis 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 Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Department of Health and Human Services Diagnosis Medical history Physical exam X-rays Bone densitometry Specialized lab tests Bone Densitometry Bone Densitometry 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 Diagnosis Before Your Appointment Prepare to describe your symptoms Gather medical history Make list of medications Write down concerns and questions and bring them Diagnosis During Your Appointment 1. Expect what from treatment? 2. Treatment effect on daily activities? 3. How to prevent further disability? Treatment Medication Bisphosphonates Estrogen Replacement Therapy Medications made from natural hormones SERMs (Selective Estrogen Receptor Modulators) Treatment Appropriate treatment of fragility fractures Surgery if necessary Prevention Calcium and Vitamin D Intake Adults: 1000-1200 Units per day 400-800 IU vitamin D per day Consult your physician for dosage Prevention Weight-Bearing Exercise 45 Consult your physician first Prevention: 10-20 Year Olds Prevention: 20-35 Year Olds Prevention: 35-50 Year Olds Prevention: Over 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 51 Osteoporosis While you cannot change your genetics or heredity, skeletal frame, gender, race or age, you can control other risk factors 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 Understanding Osteoporosis What are your questions and concerns? Understanding Osteoporosis Thank you for participating today Remember, your orthopaedic surgeon can help get you back in the game