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4 Questions To Ask Your Orthopedic Doctor On Your First Visit

Don’t just sit, listen, nod and return back.

While your orthopedic doctor would likely provide you all your insights, it’s also essential that you ask your own set of questions to steer away from any confusion (and possible mistakes).

So, if this is your first orthopedic visit, for whatever reasons you’re visiting, you must have all your questions at ready that you would want your doctor to answer.

Here are 4 questions you should ask when you’re visiting your orthopedic doctor in Bangur, Kolkata, for the first time:

1. What Are Other Treatment Options/Alternatives?

Your doctor would lay out a treatment plan that best suits your condition.

However, there are many reasons why you should also be aware of other and alternative treatments.

For instance, if your orthopedic surgeon in Kolkata has recommended you for an invasive treatment but for some reason you cannot elect surgery at present, it would do well if you know the alternatives.

Or, if your condition worsens, what treatment would then be appropriate — you should know this answer to have the right frame of mind from the get-go.

So, know what treatment options you (would) have for your condition.

2. How Much Will It Cost?

Sure the cost of diagnostic tests and surgeries vary from clinics to hospitals. But doctors do have a fair idea of how much it would all ideally cost you.

Do not hesitate to ask the doctor about the cost of tests and surgeries you’re being asked to do or opt for.

This would help you have a fair idea of the financial demands ahead in the treatment course, which will buy you sufficient time to make the necessary arrangements if finance is a constraint to you.

In addition, your orthopedic doctor can also provide you much-personalized suggestions and assistance in finance, which can be of great help.

So, if you’re asked to invest in advanced treatment, tests and procedures, do discuss the cost with the doctor.

3. How Will This Affect My Lifestyle?

If you have any mild or severe condition, it’s going to affect different parts of your lifestyle. It will affect your fitness, mobility and overall health.

So, knowing how the problems you’re going through at present will affect your daily life today and in the coming months is important.

This will usually steer the conversation to the steps and measures you should take to improve your existing condition so to live a normal lifestyle.

Your orthopedic specialist will plot a fundamental arrangement, beside restorative treatment, to support your case. It would incorporate the wellness exercises you ought to engage in, the dietary changes you should make, and regular consideration you should take.

4. Is It Something To Worry About?

Doctors will never tell you about the seriousness in hard, cautious phrases like “you should get the surgery immediately”. This is to ensure you’re calmed, not panicking and in the right mindset to make the rational decision.

However, most of them wouldn’t lie either. If there’s really something serious, they would tell you about it empathetically and reassuringly.

Following, they would then assist you in the next course of action with the right procedures.

So, for the peace of your own mind, do ask your doctor if there’s anything you should be worried about.
If there is, do not panic. Listen to your doctor intently and follow her/his guidelines.

And if everything is great, celebrate it – but do not take it as your assurance that nothing bad can happen in the future. Continue taking care of bones, joints and overall health.

Conclusion

Doctors might not always reveal you all the details of your condition aside from guiding you “what now”. This, because it’s not always necessary, and second, they don’t always have a sufficient amount of time.

As a patient, you should take charge of it from the front to ask the right questions. This will help you avoid any confusion. To that, the more you understand your problems, the less scare will you be. Moreover, it will guide to take the right measures towards improvement.

So, don’t just sit, listen, nod and leave. Visit a good orthopedic doctor in Bangur and ask questions.

Direction:- https://g.page/dr-manoj-kumar-khemani

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5 Tips For Elderly To Keep Their Bones Strong And Healthy

As people age, their health needs and requirements progressively change. The body starts getting weaker and demands more attention.

In that context, it’s essential for the elderly to take proper care of their overall health, in specific to their bone, which is more prone to common problems including osteoporosis, rheumatoid arthritis, and Paget’s disease.

Here are 5 tips for older people to keep their bones strong and healthy:

1.Audit your diet (and make changes)

This is the single most important part of the process. What you eat (and what you don’t) plays a significant role in how your bone nourishes.

So, audit your diet. And then make changes to it.

Foremost, avoid highly processed foods. Yes, those cheese, tinned vegetables, bacon and pastries taste good, but they are also quite unhealthy. Eliminate them from your diet.

Following, opt for whole foods like wholegrain rice, barley, almonds, peanuts, chickpeas and more. They pack rich nutrients.

In addition, diversify your diet. Eat many varieties of food to not only keep your meals interesting but to consume various nutrients from different foods.

2.Get more Calcium and Vitamin D

Calcium and Vitamin D are the two most important nutrients for older people. While calcium helps build block of bone tissues, vitamin D ensures your body consume and process calcium.

So, increase your daily intake of these nutrients. There are many food items that are rich in calcium and Vitamin D, like milk, yogurt, cheese, salmon, egg yolks, and soy and rice beverages.

If you have any preexisting disease or illness, make sure to consult a qualified dietician or nutritionist before making any change in your diet.

3.Be more active

This is quite a basic advice. When you’re physically active, it puts a strain on your bones, joints, and muscles, which helps them grow.

Aim to get at least 20 minutes of exercise every day.

Walking, running and yoga are good to begin with.

If you’re in good shape and can take up slightly intensive workout, get more involved with the resistance, interval and strength training.

4.Cut back on the bad habits

Just doing good isn’t sufficient. You’ve got to eliminate the bad.

Foremost, limit the number of times you drink coffee. Caffeine decreases the amount of calcium your body absorbs.

In addition, stop smoking and consuming alcohol. Stop eating unhealthy foods.

Small measures taken every day to adopt a healthy lifestyle can make the biggest difference for you.

5.Visit a good orthopedic clinic in Kolkata

This is essential. Even if you do not necessarily have any evident bone problem, seeing a good doctor every once in a while for a regular checkup is a fairly good idea.

And then, of course, if you do have any pain or discomfort in your bones and joints, you should visit the best orthopedic doctor at Baguihati immediately.

Do your thorough research before finalizing on any one orthopedic clinic in Kolkata.

Remember, your treatment would be only as good as the doctor. So, be careful in selecting the right professional.

Conclusion

As people grow older, their bones would show evident signs of aging.

The bones will get weaker. The joints will pain. And overall health will frail.

Yes, it’s an outcome of aging, which is often inevitable. However, there are many proactive measures you can take to ensure that your bones are healthy and strong even when you’re old.

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Is Your Back Pain Too Severe?

It’s more prevalent among those with a day job. They sit on the chair for 9, 10 and even 11 hours a day at the office. So, getting back pain is too common.

However, keeping an eye on when that “common” crosses the threshold and become something serious and severe is very important. Because your posture not just affect your physical health but it also, if sustained for a long period, can influence how you feel, how you perform and the kind of overall lifestyle you lead.

So, if you’re experiencing back pain, paying heed to its severity is essential. if you spot or feel something serious, you should immediately visit no 1 orthopedic doctor in Kolkata.

Are You Seeing These Symptoms?

  • Nagging pain that has been there for more than a couple of days.
  • Pain that momentarily improves when you recline.
  • Occasional shooting or stabbing pain.
  • Pain that worsens with body movement.
  • Pain that radiates all over your back and reaches your leg.

Of course, when you’re experiencing these symptoms, you shouldn’t just rush to a spine specialist doctor in Kolkata. Besides, you wouldn’t anyway. There are several home remedies that can help your case.

You can take up specific stretches and exercises that are meant to reduce the back pain; like press-ups and cobra pose. You should proactively work to improve your posture. You should invest in good quality chair and mattress.

When To See A Doctor?

Home remedies can take you a long way. But they might not necessarily be effective in all cases. You must visit no 1 orthopedic doctor in Kolkata when…

  • Home treatments have failed
  • The pain is coming in your way of living a happy life
  • The pain has now lasted for more than 5 weeks
  • You feel tired throughout the day
  • The pain prevents you from falling asleep at night
  • The pain causes weakness or numbness in legs and/or arms
  • There’s unexplained loss in weight
  • You’re experiencing bladder problems

Conclusion

Do not take your back pain so lightly. Do not just assume that it would go away on its own. If left ignored, it can become something much serious and chronic.

So, pay attention. Take all the right measures. Visit a good doctor.

Your posture affects your entire physical and psychological health in the short and long term. Being concerned and proactively careful about your back pain is important.

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Is Knee Replacement Surgery A Good Choice for Your Parent?

9.6 percent of men and 18 percent of women, worldwide, above the age of 60, have symptomatic osteoarthritis. 80 percent of those affected experience limitations in movement. And 24 percent of them fail to perform major daily activities.

So, if your parents are past 60 years, it won’t be surprising that they have this degenerative joint disease. More so the parents in India, majority of who are unlikely to take proper care of their joints, muscles and overall health.

The question now comes…

Is knee replacement surgery a good choice for your parent?

The answer isn’t simple. Even if they are experiencing the symptoms of osteoarthritis, knee replacement surgery might not necessarily be a go-to option.

Before reaching any conclusion, you must consult a top orthopedic doctor in Kolkata.

Identify The Symptoms of Osteoarthritis

It’s not difficult to self-diagnose osteoarthritis. The symptoms are quite common and evident. It includes…

  • Pain in joints during and after any movement.
  • Loss of flexibility, leading to the limitation in the range of motions.
  • Due to soft tissue inflammation, there could be occasional swelling.
  • The joints become too tender even on light touch.
  • Stiffness after a period of rest or inactivity.
  • Occasional sound of popping or cracking.

Of course, there are several other symptoms of osteoarthritis; it varies between individuals. And most importantly, not all of them might be present in every case.

It Requires Grade IV Osteoarthritis

Even when all these symptoms are present in any of your parents, they might not necessarily require knee replacement surgery.

The invasive treatment is done only in grade IV osteoarthritis; and, depending on the condition, occasionally in grade III cases. The surgery is NOT done in grade I and grade II arthritis, which can, and should first, be treated with alternative (and non-invasive) methods.

So, before self-concluding that your parents do require knee replacement surgery because they are seeing symptoms of osteoarthritis, you must consult a good doctor first. Visit any orthopedic surgeon in Kestopur, Kolkata.

If the doctor says they require the surgery, they would usually lay out a plan for you, providing all the information that you and your parents should know.

Remember, not all osteoarthritis cases require surgery. But if left untreated and uncared in the initial stage, they would inevitably demand knee replacement surgery. So, if your parents experience joint pain, take them to a top orthopedic doctor in Kolkata today.

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First Aid for Fractures: How to Deal With Broken Bones?

The best orthopedic surgeon in Bangur that you’re consulting would make the final (and right) call. However, there are still a few things you can do to save yourself from expensive surgeries and still fix your broken bones. The basic first aid measures for fractures can take you a long way, preventing any further damage and ensuring timely care. Here are three tips to help you:

Don’t Get A Fracture

There are a few types of fractures that essentially require surgery. Like, a broken bone in your spinal cord. You can’t cast it. It requires immediate, invasive treatment. So, if you want to avoid all kinds of surgeries and pain, you, evidently, shouldn’t get fractured in the first place. Be careful of your movements. Do not rush anywhere. Eat right and lead a healthy life. Take all the necessary precautions.

Is It Really A Fracture?

Sometimes it’s easy to mistake a basic injury as a fracture. So, before you get into the panic mode, understand if there’s really a broken bone in the first place or not. Some of the symptoms include intense pain that gets worse, numbness and swelling, a visible deformity, bleeding at the injury site, and bone sticking out of the skin.

Take First Aid Steps

Once you have established that it’s really a fracture, you must take the basic first aid steps (and ask others around you to help you).

  • Get Immobile: Do not move the injured area. Keep it still. The more you will move it, the more it will pain. And the wound will be damaged further. Get it in a relaxed position as quickly as possible.
  • Don’t Panic: Of course, this is easier said than done BUT do not panic. It may trigger your movements. Or, it can even make you unconscious. Take deep breaths. Drink water.
  • Stop Bleeding: If there’s any bleeding, stop it. Apply gentle pressure on it using a clean piece of clothing. If you have anyone around you, ask her/him for help.
  • Put on Some Ice: Apply ice on the wound. This will ease the pain. Do not put the cold directly on the wound though. Wrap the ice in the bag first before applying.
  • Call Professionals: Dial the emergency number and seek medical help. Call the ambulance if needed and visit the emergency room immediately if the pain is unbearable.

These are a few things you should when you’ve broken your bones. Proper first aid and timely treatment can save you from costly surgeries.

What If You Require Surgery?

Many types of fractures can be fixed with plaster. However, there are a few types that, as mentioned above, do require surgeries to restore optimal alignment and function of the bone. If your orthopedic doctor has made that call, you should definitely opt for elective surgery in a timely way.

Understand, today, surgeries aren’t as big of a thing as they were once. With so much advancement in technology, the process is much easier, efficient and quicker. To that, if you have found the right clinic, such surgical treatments don’t even cost much.

Conclusion

After you’ve received the treatment, aftercare is just as essential. Any minor lapse can make things worse. So, take all the deterrent measures. Consult the best bone doctor in Kolkata regularly to ensure a smooth recovery. Fractures can put a serious pause in life. But knowing how to deal with them can ease the entire process, bringing you back on track quickly.

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Types of Arthritis

What are the various types of arthritis?

Arthritis encompasses several conditions characterized by joint pain as a primary symptom. Arthritis can be of many different types. When an individual is diagnosed with “arthritis,” it typically indicates they have one of the following diseases:

1. Osteoarthritis
2. Rheumatoid arthritis
3. Gout and pseudo-gout
4. Ankylosing spondylitis
5. Septic arthritis
6. Juvenile idiopathic arthritis
7. Still’s disease

Types of arthritis

Additionally, joint pain can serve as a symptom of other diseases, where arthritis is considered secondary. These include conditions such as:

– Psoriasis (Psoriatic arthritis)
– Reactive arthritis
– Ehlers-Danlos Syndrome
– Haemochromatosis
– Hepatitis
– Lyme disease
– Sjogren’s disease
– Hashimoto’s Thyroiditis
– Inflammatory bowel disease (including Crohn’s disease and ulcerative colitis)
– Henoch-Schönlein purpura
– Hyperimmunoglobulinemia D with recurrent fever
– Sarcoidosis
– Whipple’s disease
– TNF receptor-associated periodic syndrome
– Wegener’s granulomatosis (and various other vasculitis syndromes)
– Familial Mediterranean fever
– Systemic lupus erythematosus
– Post Traumatic Arthritis

Undifferentiated arthritis refers to a type that does not fit into well-known clinical disease categories, possibly representing an early stage of a definite rheumatic disease.

Can arthritis result from injury?

Permanent damage to joint cartilage and ligaments due to injury can lead to post-traumatic osteoarthritis, causing joint failure over time. Early treatment if joint injuries aim to minimize this damage.

Can an individual have more than one type of arthritis?

Generally, individuals tend to experience only one type of arthritis. Nevertheless, in prolonged cases, there is a potential progression towards secondary osteoarthritis. On occasion, a unique scenario arises where the simultaneous presence of two types of arthritis, such as rheumatoid arthritis and gout, may manifest.

How is arthritis diagnosed, and what are the treatment options?

Despite thorough investigations, identifying the precise type of arthritis can be challenging. Subsequently, treatment initiates based on the doctor’s clinical judgment and supportive investigations, with modifications made according to the patient’s response. Although arthritis lacks a permanent cure, a diverse array of treatments exists, encompassing anti-inflammatory medications, physiotherapy, exercises, and the application of hot or cold compresses for joint relief.

In the event of a diagnosis of secondary arthritis, treatment aims to address the underlying condition. Notably, in certain cases, healthcare professionals may recommend injections directly into the affected joint as part of the therapeutic approach.

Some major joints like hip, knee, shoulder and elbow, when severely damaged, can be replaced with artificial components with help of replacement surgeries (also called arthroplasty).

What are Knee and Hip Replacements?

Knee Replacement is a surgical procedure performed in severe osteoarthritic knees to alleviate pain and restore function. Similarly, Hip Replacement is undertaken in cases of hip fractures or damage to restore hip function and manage pain.

Dr. Manoj Kumar Khemani has more than 15 years experience in diagnosing and treating various forms of arthritis. You can contact him using this contact form.

 

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What is Arthritis?

 

Arthritis is a disease of joints in our body. It means “inflammation of the joint” . Maybe one or more. The commonest complain in a patient of arthritis is joint pain.

Arthritis is not a single disease – it is a term that covers over 100 medical conditions.

Osteoarthritis (OA) is the most common form of arthritis and generally affects elderly patients. This disease affects cartilage, the tissue that cushions and protects the ends of bones in a joint.

Another common form of arthritis is Rheumatoid Arthritis. This is an auto-immune disease in which the body’s immune system (the body’s way of fighting infection) attacks healthy joints, tissues, and organs. Occurring most often in women of childbearing age (18-44), this disease inflames the lining (or synovium) of joints.

Gout or Uric acid arthritis is also common in Indian people. It occurs due to deposition of uric acid crystals in the joint, these crystals irritate and scratch the tender joints to cause pain, inflammation and finally erosion.

Some forms of arthritis can affect people at a very early age e.g. Juvenile Rheumatoid Arthritis.

No matter what the type of arthritis it is, it always causes discomfort.

Some of the common types of arthritis are listed below:

  • Osteoarthritis
  • Rheumatoid Arthritis
  • Gout and Pseudo-gout
  • Psoriatic Arthritis
  • Juvenile Arthritis
  • Ankylosing Spondylitis
  • Polymyalgia Rheumatica
  • Septic arthritis
  • Systemic Lupus Erythematous
  • Post Traumatic Arthritis

Dr Manoj Kumar Khemani best ortho Knee replacmentDr. Manoj Kumar Khemani has over 15 years experience in treating advanced arthritis. He can monitor your condition, adjust your treatment plan as needed, and provide guidance on the best arthritis treatment in Kolkata.

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Vitamin D

Vitamin D: A gift from the sun.

Vitamin D is one vitamin which is produced in our body by direct exposure to the sun. The vitamin D formed in the skin is processed in our liver and then kidneys to finally form produce the active form of Vitamin D [1,25(OH)2D].

What is the function vitamin D?

Vitamin D plays an important role in absorption of calcium from our food which we eat. It is also needed for bone growth and bone remodeling. Recent studies have shown that it also has role in our neuromuscular and immune function, reduction of inflammation and cell growth.

Research suggests that vitamin D could play a role in the prevention and treatment of a number of different conditions, including type1 and type 2 diabetes, hypertension, glucose intolerance, and multiple sclerosis.

What causes it’s deficiency?

No food items contain adequate vitamin D. Therefore to get sufficient D you need good amount of strong sunlight. Lack of sun exposure is the primary cause of it’s deficiency. Contrary to popular belief early morning sunlight is not sufficient. You need exposure to sun at noon. That’s when the UV rays are strongest.

Other reasons are, insufficient absorption of dietary supplements of vitamin D due to intestinal diseases and failure of kidneys to convert it into active form.However prolonged UV ray exposure has it’s own hazards (including skin cancer). That’s why most doctors rely on supplements rather than prescribing sun exposure.

Effects of vitamin D deficiency:

Vitamin D deficiency in children can cause severe deformities in bone. This disease is known as Rickets. Common presentation of rickets is bow legs. If diagnosed early this condition is reversible by giving adequate vitamin D in diet. As the bone matures the effects become permanent.

In adults the deficiency is known as Osteomalacia. It is characterized by weak bones. In prolonged cases there can be bone pain and muscle fatigue.

Vitamin D deficiency has also been linked with cardiovascular diseases, cancer, autoimmune diseases, infections and some metabolic disorders.

Diagnosis:

It can be easily diagnosed by blood test estimating 25(OH)D3.

Treatment:

Treatment is aimed at correcting the vitamin D levels in the body. Vitamin D supplements are now available in many forms including tablets, capsules, powder, liquid and injection.

In most patients weekly high dose is given for a few weeks to rebuild vitamin D store quickly. Following which a daily or monthly maintenance dose is recommended.

What will happen if too much vitamin D is taken?

Vitamin D is a fat soluble vitamin and is stored in our body. Unlike some other vitamins very high dose of vitamin D for long period has been associated with significant risk factors. Hypercalcemia and deposition of calcium in kidneys and other tissues can occur.

High dose of vitamin D must always be taken under guidance of a doctor.

 

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11 Myths about Osteoporosis

Do you know that much of what we’re told about bone health is actually a myth? In reality, there’s a lot you can do to build bone strength, prevent osteoporosis and reduce fracture risk. Let’s brush our knowledge…

Myth 1: You cannot have osteoporosis if you take regular calcium.

Yes, calcium is important, but it’s a myth that simply taking a high amount of calcium will guarantee bone health. To protect your bones, you need many additional essential nutrients, not just calcium. In fact, you need some of those nutrients just to get any benefits of calcium. For example, without enough vitamin D, your body only absorbs about 10-15% of the calcium from your diet, but when you take enough, the absorption rate jumps to 30-40%. Other critical nutrients for bone health are magnesium, vitamin K, vitamin C, boron, strontium etc.

Modern lifestyle prevents us from getting adequate sunlight, which is important for synthesis of vit. D in our body.

Myth 2: Osteoporosis is normal… as your bones age they should get weak.

Bone loss, even osteoporosis can affect you in your 30’s and 40’s. One of the most dangerous bone health myths is that osteoporosis is inevitable as we age. Remember, osteoporosis is not normal. It’s a disease. While there are some fixed risk factors — such as our age and gender — you can control many of the risk factors that lead to excessive bone loss, osteoporosis and fracture. The truth is, you can have strong bones at any age.

Myth 3: A diagnosis of osteoporosis means you’ll suffer a fracture.

Many people with osteoporosis may not have fracture. What’s more, many people who have normal bone density do experience fractures. Osteoporosis does increase your fracture risk.To identify your personal fracture risk, you can use this WHO fracture risk assessment tool.

Myth 4: Lack of estrogen causes osteoporosis – it’s a woman’s problem.

We hear all the time that osteoporosis is a “women’s disease” and men don’t really need to worry about it. This may stem from the long-standing belief that low estrogen levels cause bone loss. But in many countries, women maintain healthy bones for life — even though they experience the same lower estrogen levels with menopause the rest of us do. So while estrogen may play a role in osteoporosis, it’s certainly not the major cause. And unfortunately, men get osteoporosis too!

Myth 5: Osteopenia leads to osteoporosis.

A diagnosis of osteopenia means you have a state of relatively low bone mass, compared to the standard. For many women this may be only in one area, not necessarily throughout your body. And it doesn’t always mean that you’re currently losing bone. Your bones are alive. It’s never too late to build bone because it’s living tissue that constantly repairs itself.

Myth 6: You don’t need to worry about osteoporosis until menopause.

Bone loss — even osteoporosis — can be secretly affecting you in your 20s, 30s and 40s. We normally achieve peak bone mass in our 20s and then begin to lose it, some of us more quickly than others. The earliest type of bone loss takes place for women who are thin, have celiac disease, suffer from irregular menstrual cycles or poor nutrition, or use steroid drugs.

Myth 7: There’s nothing you can do once you have osteoporosis other than take a drug.

You can’t be more wrong. The natural way to bone health combines nutrition, physical activity and fall prevention. Next comes assessing and treating the underlying causes of compromised bone health. Finally, medicines help you regain your bone mass quickly. In a nutshell it’s lifestyle modification.

Myth 8: Osteoporosis is common all over the world.

Osteoporotic fracture rates vary greatly around the world. Unfortunately in India we don’t have sufficient data on osteoporosis due to the lack of awareness. It’s clear that certain lifestyle factors play major roles in bone loss, including:

  • Stress and anxiety
  • Lack of exercise
  • High caffeine intake
  • Poor nutrition
  • Use of certain medicines (e.g. steroids, anti-epliptics)
  • Cigarette smoking
  • Alcohol

Myth 9: Osteoporosis isn’t linked to other health issues.

More and more, research appears to indicate that there’s a link between the existence of osteoporosis and other diseases. When you build your bones, you’re likely building a healthier, stronger body and improving metabolic fitness, muscle strength, blood pressure regulation and cardiovascular health — all at the same time. Conversely people with known medical conditions are at a higher risk of osteoporosis.

Myth 10: There aren’t any signs or symptoms of bone loss.

While many people don’t realize they have a bone issue until they fracture, there are sometimes signs and symptoms of bone loss. These include receding gums; decreased grip strength; weak and brittle fingernails; cramps, muscle aches and bone pain; height loss and low overall fitness. These are often late and variable and you should not solely rely on them.

By knowing these facts about bone loss, osteoporosis and fracture, you can take the steps to have better bones now and for life.

Myth 11: Osteoporosis and Osteoarthritis are same things.

While Osteoporosis is loss in bone density, osteoarthritis is degeneration of joints. They are completely different diseases and should not be confused together.

Who Should Get Screened for Bone Loss

In general, people who should be screened for osteoporosis include:

  • Women over age 50
  • Women who have more than one risk factor (for example: a family history of osteoporosis, post menopause, low body weight etc.)
  • Post-menopausal women who have had a fracture

Since bone loss begins without any noticeable symptoms, screening should ideally occur before you have reason to worry.

You can use this WHO international Fracture Risk Assessment tool to find out your true risk.

You can also visit me in my clinic. See my clinic schedule.