Osteoporosis: “The most important factor is prevention”

May is Women’s Health Month, a great time to celebrate and promote stronger health and a perfect time to discuss the latest information about preventing and treating health challenges like osteoporosis.

More than 44 million American women experience the debilitating effects of the bone disease, and many women fear aching joints and brittle bones are an inevitable part of aging. It is important to know the risks, and engage opportunities to maintain optimum bone-health.

Dr. Lawrence R. Housman is an orthopaedic surgeon who specializes in musculoskeletal disease at Tucson Orthopaedic Institute. He sat down with us to discuss the best ways to prevent and treat osteoporosis.

OsteoporosisWhy are women at greater risk for osteoporosis?  

Women start with a lower bone density than men. They also lose bone mass more quickly as they age. Between ages 20-80, women will lose about 1/3 of her bone density compared to men who lose only 1/4 of their bone density in that time frame. Estrogen levels also affect bone density, and women lose bone mass more quickly in the years immediately following menopause than at any other time of their lives.

What can accentuate this risk?

Alcohol in moderation is not a risk factor, however more than four drinks per day results in a twice the risk of hip fracture. Steroids can also increase this risk. Long term use of steroids will double the risk of fracture in women.

It should be noted that proton pump inhibitors (e.g. Nexium/Protonix used for stomach disorders such as acid reflux) decrease the absorption of calcium from the stomach.

While increasing fiber, phylates (beans, wheat bran), oxalates (spinach, beet greens, rhubarb) and phosphorus (colas) can provide other health benefits they can also interfere with calcium metabolism.

What are the most effective means of preventing osteoporosis?

Regular exercise is one of the most effective means of preventing osteoporosis. Thirty minutes per day – walking is excellent, and Tai Chi reportedly decreases falls by 47 percent and hip fracture by 25 percent.

Nutrition is another import part of maintaining healthy bones. Fruits and vegetables are important. Women ages 19-50 should take in 1000 mg of calcium daily and women older than 50 should get 1200 mg per day.

Vitamin D is another vital nutrient the body needs to prevent osteoporosis. An individual can get their vitamin D through measured exposure to sunlight or through supplements. A diet with dairy, protein or calcium fortified foods (e.g. orange juice), fish (salmon/sardines) and yogurt (6 ounces has 300 mg of calcium) will go a long way in getting vitamin d to the bones.

What are the warning signs of the disease – and when is it time to see a doctor?

There are usually no warning signs before a fracture occurs; therefore, the most important factor is prevention.

A primary care provider (PCP) is the best person to monitor bone health. Most physicians recommend a DEXA (bone density test) after the age of 50.

The DEXA scan is the bone density test done most frequently and is predictive of fracture risk. The scan will also show whether you have normal bone density, osteopenia (bone is becoming weaker) or osteoporosis (bone is at high risk for fracture).

If a fracture occurs, then an orthopaedist would enter the picture to advise on treatment concerning the spine or extremity fracture.

If diagnosed with osteopenia or osteoporosis – what’s next?

With treatment patients can live normal, active and happy lives.

There are many types of medications that are now available – which work to reverse and then rebuild the bone loss. With treatment, the risk of a vertebral fracture drops from between 30-70 percent and the risk of a hip fracture drops by up to 40 percent.

Housman OsteoporosisDr. Housman is an orthopaedic surgeon who practices at the Tucson Orthopaedic Institute. He earned a medical degree from the University of Alberta in Edmonton, Canada and completed an orthopaedic surgery residency at the Montreal General Hospital and McGill University. Dr. Housman is fellowship trained in several orthopaedic pursuits and is a past chief of staff at Tucson Medical Center. He has also served as president of the Western Orthopaedic Association and Arizona Orthopaedic Society.

 

 

Learn more about the advances in hip and knee treatment with Dr. Dalal

Join Dr. Ali H. Dalal from the Tucson Orthopaedic Institute for a free interactive discussion highlighting current advancements in treating joint pain – from non-surgical treatment options to the latest Mako Robotic-Arm Assisted technology.

El DoradoFaster recovery and increased mobility are more accessible than ever before!

If you or a loved one is suffering from joint aches and pains and thinking about seeing a specialist – this discussion is for you.

The presentation and discussion will be held at 1400 N. Wilmot (El Dorado plaza) on April 12 at 5:30 p.m.

Attendance is free, but you must register by calling (520) 324-1960 or you can register online at TMC for Seniors. See you there!

 

Dalal3Dr. Dalal is a fellowship-trained hip and knee replacement surgeon at Tucson Orthopaedic Institute. He graduated Summa Cum Laude from UCLA with a Bachelors of Science in Molecular Cell and Developmental Biology.  He received his M.D. from the University of California San Diego and completed his residency in orthopaedic surgery at the University of Illinois Chicago.  He completed a fellowship in hip and knee replacement at the Florida Orthopaedic Institute.

 

 

Tucson Orthopaedic Institute joins specialty care providers at TMC Rincon Health Campus

Tucson Orthopaedic Institute LogoTucson Medical Center is proud to announce Tucson Orthopaedic Institute is now providing orthopaedic care and physical therapy at the TMC Rincon Health Campus.

This January, Tucson Medical Center opened the TMC Rincon Health Campus at Drexel and Houghton to make high-quality care more available to eastside communities. The concerted effort includes partnering with premier health-care specialists in Southern Arizona, making specialty services more accessible and convenient.

Tucson Orthopaedic Institute joined the TMC Rincon Health Campus earlier this month, showing their commitment to caring for all of Southern Arizona’s communities and providing families with greater access to specialized care.

Tucson Ortho MapFive experienced and skilled TOI physicians are available at Rincon, providing comprehensive orthopaedic services, including; hip and knee, foot and ankle, pediatric orthopaedics, and non-surgical orthopaedic care.

In addition, TOI has designated their Rincon office as a dedicated physical therapy site. Eastside residents now have access to expert physical therapies administered by a highly-trained staff.

“Our practice is centered on patient needs,” said Dr. Ali Dalal, a TOI hip and knee reconstruction specialist providing care at the TMC Rincon Health Campus. “This location offers TOI’s quality and expertise at a convenient location where eastside families work and live.”

TOI’s Rincon office is located in suite 120 and is open Mon. – Tues. Their physical therapy location is in suite 130, open Mon. – Fri. Please call (520) 784-6200 for further information or to schedule an appointment.

Tucson Orthopaedic Institute PhysiciansTucson Orthopaedic Institute complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

U.S. News & World Report Names the TMC Orthopaedic Center Among Best in Knee Replacement

Ortho_logoCMYKTucson Medical Center has been recognized as one of the best hospitals for 2015-16 in knee replacement by U.S. News & World Report. The annual U.S. News Best Hospitals rankings, now in their 26th year, recognize hospitals that excel in treating the most challenging patients.

“The TMC Orthopaedic Center and our partners at the Tucson Orthopaedic Institute are proud to announce this important recognition of our world-class orthopaedics program,” said Judy Rich, president and chief executive officer, Tucson Medical Center. “We take pride in our busy joint replacement program, which is staffed by a care team that is best in class. This designation validates that expertise.”

TOI_Spine_Center_sqThe TMC Orthopaedic Center is a word-class facility dedicated to the needs of the orthopaedic patient and designed with the full continuum of care in mind. The four-story Orthopaedic and Surgical Tower includes 10 state-of-the-art orthopaedic operating rooms that can accommodate both inpatient and outpatient surgeries, and a dedicated 40-bed orthopaedic unit with all private rooms.

“Tucson Orthopaedic Institute collaborates with TMC on clinical and quality initiatives. That commitment has resulted in measurably better care and outcomes for our patients; and they are able to experience an improved quality of life from the orthopaedic care received here,” said Lawrence Housman, M.D., president, Tucson Othopaedic Institute.

high-performing-indicator-kneeFor 2015-16, U.S. News evaluated hospitals in 16 adult specialties and ranked the top 50 in most of the specialties. Less than 3 percent of the nearly 5,000 hospitals that were analyzed for Best Hospitals 2015-16 were nationally ranked in even one specialty.

“A Best Hospital has demonstrated expertise in treating the most challenging patients,” said Ben Harder, chief of health analysis at U.S. News. “A hospital that emerged from our analysis as one of the best has much to be proud of.”

In rankings by state and metro area, U.S. News recognized hospitals that perform nearly at the level of their nationally ranked peers in one or more specialties, as well as hospitals that excel in multiple common procedures and conditions.

U.S. News publishes Best Hospitals to help guide patients who need a high level of care because they face a particularly difficult surgery, a challenging condition or extra risk because of age or multiple health problems. Objective measures such as patient survival and safety data, adequacy of nurse staffing and other data largely determined the rankings in most specialties.

The specialty rankings and data were produced for U.S. News by RTI International, a leading research organization based in Research Triangle Park, North Carolina. U.S. News used the same data, as well as the new Best Hospitals for Common Care ratings, first published in May, to produce the state and metro rankings.

The rankings are freely available at http://health.usnews.com/best-hospitals and will appear in the U.S. News “Best Hospitals 2016” guidebook, available in August from the U.S. News Store.


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