1 Understanding Osteoporosis I.M. Doctor, M.D. My Office My City, State

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Understanding Osteoporosis

I.M. Doctor, M.D.

My Office

My City, State

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Understanding Osteoporosis -Outline

Orthopaedics and The Bone and Joint Decade

What is Osteoporosis

Osteoporosis myths

Osteoporosis facts

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Understanding Osteoporosis - Outline

Osteoporosis symptoms and warning signs

Who is at risk?

Diagnosing Osteoporosis

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Understanding Osteoporosis - Outline

Treatment options

Medication

Treatments

Steps You Can Take to Prevent Osteoporosis

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A Medical doctor with extensive training in helping you keep your bones, joints, ligaments, muscles, tendons, cartilage and spine in good working order.

Who is an orthopaedic surgeon?

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Educating an Orthopaedic Surgeon

College

Medical School

Internship

Orthopaedic Resident

Fellowship (optional)

2 Years Practice

Total

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1

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(1)

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16 years!16 years!

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Who is an orthopaedic surgeon?

Greatest knowledge of wide range of conditions and treatment options available

Greatest experience in treating musculoskeletal health

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What do orthopaedic surgeons do?

Use most effective & efficient diagnostic tools

Determine best course of treatment

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Why Musculoskeletal Problems?

Musculoskeletal conditions affect hundreds of millions of people

$230 billion per year spent

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Why Musculoskeletal Problems?

Most common causes of severe long-term pain and physical disability

Research is at a critical point

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Understanding Osteoporosis

Your Orthopaedic Surgeon

Getting You Back Into The Game

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Osteoporosis

Osteoporosis, or porous bone, is a devastating disease that robs its

victims of bone mass.

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Normal Bone Osteoporotic Bone

Osteoporosis

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“Osteoporosis is not serious enough for me to worry about”

It is a progressive disease and irreversibly weakens bones

Any movement or bump can cause debilitating fracture

Chronic pain and disability are the potential outcomes

Hip fractures can cause death

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“I’m a healthy person. I do the right things so I am not at risk.”

Osteoporosis Myths

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Osteoporosis Myths

“I’m too young to worry about Osteoporosis now.”

It is never too early to prevent Osteoporosis

Osteoporosis can strike at any age

Bone is a living, growing tissue that constantly rebuilds

Osteoporosis Myths

“It’s too late for me to do anything about Osteoporosis.”

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More than 28 million Americans suffer from Osteoporosis

Prevalence

80% are women

1 in 2 women & 1 in 8 men over 50 years old

Wrist Fractures:200,000+

Hip Fractures:300,000+

Vertebral Fractures:700,000+

Other Fractures:300,000+

Source: National Osteoporosis Foundation, 2000

1.5 Million Fractures 1.5 Million Fractures AnnuallyAnnually

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$14 Billion Annually

Burden of Disease

Approximately $38 million daily

Congestive heart failure costs $8 billion annually

Asthma costs $9.8 billion annually

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Burden of Disease

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Burden of Disease

1 out of 4 osteoporotic hip fractures result in long-term nursing home care

One half of these are unable to walk without assistance

24% greater risk of dying within one year

OsteoporosisNormal Spine Osteoporotic

Spine

Source: National Osteoporosis Foundation, 2000

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Symptoms and Warning Signs

Persistent, unexplained back pain

Shorter than you used to be

Spinal deformities

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Symptoms and Warning Signs

Recurrent fractures

Fracture from minimal trauma

Experiencing chronic medical problems

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Risk Factors

Female

Thin or small frame

Low body weight

Smoker

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Risk Factors

Advanced age

History of fragility fracture

Family history- primary relative with Osteoporosis or fragility fracture

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Risk Factors

Post Menopausal

Hormonal imbalances can result in rapid bone loss

Women can lose up to 20% of their bone mass in 5-7 years

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Risk Factors

Amenorrhea, Anorexia & Bulimia

Diet low in calcium

Certain medications

Low testosterone in men

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Inactive lifestyle

Cigarette smoking

Excessive alcohol consumption

Risk Factors

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Ethnicity & Osteoporosis

13-16% with Osteoporosis now

36-49% of Mexican American women 50+ have experienced significant bone loss

Hispanic Women at Highest Risk

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Ethnicity & Osteoporosis

Caucasian & Asian-American Women Also High Risk

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Ethnicity & Osteoporosis

10% of African-American women 50+ have Osteoporosis

30% more have low bone density

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Ethnicity & Osteoporosis

300,000 African-American women suffering from Osteoporosis today

80-95% of all fractures suffered by African-Americans 64+ are osteoporotic

African-American women more likely to die from hip fractures

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Ethnicity & Osteoporosis

Risk of hip fractures doubles approximately every 7 years

50% less calcium than RDA

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Underdiagnosed

Unrecognized Underreported

Inadequately researched

Men & Osteoporosis

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Men & Osteoporosis

2 million American men suffer from Osteoporosis

3 million more are at risk

1/3 of male hip fractures related to Osteoporosis

1/3 of these men will not survive 1 year after fracture

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Diagnosis

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Diagnosis

Before Your Appointment

Prepare to describe your symptoms

Gather medical history

Make list of medications

Write down concerns and questions and bring them

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Diagnosis

1. Expect what from treatment?

2. Treatment effect on daily activities?

3. How to prevent further disability?

During Your Appointment

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Bone Densitometry

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Bone Densitometry

Anyone with a fragility fracture

All women age 65 and older

Postmenopausal younger than 65 with risk factors

Men over 50 with risk factors

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Treatment

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Medication

Bisphosphonates

Estrogen Replacement Therapy

Medications made from natural hormones

SERMs

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Vitamin D metabolites

Parathyroid hormone

New bisphosphonates

New SERMs

Medication-Under Investigation

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Treatment

Appropriate treatment of fragility fractures

Hip nailing

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Prevention

Calcium and Vitamin D Intake

400-800 Units per day

Consult your doctor for dosage

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Prevention

Weight-Bearing Exercise

Consult your doctor first

Consult your doctor first

Tai-chi helps reduce falls

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10-20 Year Olds

Prevention

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Prevention

20-35 Year Olds

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Prevention

35-50 Year Olds

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Prevention

Over 50

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Name: Ruth C. SnyderAge:Over 50

Injuries/conditions: Fracture of dorsal lumbar spine, Osteoporosis,

hip fracture, and trigger finger

Getting You Back In the Game

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Osteoporosis

While you cannot change your genetics or heredity, skeletal frame, gender, race or age, you can control other risk factors

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National Osteoporosis Foundation(202) 736-1656 www.nof.org

American Academy of Orthopaedic Surgeons6300 North River RoadRosemont, IL 60018 www.orthoinfo.org

Resources

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What are your questions and concerns?

Understanding Osteoporosis

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Understanding Osteoporosisc

Thank you for participating today

Remember, your orthopaedic surgeon can help get you back into the game