Menopause and Bone Health

Menopause and Bone Health

Menopause and Bone Health

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Every now and then a patient will come in complaining of low back pain with no known injury. After an x-ray is performed, they are informed they have a fracture in their spine. It is usually a surprise, as is a diagnosis of osteoporosis, following testing.

Let’s talk….

If you are a woman over 50, or a woman who was put into early menopause because of surgery or chemotherapy, one thing you need to be tested for is osteoporosis. As estrogen and other hormones decrease in the female body, less and less bone is manufactured by the body. During our lives, our body breaks down and builds up bone constantly. As we get older, the breakdown continues but the rebuilding slows down, making bones more porous and weak. This makes women over 50 more likely to have fractures, especially in the spine and hip areas.
It is important to know if this is happening to you so steps can be taken to decrease the chance of fracture. Though almost all women have some bone loss, it tends to be small, thin women, women who have others in their family with osteoporosis and women who do not exercise or have a poor diet, who are most likely to develop early osteoporosis or osteopenia (low bone mass).
Testing is generally a DXA or DEXA scan which measures Bone Mineral Density (BMD) using T-Scores. These scores are generally measured at the hip and the spine, and can tell you how much risk you have for a fracture. The scores are as below-
-1 and above is NORMAL
-2.5 to -1 OSTEOPENIA
-2.5 or less OSTEOPOROSIS
-2.5 and less with a fracture- Severe OSTEOPROSIS
Physicians will often put patients on Vit D and Calcium supplements, and there are new medications helping to treat Osteoporosis becoming more avaiable, but first you have to know you have it. Not smoking and avoiding excessive alcohol is very important, as is a healthy diet. Do constant posture checks and stand as tall as possible.
Exercise is also extremely important, especially “weightbearing” exercises as simple as brisk walking, lunges, dancing, tennis or simply jumping. Strength training, with weights or resistance bands, is very beneficial. Balance work is important, especially if you already have a decreased BMD. A fall can often be avoided with balance training, such a Tai Chi or Yoga.
Be aware, be tested, be active , be careful and be strong.

Citations

  • Santos L, Elliott-Sale KJ, Sale C. Exercise and bone health across the lifespan. Biogerontology. 2017 Oct 20; PubMed PMID: 29052784

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 
The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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