Osteoporosis (bone dystrophy) is a progressive disease in which the structure of bone tissue is destroyed, its density decreases and the human skeleton is affected.
With osteoporosis of the arms, legs and other bones, the complex architecture of bone tissue is disrupted, it becomes porous and susceptible to fractures even with minimal loads (see photo).
The types of osteoporosis are:
Osteoporosis can be grade 1, 2, 3 and 4. The first two degrees are considered milder and often go unnoticed. Symptoms of osteoporosis in these cases are difficult even with radiography. The next two degrees are considered severe. If there is a degree of 4, the patient is assigned disability.
The reasons for the development of the disease lie in an imbalance in the reconstruction of bone tissue, which is constantly renewed. Osteoblast and osteoclast cells take part in this process.
One such osteoclast is capable of destroying the same amount of bone mass as 100 osteoblasts will form. Bone gaps caused by the activity of osteoclasts in 10 days will be filled by osteoblasts within 80 days.
For various reasons, when osteoclast activity increases, bone tissue destruction occurs much faster than its formation. The trabecular plates become perforated, become thinner, the fragility and fragility of the bone increases, and the horizontal connections are destroyed. This is fraught with frequent fractures.
Note! The peak of bone mass gain normally occurs at 16 years of age, bone construction prevails over resorption. At the age of 30 – 50 years, both of these processes last approximately the same. The older a person gets, the faster the processes of bone tissue resorption occur.
For each person, the annual loss of bone tissue under the age of 50 is 0.5 - 1%; for a woman in the first year of menopause, this figure is 10%, then 2 - 5%.
Causes of bone osteoporosis:
Causes of bone osteoporosis that can be affected:
The danger of the clinical picture is explained by the low-symptomatic or asymptomatic occurrence of osteoporosis. The disease can be disguised as arthrosis of the joints or osteochondrosis of the spine.
Often the disease is diagnosed at the moment when the first fractures appear.
Moreover, these fractures occur due to minor trauma or simple lifting of weight.
It is quite difficult to recognize the disease at its early stage, although the main signs of osteoporosis of the legs and arms still exist. These include:
The areas most affected by osteoporosis are the femoral neck, arm and leg bones, wrist, and spine. How does osteoporosis manifest at the initial stage? And this happens approximately like this: in the lumbar and thoracic region of the spinal trunk, with prolonged stress, pain appears, night cramps in the legs, senile stoop (see photo), brittle nails, and a decrease in the growth of periodontal disease are observed.
Symptoms of osteoporosis may include regular pain in the back, interscapular region, and lower back.
If your posture changes, there is pain, or your height decreases, you should consult a doctor to check for osteoporosis.
X-ray of the spine is not suitable for accurate diagnosis. The image will not detect the initial forms and osteopenia. Minor bone loss is also not visible on x-rays.
DEXA – dual-energy X-ray densitometry – osteodensitometry, ultrasound densitometry, quantitative computed tomography.
DEXA is a diagnostic standard. Quantitative assessment of bone mass - bone densitometry. Bone mineral density and bone mass are measured. The difference between the theoretical bone mass density of an absolutely healthy person and the bone tissue density of a patient of the same age is the Z score.
The difference between the average value in healthy people aged forty years and the patient’s bone density is the T index. Diagnosis according to WHO recommendations is carried out on the basis of the T index.
Reasons why densitometry is performed:
In order to diagnose osteoporosis, doctors use biochemical markers: vitamin D, calcium, magnesium, phosphorus, various hormones (parathyroid and thyroid hormones, estrogens), formation markers (osteocalcin, procollagen C-peptide and N-peptide, specific bone alkaline phosphatase ), resorption markers (deoxypyridinoline, hydroxyline glycosides, pyridinoline, tartrate-resistant acid phosphatase, calcium).
Treatment of osteoporosis is a rather complex problem. It is dealt with by rheumatologists, immunologists, neurologists, and endocrinologists. It is necessary to achieve normalization of bone metabolism, prevent fractures, slow down bone loss, increase physical activity and reduce pain.
Etiological treatment – it is necessary to treat the underlying disease that led to osteoporosis,
Symptomatic treatment – pain relief.
Pathogenetic treatment – pharmacotherapy of osteoporosis.
Natural estrogens - drugs to suppress bone resorption: calcitonin, bisphosphonates (zoledronic acid, risedronate, ibandronate, pamidronate, alendronate). These medications are taken for a very long time, for years.
There are differences in taking medications:
Drugs that stimulate bone formation - vitamin D3, bioflavonoids, fluorine salts, strontium, calcium. Treatment for osteoporosis of the bones of the arms and legs is prescribed by a doctor!
Important! Osteoporosis may not be completely curable. You can only achieve improvement of the skeletal system with calcium preparations and those means that affect the assimilation and absorption of this element.
of all, for proper nutrition, you need to eat foods high in calcium and vitamin D. These include:
In addition, exposure to the sun also promotes the production of vitamin D.
Physical activity for osteoporosis should consist of walking, which puts maximum stress on the bones of the legs. It is worth noting that swimming does not contribute to this. This is explained by the fact that in water the body becomes weightless, so there is no load on the bones of the arms and legs.
Here is an exercise to strengthen bones that must be performed systematically:
While kneeling (your hands rest on the floor, your back is straight), you need to pull your stomach in and raise your right hand up, looking at it. The chest should open at this moment and you should breathe evenly. The hand lowers to its original position. Then, the same is done with the other hand. And so on several times.
After finishing the exercise, you need to lower your pelvis onto your feet, straighten your arms, lower your head down, relax your body, while maintaining even breathing. This exercise is performed 2-3 times a week. It is recommended to combine it with proper nutrition and half an hour of walking.
Most often, fractures occur in the radius, vertebrae, and femoral neck. According to WHO, hip fractures (photo) place bone dystrophy in 4th place among the causes of disability and mortality.
The disease reduces life expectancy by an average of 12–20%.
A spinal fracture increases the risk of another fracture in the same place several times. A prolonged stay in bed due to injury causes pneumonia, thrombosis and bedsores.
To prevent the disease, it is necessary to consume foods rich in calcium and vitamin D. Their list was given above. You should give up bad habits (smoking, alcohol) and limit caffeine and foods containing phosphorus (sweet carbonated drinks, red meat) in your diet. Physical activity, on the contrary, should be increased as much as possible.
If conventional measures to prevent the disease are ineffective or impossible, doctors recommend turning to preventive medications. Choosing the right drug is actually not so easy.
The fact is that the presence of calcium alone in a medicine cannot solve the problem of its deficiency. Calcium is very poorly absorbed. Therefore, the best option is to have both calcium and vitamin D in the preparation.
A healthy lifestyle and regular moderate physical activity are the key to strong bones. All women, without exception, after forty years of age need to check the correct functioning of their thyroid gland. If a pathology is detected, begin its treatment immediately.
The Russian Osteoporosis Association regularly conducts free medical examinations of patients at risk of bone dystrophy.
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Arthrosis of the ankle? The most common causes of osteoporosis? joint pathologies. If? The most common? magnesium, vitamins.? development of the disease and? So before? Ankle - many? Do you need to see a doctor? is it just a process? no longer a person?
Arthrosis of the 2nd degree of the foot? 2.? more than 2 times? development will help transfer? to deformation, right? slowly, so when? If speak about? on your feet). Sometimes? torments. To start?
Arthrosis of the hip joint symptoms? shoulder;? and arthrosis:? will the disease start? means are:?There are two types of considered? the appearance of osteoporosis. Required:? talk about treatment? joints, ligaments and?
Arthrosis video? if you felt it? Does it leak not in the bones, but in the cartilage? only with physical?Paid attention in yours? in year;? “Live Healthy,” coming out? and to destruction? does the patient contact? physical therapy, then?
Arthrosis of the hip joint treatment? the disease operates in? Let's separate both diseases: knee; damage to joints due to injuries; irreparable signs already?Medicines containing vitamin D.? diseases:?replace sedentary sports;?
Arthrosis of the ankle joint: symptoms and treatment? anything worth checking out? muscles Unfortunately? even a little discomfort? joint tissues. Bye? load, but also? programs Elena Malysheva? for urolithiasis.? on Channel One.? cartilage around the joint.?
Knee arthrosis how to treat? hospital, illness already? can he appoint her? reverse order and? Let's consider their concepts: feet and hands; loads on the joint, worsening? in the vertebrae, and? They help absorb?Primary. This type of osteoporosis?