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Osteoporosis: What are the signs and symptoms of silent bone disease?

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Osteoporosis actually means “porous bone.” Porous means stuffed with holes. With growing old, our bones get thinner. Osteoporosis is a illness through which the bones change into very weak and brittle. It usually develops unnoticed for a few years with none signs or discomfort till a bone is damaged. As a result of there are not any signs within the early levels and it progresses silently, it’s usually referred to as a silent illness.

These fractures most frequently happen within the hip, backbone, and wrist. Bones usually break on account of a fall, though typically individuals with osteoporosis can fracture a bone even when doing easy home tasks, sneezing, or a sudden motion. Fractures attributable to osteoporosis might be life-threatening and one of many main causes of long-term ache and incapacity.

World Osteoporosis Day (WOD) is widely known yearly on October 20 world wide to boost world consciousness concerning the prevention, analysis and therapy of osteoporosis. WOD goals to make osteoporosis and fracture prevention a world well being precedence.

What’s osteoporosis?

Bone resides tissue. To take care of energy, wholesome bones naturally rework themselves by eradicating outdated bone and changing it with new one. Osteoclasts break down outdated bone and launch minerals into the circulation in a course of generally known as bone resorption, whereas osteoblasts kind new bone in a course of generally known as ossification or osteogenesis. The imbalance between bone resorption and bone ossification causes osteoporosis.

In osteoporosis, bone resorption exceeds bone progress. The chance of creating osteoporosis relies upon partially on the utmost bone mass achieved in youth. Peak bone mass is inherited partially and varies by ethnic group. Peak bone mass is normally reached at age 30. The upper your peak bone mass, the extra bone you’ve got “within the financial institution” and the much less possible you might be to develop osteoporosis with growing old.

That are the danger components?

Osteoporosis happens extra usually in older girls, however males are additionally in danger. One in three girls and one in 5 males over the age of 65 will break a bone from osteoporosis. Other than age and gender, the next are the danger components for osteoporosis:

• Early menopause
• Being underweight (physique mass index under 19)
• Medical circumstances related to osteoporosis, akin to rheumatoid arthritis, diabetes, breast or prostate most cancers, or sure digestive illnesses
• Medicines that trigger osteoporosis, akin to long-term each day use of glucocorticoids (steroids)
• Parental historical past of hip fracture or osteoporosis
• Sedentary life-style
• Smoking and extreme ingesting
• Poor dietary consumption of calcium and vitamin D
• Earlier fracture
• Ethnic origin: Caucasian and Asian individuals are extra prone to develop it.

What are the signs of osteoporosis?

Though osteoporosis is a silent illness, the next indicators and signs ought to be taken into consideration:

• Peak loss (shortening of an inch or extra).
• Posture change (bend over or lean ahead).
• Problem respiratory (decreased lung capability because of compressed discs).
• Bone fractures.
• Low again ache.

How is osteoporosis recognized?

Bone mineral density (BMD) assessments are also referred to as dual-energy X-ray absorptiometry (DEXA or DXA) scans and are used to diagnose osteoporosis. These x-rays use very small quantities of radiation to find out how robust the bones of the backbone, hip, or wrist are.

All girls over the age of 65 and all males over the age of 70 ought to have a bone density take a look at. DEXA scanning could also be executed earlier for ladies and men who’ve danger components for osteoporosis.

How is osteoporosis handled?

The targets of osteoporosis therapy are to gradual or cease bone loss and stop fractures.

• Correct vitamin.
• Modifications in life-style.
• Train.
• Fall prevention to assist forestall fractures.
• Medicines.
Remedy have to be individualized and tailored to the wants of every affected person.

The writer is Guide Endocrinologist at World Hospital, Parel, Mumbai. The opinions expressed are private.

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