Osteoporosis: Not Just a Woman’s Disease

Steve Williams

Site Founder, Site Owner, Administrator
(Ivanhoe Newswire) -- About 9 million women in the U.S. have osteoporosis, which is a loss of calcium in the bones that makes them brittle and susceptible to fracture. Though we think of osteoporosis as a women’s disease, sometimes linked to menopause, men can get it, too. Now, there’s a new way to figure out if you are in danger of developing it.

From bone density tests at the doctor’s office to daily walks to make him stronger, Luciano Blanco has made some big changes ever since he got a surprising diagnosis.

"I thought my bones were perfect, and they were not. It was unbelievable,” Blanco, who was diagnosed with osteoporosis, told Ivanhoe.

Most of what we see and hear about osteoporosis focuses on women, but men are at risk, too.

“Osteoporosis is a silent disease until you fracture, but again, even after a fracture, men are not identified as having osteoporosis,” Sanford Baim, M.D., a rheumatologist at the
UM Miller School of Medicine, told Ivanhoe.

3 million men in the U.S. have osteoporosis. Many more go undiagnosed. One-third of all hip fractures occur in men.

“Once a man fractures a hip, he has double the risk of dying after that hip fracture than a woman does,” Silvina Levis, M.D., told Ivanhoe.

Male or female, an online tool called the Frax Algorithm can predict your future risk of osteoporosis.

“It absolutely then calculates your 10-year risk for any major osteoporosis fracture and hip fractures," Dr. Baim told Ivanhoe.

If your 10-year risk of major fracture is over 20 percent, or over 3 percent for hip fracture, talk to your doctor.

With daily walks, medication, and calcium supplements Blanco’s bones are getting stronger.

“So, I hope I can still go on for some time,” Blanco said.

A smart 79-year-old, taking steps to protect his bones and his health.

The Frax Osteoporosis Risk Tool was developed by the World Health Organization. It is most accurate for men and women between 40 and 90 years old, but anyone can take the online test.
 

MylesBAstor

Well-Known Member
Apr 20, 2010
11,238
81
1,725
New York City
(Ivanhoe Newswire) -- About 9 million women in the U.S. have osteoporosis, which is a loss of calcium in the bones that makes them brittle and susceptible to fracture. Though we think of osteoporosis as a women’s disease, sometimes linked to menopause, men can get it, too. Now, there’s a new way to figure out if you are in danger of developing it.

From bone density tests at the doctor’s office to daily walks to make him stronger, Luciano Blanco has made some big changes ever since he got a surprising diagnosis.

"I thought my bones were perfect, and they were not. It was unbelievable,” Blanco, who was diagnosed with osteoporosis, told Ivanhoe.

Most of what we see and hear about osteoporosis focuses on women, but men are at risk, too.

“Osteoporosis is a silent disease until you fracture, but again, even after a fracture, men are not identified as having osteoporosis,” Sanford Baim, M.D., a rheumatologist at the
UM Miller School of Medicine, told Ivanhoe.

3 million men in the U.S. have osteoporosis. Many more go undiagnosed. One-third of all hip fractures occur in men.

“Once a man fractures a hip, he has double the risk of dying after that hip fracture than a woman does,” Silvina Levis, M.D., told Ivanhoe.

Male or female, an online tool called the Frax Algorithm can predict your future risk of osteoporosis.

“It absolutely then calculates your 10-year risk for any major osteoporosis fracture and hip fractures," Dr. Baim told Ivanhoe.

If your 10-year risk of major fracture is over 20 percent, or over 3 percent for hip fracture, talk to your doctor.

With daily walks, medication, and calcium supplements Blanco’s bones are getting stronger.

“So, I hope I can still go on for some time,” Blanco said.

A smart 79-year-old, taking steps to protect his bones and his health.

The Frax Osteoporosis Risk Tool was developed by the World Health Organization. It is most accurate for men and women between 40 and 90 years old, but anyone can take the online test.

Diet (Ca/Mg/Vit D, eating correctly) and resistance training goes a long way towards prevention and/or addressing the issue :)

For women with osteopenia, light plyometrics (like skipping rope for example), has been shown to help improve BMD. Otherwise, weight bearing exercises (squats, overhead presses) are the best. It's the pull of the muscle on the connective tissue that forces the bone to become stronger. And remember in women the 3 sites are lumbar spine, hip and wrist. I've had several clients who have markedly improved their BMD, including bringing it back to normal, using proper exercise.

I don't see how the walking totally addresses his problem though. If that was true, women who run would have improved BMD; that's not the case.
 

RBFC

WBF Founding Member
Apr 20, 2010
5,158
46
1,225
Albuquerque, NM
www.fightingconcepts.com
Myles, walking is a non-scary introduction to getting off the couch. Once folks begin to feel the improvements brought about by mild activity, there is hope that they will ask for more.

Lee
 

MylesBAstor

Well-Known Member
Apr 20, 2010
11,238
81
1,725
New York City
Myles, walking is a non-scary introduction to getting off the couch. Once folks begin to feel the improvements brought about by mild activity, there is hope that they will ask for more.

Lee

I guess I was trying to say why no resistance training? Even light weights. I work with several senior citizens 70+ and we certainly could start with light weights and progress. One person had never really exercised a day in his life and he's 83.
 

RBFC

WBF Founding Member
Apr 20, 2010
5,158
46
1,225
Albuquerque, NM
www.fightingconcepts.com
MRI and CT scan evidence demonstrate both muscle density and bone density improvements with resistance training, even for 90+ year olds. Cross-sectional MRI pictures of quadriceps were remarkable. Objectively, subjects could get out of chairs easily after training. Before training, video demonstrated their struggle to perform that basic task.

Lee
 

Johnny Vinyl

Member Sponsor & WBF Founding Member
May 16, 2010
8,570
51
38
Calgary, AB
I've been diagnozed with osteoarthritis

Been away for a bit due to some issues, none the least of which are health-related (hearing loss and colon issues). Anyway, I decided to get some x-ray's done on my back, and the result was that I have osteoarthritis in the thorasic and lumbar sections of my spine. Should I be worried?
 

Johnny Vinyl

Member Sponsor & WBF Founding Member
May 16, 2010
8,570
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Calgary, AB
Not if it doesn't cause you problems.

Most everyone as we age has some osteoarthritic (degenerative disc disease) changes in their spine as well as elsewhere

That's good to know...thank you Steve! I have noticed that my aches and pains are really evident in the morning. And also, after a few days of over extending myself (continual lifting and repetative movements) my back freezes up and I can't move. It sometimes takes me 10 minutues to get out of bed because of the pain.
 

MylesBAstor

Well-Known Member
Apr 20, 2010
11,238
81
1,725
New York City
That's good to know...thank you Steve! I have noticed that my aches and pains are really evident in the morning. And also, after a few days of over extending myself (continual lifting and repetative movements) my back freezes up and I can't move. It sometimes takes me 10 minutues to get out of bed because of the pain.

First John, there's a difference between osteoporosis (loss of bone mineral density) and osteoarthritis (conditions leading to the loss of the articular cartilage covering the ends of bone and leading to deformation of the shape of the bones).

As far as the back goes, there are a lot of possible reasons for your symptoms besides the arthritis :) Ergonomics of lifting. Fatiguing the back extensors. Posture!!!!!!!!

As far as the morning goes, our backs are always stiffer because gravity isn't working on our spine when we sleep. As a result, discs become "superhydrated" leading to "stiffness." (now as we age, we also tend to lose the water in our discs; that's why younger people tend to suffer herniated discs while older people have delaminated discs.) That's why when someone works out w/in three hrs of waking, they should do some quick exercises like cat/camel stretches putting the spine through flexion/extension cycles and back extensions. Or, people shouldn't do say abs right after waking up. Remember what you do to your spine results in "creep" that lasts for about 3 hrs. So if you do something wrong, you are putting your back at risk for some time after :(

As Steve indicated, we don't know that much about back issues. We can take two people with the same MRI and one can be symptomatic and the other asymptomatic. All we can say is that people with LBP (that will affect 85% of the population at one time or another and is the second highest health expenditure behind CVD) tend to have weaker legs and bad posture. Posture can help a lot of things (we call this functional) while docs are good at fixing things (structural). Sometime even fixing the structural fails because attention isn't paid to the functional. You'd be surprised how many people have helped after doing postural assessments and showing them what they are doing and giving them corrective exercises to do.
 

Steve Williams

Site Founder, Site Owner, Administrator
Nicely said Myles

Bottom line is there are lots of causes of back pain but my bet your primary symptom is DDD (degenerative disc disease) which is common in people of our age John (count me in)

You should talk to your doc re a regimen of proper back exercises. Speaking personally I can say that (for me at least) daily exercise with subsequent icing if the joints followed by jacuzzi and steam has helped my symptoms immensely.

Everyone is different John so just cuz I related my story does not mean it is the same cause and effect. IOW consult your doctor for any unusual, ongoing or worsening symptoms.
 

Johnny Vinyl

Member Sponsor & WBF Founding Member
May 16, 2010
8,570
51
38
Calgary, AB
Thanks both ..Myles and Steve!

I don't have enough confidence in my doctor to leave it at her telling me what I should do, and even if I did, I'd want another opinion. What kind of specialist should I be looking at?
 

MylesBAstor

Well-Known Member
Apr 20, 2010
11,238
81
1,725
New York City
Thanks both ..Myles and Steve!

I don't have enough confidence in my doctor to leave it at her telling me what I should do, and even if I did, I'd want another opinion. What kind of specialist should I be looking at?

Is your doc a GP or back specialist? If the former, you might want to seek out a back specialist or alternatively, a physiatrist. Otherwise, if your doc thinks it useful, you might get a script for a good physical therapist. Are you anywhere near U of Waterloo? If so, you might want to look up Stuart Mcgill one of the pre-eminent people in spine research and treatment. I think his website is www.backfitpro.com.
 

Johnny Vinyl

Member Sponsor & WBF Founding Member
May 16, 2010
8,570
51
38
Calgary, AB
Is your doc a GP or back specialist? If the former, you might want to seek out a back specialist or alternatively, a physiatrist. Otherwise, if your doc thinks it useful, you might get a script for a good physical therapist. Are you anywhere near U of Waterloo? If so, you might want to look up Stuart Mcgill one of the pre-eminent people in spine research and treatment. I think his website is www.backfitpro.com.

She's a GP, and I've already told her that I will take this further and seek out whatever more specific info I can get. I am about 1 hour from the U of Waterloo, so thanks for the link....I'm going there now.:D
 

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