Top Health Tips on Managing Bone Disorder

Calcium Deficiency - 3 Signs You are Suffering from it

MBBS
General Physician, Delhi
Calcium Deficiency - 3 Signs You are Suffering from it
Calcium is known for its role in maintaining the bone health, from keeping your teeth stronger to normal functioning of the cells. But there are various factors, which lead to a deficiency of calcium in the human body and paves the way for several complications.

Here are the top three signs that indicate you are suffering from calcium deficiency.

Difficulty in sleeping: Sleep is essential for your bone health and calcium is directly associated with your sleep cycle. The level of calcium in your bones rises and falls when you are asleep and it reaches its peak when you are in deep slumber. This indicates that when you are unable to sleep properly, it is a warning sign of calcium deficiency. There are various researches that have confirmed, that by increasing the level of calcium, it is possible to restore the normal sleep cycle of an individual. This is also related to the role that calcium plays in the production of a sleep hormone called melatonin. When the calcium content in the body is really low, this hormone is not produced, thus, making it difficult for a person to sleep.
Difficulty in losing extra pounds: Yet another frustrating aspect of any individual s life is the inability to shed off excess pounds. This issue is also linked with the lack of calcium supply in the body. The calcium that s stored in the cells assists in the processing and storage of fat. So the fat cells with high calcium content burn faster, making you lose weight. Thus, if you have trouble losing weight in spite of having a well-regulated diet and regular workout, it s a sign that you are suffering from low calcium.
Paresthesia: Though this ailment is not much heard of, it could be a sign of calcium deficiency. Paresthesia is a nervous disorder, which causes tingling sensation, tremors, numbness and loss of sensitivity. It could also lead to poor concentration, amnesia, confusion, hearing impairment, twitches and other physical as well as neurological impairment. This is because low calcium in the blood is connected with the health of your nerves.
The deficiency of calcium can manifest itself in different intensity, ranging from the non-existent to minimal to severe levels. Chronic calcium deficiency can lead to life-threatening diseases like rickets, osteopenia, and even osteoporosis. Therefore, you shouldn t ignore these signs and consult an expert without delay.
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Obesity - A Leading Cause Of Death Worldwide!

Doctor of Medicine (M.D.), MBBS Bachelor of Medicine and Bachelor of Surgery
Diabetologist, Bangalore
Obesity - A Leading Cause Of Death Worldwide!
Obesity is a medical condition in which excess accumulation of body fat creates an adverse effect on health. Obesity is a leading preventable cause of death worldwide, with increasing rates in adults and children. In 2015, 600 million adults and 100 million children were obese. Obesity is more common in women than men.It is defined by body mass index (BMI) and further evaluated in terms of fat distribution via the waist-hip ratio (WHR) and total cardiovascular risk factors. Body mass index is closely related to both percentage body fat and total body fat.

It is defined as the subject's weight divided by the square of their height and is calculated as follows:

BMI = m/h2(Where m and h are the subject's weight and height, respectively)Waist-hip ratio is the dimensionless ratio of the circumference of the waist to that of the hips. This ratio is calculated as waist measurement divided by hip measurement (W H)The WHR has been used as an indicator or measure of health and the risk of developing serious health conditions.

The BMR of the body is classified into the following types:

BMI (kg/m2)
Classification up to 18.5
Underweight18.5 25.0
Normal weight25.0 30.0
Overweight 30.0 35.0
Class I obesity 35.0 40.0
Class II obesity

40.0 and above

Class III obesity
Causes-

Diet: Excessive food energy intake
Sedentary lifestyle
Genetics
Other illnesses: Hypothyroidism, Cushing's syndrome, growth hormone deficiency, and eating disorders
Certain medications: Insulin, sulfonylureas, thiazolidinediones, atypical antipsychotics, antidepressants, steroids, certain anticonvulsants, pizotifen, and some forms of hormonal contraception
Gut bacteria Health risks associated with obesity
Bone and cartilage degeneration (osteoarthritis)
Coronary heart disease
Gallbladder disease (gall stone)
High blood pressure (hypertension)
High total cholesterol and high levels of triglycerides (dyslipidemia)
Respiratory problems
Several cancers
Sleep apnea
Stroke
Type 2 diabetes mellitus
Management of obesity
Conservative management

Diet: Limit energy intake from total fats and sugars and increase consumption of fruits, vegetables, legumes, whole grains, and nuts.
Eat consistently: Resist the urge to overeat. Your food intake should follow a regular routine. Overeating not only upsets your routine but also impacts your metabolism.
Breakfast: Never miss your breakfast. Breakfast is a crucial meal; it also helps stave off hunger later on in the day, which often leads to overeating and snacking.
Monitor yourself: Keep a close check on what you eat and regularly weigh yourself.
Physical activity: Perform at least 200 minutes of moderate-intensity exercise each week. This schedule should be spread out over at least 3 days.
Watching TV: Limit watching TV to no more than 10 hours each week.
Surgical management

The surgical management of obesity involves the following two procedures:

Restrictive procedures
Malabsorptive procedures
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Strong Bones - How To Maintain Them?

MS - Orthopaedics, MNAMS (Membership of the National Academy) (General Surgery) , DNB (Orthopedics), MBBS
Orthopedic Doctor, Delhi
Strong Bones - How To Maintain Them?
Bones are quite literally the support system of the body, so it's super important to keep them strong and healthy. Strength is not a goal you achieve in a day, week or month. It is a way more rigorous process that has to go on for years. The growing age of your life matters the most; it is at this point that you can make your bones strong. Bone strength should also be maintained in certain ways. Child or adult, you must aim for both mental and physical strength.

Here are some tips to make deposits in your bone bank for a healthier future.

Know your family history - As with many medical conditions, family history is a key indicator of bone health. Those with a parent or sibling who has or had osteoporosis are more likely to develop it. So, how's your bone density, Grandma? might seem like an awkward question at Thanksgiving dinner, but ask anyway before she passes the gravy.

Boost calcium consumption - When most people think bones, they think calcium. This mineral is essential for the proper development of teeth and bones. But calcium isn't the end-all, be-all bone loss cure. The key might be to help the body absorb calcium by pairing calcium-rich foods with those high in vitamin D. Foods that are good sources of calcium include yogurt, cheese, milk, spinach and collard greens.

Don't forget the vitamin D - Where there's calcium, there must be vitamin D: the two works together to help the body absorb bone-boosting calcium. Boost vitamin D consumption by munching on shrimp, fortified foods like cereal and orange juice, sardines, eggs (in the yolks) and tuna, or opt for a vitamin D supplement. The body also produces vitamin D when exposed to the sun - 10 to 15 minutes of exposure three times per week will do. Vitamin D's importance to bone health has been proven in studies on "seasonal bone loss"; - elderly people can lose more bone mass during the winter because of lack of sun exposure.

Make exercise a priority - Seriously regular exercise is to keep a number of health issues at bay, and bone health is no exception. In fact, living a sedentary lifestyle is considered a risk factor for osteoporosis. What type of exercise is most effective? Weight-bearing exercises like running, walking, jumping rope, skiing and stair climbing keep bones strongest.

Consume less caffeine - Caffeine does have some health benefits, but unfortunately not for our bones. Too much of it can interfere with the body's ability to absorb calcium. Drinking more than two cups of coffee per day accelerated bone loss in subjects who also didn't consume enough calcium. Also, more than 18 ounces of coffee per day can accelerate bone loss by negatively interacting with vitamin D. So enjoy the java, but keep it in moderation and consume enough calcium, too.

Quit smoking - Here's yet another reason to lose the cigarettes: multiple studies have shown that smoking can prevent the body from efficiently absorbing calcium, decreasing bone mass.
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PRP Therapy - Know Its Utility In Orthopaedics!

Multi Speciality, Chandigarh
PRP Therapy - Know Its Utility In Orthopaedics!
It is considered as the medical speciality, which caters to injuries and various diseases in the musculoskeletal system of the human body. This constitutes the joints, bones, tendons, nerves and muscles that enables a human being to move, be active and work. Orthopaedic surgeons perform special problems like diagnosis of the injury or disorder, treatment with right medication, rehabilitation that is by prescribing exercises and physical therapy in order to restore back movement, function and strength and finally prevention by providing information and plans of treatment to prevent the injury or reduce the progression of the disease.

Platelet Rich Plasma Therapy (PRP)
PRP is the next generation injection method which is used commonly for conditions like knee, hip, shoulder and spine osteoarthritis, cuff tears, ACL injuries, pelvic instability, tennis elbow, back and neck injuries, ankle sprains, ligament sprains and tendinitis. It includes higher blood rate platelet concentrations and the patient experiences fewer chances of inflammatory side effects due to its pure PRP mixture.

How does it heal the body?

The human body at first responds to the soft tissues injury which is to have the platelet cells.
They are packed with healing factors that initiate repair and also attract critical assistance of the stem cells.
The process intensifies the human body s efforts which directly delivers a higher platelet concentration into the area of need.
To create the PRP, a small section of the patient s blood is drawn and it is placed into centrifuge which spins blood at a higher speed and separates the platelets from the components.
It is injected into and at around the mark of injury and it significantly strengthens the process of healing.
Just because the patient s own blood is used in the process there is no risk of transmissible infection and also has less chance of allergic reaction.
The procedure takes a couple of hours inclusive of the recovery and preparation time. It offers instant recovery as well avoids a long stay in the hospitals and application of anesthesia.

Outcome of PRP?

As the goal of PRP therapy is just to resolve pain by healing, it can prove to have long-lasting results. Initially, improvements are seen within few weeks eventually increases with the healing progress. The research studies have shown that PRP therapy is safe and effective and enables the patient to get back to their normal daily routine.

The PRP is very rich in platelets and it is a very old therapy that is adopted. It is a simple process and has multiple injections lasting 60-90 minutes and above all, it has natural end results, for example, PRP therapy is applied in hair restoration that provides natural appearing end results. It is a reliable process and therapy.
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Causes and Symptoms of Avascular Necrosis of Hip

FFSEM, MFSEM, DIP - SEM GB & I, MS - Orthopaedics, MBBS, MCh Orthopaedics
Orthopedic Doctor, Hyderabad
Causes and Symptoms of Avascular Necrosis of Hip
Avascular necrosis is localised death of the bone. Necrosis can occur due to traumatic injury, side effects of drugs or disease. The dead areas of the bone do not function normally, they weaken and they can collapse. Avascular necrosis eventually leads to the joints attached to the dead bone deteriorating. Avascular necrosis can occur in the knees, shoulder, waist and ankles, but the hip joint is the most commonly affected.

Causes of Avascular Necrosis

1. Traumatic injury to the affected bone, like fractures and dislocation, is a common cause
2. Use of steroid medication
3. Excessive alcohol consumption and smoking
4. Radiation and chemotherapy treatments can lead to avascular necrosis
5. Patients with underlying diseases such as systemic lupus erythematosus, diabetes mellitus, vasculitis, and inflammatory bowel disease are at risk
6. Patients with blood and bone marrow diseases such as sickle cell disease, leukaemia, Gaucher's disease or thalassemia are also at risk

Symptoms of Avascular Necrosis

1. Necrosis can begin with no pain in the abnormal bone
2. But with time and use, the pain develops
3. When the hip is affected, pain in the groin is common, especially when walking
4. The ball of the hip collapses as necrosis progresses which leads to pain whenever the hip is rotated or is to bear weight while walking
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Orthopedic and Musculoskeletal MRI

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
Orthopedic and Musculoskeletal MRI
Gone are the days when bone ailments and damages were detected based on the experience and superficial conversations made by the physicians. These days with the advent of radio waves, medical science has made significant progress that has enabled a detailed overview of what exactly is going on inside your body and what should be the most relevant treatment in that regard. Magnetic Resonance Imaging or more commonly known as MRIs are a boon when it comes to diagnosing orthopedic and musculoskeletal complaints.

Common Uses of the Procedure:

MR imaging is usually the best choice for examining the:

body s major joints.
spine for back pain
soft tissues (muscles, tendons and ligaments) and bones of the extremities.
MR imaging is typically performed to diagnose or evaluate:

degenerative joint disorders such as arthritis.
tears of the menisci, ligaments and tendons (knee) or rotator cuff and labrum (shoulder and hip).
fractures (in selected patients).
spinal disk abnormalities (such as a herniated disk).
the integrity of the spinal cord after trauma.
sports-related injuries and work-related disorders caused by repeated strain, vibration or forceful impact.
infections (such as osteomyelitis).
tumors (primary tumors and metastases) involving soft tissues around the joints and extremities (such as muscles, bones and joints).
pain, swelling or bleeding in the tissues in and around the joints and extremities.
congenital malformations of the extremities in children and infants.
developmental abnormalities of the extremities in children and infants.
congenital and idiopathic (developing during adolescence) scoliosis prior to surgery.
tethered spinal cord (abnormal stretching in the spinal cord) in infants and children.
The Process:

In this process, X-rays and radio waves are subjected upon the affected region to examine the conditions of the bones, tissues, muscles and also detect the presence of tumours. This is majorly a non-invasive test and is painless. It does not use ionizing rays and therefore does not harm the body in any which way. The MRIs capture a detailed picture of the organs and the internal body structures and then transmit them onto a computer screen for the physician to monitor the inside story.

The Benefits:

MRI is an imaging technique that does not require exposure to radiation.
MR images of the soft-tissue structures of the body (particularly muscles, bones and joints) are often clearer and more detailed than with other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many conditions, including tumors.
MRI can distinguish abnormal tissues from normal tissues much more accurately than most other imaging tests (x-ray, CT, etc.).
MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
MR images allow the physician to clearly see even very small tears and injuries to tendons, ligaments and muscles and some fractures that cannot be seen on x-rays and CT.
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Know More About Bone Cancer!

Fellowship In Joint Replacement, MS - Orthopaedics, MBBS
Orthopedic Doctor, Delhi
Know More About Bone Cancer!
Cancer that originates in the bones of a human body is referred to as bone cancer. Any bone could come under the threat of this disease, but generally the longer bones of your body, so to say the bones of your limbs, are at a greater risk.

A few factors that might push you an inch closer to bone cancer are:

Genes could jinx your health: A few typical genetic syndromes could increase a person's chances of contracting bone cancer. These syndromes could have been active in any person belonging to your lineage. One such syndrome is Li-Fraumeni.swelling
Treatment for one kind of cancer can make you prone to some other kind: Radiation affects your bones adversely. A patient of breast cancer might be undergoing radiation therapy that further increases his or her risk of contracting bone cancer in future.
Paget's disease can have unfavorable implications: Paget's disease is a disease that affects elderly people. This condition, if left untreated, can turn into bone cancer at a later stage.
Several symptoms of bone cancer can be found below:



Sudden loss of weight: If you lose a considerable amount of weight in a few weeks time without having made any effort at all, you should probably be worried about the health of your bones. Bone cancer can result in sudden and unintentional weight loss.
Unexpected bone fracture or breakage: Cancer of the bones is known to gnaw at the strength of your bones. Weakened and diseased bones can break or get fractured very easily. An unexpected fracture should not be overlooked so as to prevent chances of anything more harmful.
Long spans of unyielding exhaustion: Constant fatigue and sleepiness might be hinting at a more serious underlying problem. The bones in your body hold you together; cancerous bone cells can make you feel exhausted without much exertion as your bones lose their inherent potency.
Persistent pain in the bones: Excruciating cramps or pangs of stinging pain in a person's bones either continuously or at odd hours, could be indicative of bone cancer. Such instances require the advice and guidance of an experienced oncologist.
Bone swelling: The area affected by bone cancer can grow big and tender or the bone itself can swell up.
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Metabolic Bone Disease - Causes & Symptoms Of It!

MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Sports Medicine
Orthopedic Doctor, Raipur
Metabolic Bone Disease - Causes & Symptoms Of It!
Metabolic Bone Disease is a term used for various conditions of the bones that can be caused by a number of different disorders. Most of these disorders are developed due to nutritional deficiencies, defects in the bone metabolism procedure or due to hereditary defects in the skeletal structure. Conditions that fall under the category are osteoporosis, osteomalacia, rickets, Paget's disease, parathyroid conditions, chemotherapy induced bone loss and menopauseinduced bone loss.

Causes of Metabolic Bone Diseases:



Imbalance in the level of calcium : Too much calcium or too little calcium can cause bone diseases. While the overabundance of calcium (hypercalcemia) in the body will lead to calculi formation, which can be harmful for the body, the lack of calcium (hypocalcemia) causes weakness, bone pain and restricted growth.
Deficiency of phosphorus: Low phosphorus in blood (hypophosphatemia) leads to softening of the bone tissue and bone loss. Osteomalacia is commonly caused by phosphorus deficiencies.
Deficiency of Vitamin D: Vitamin D is essential for the body to absorb calcium. Cells called osteoblasts need vitamin D in order to absorb calcium and secrete the bone tissue proteins. A deficiency of vitamin D can lead to a number of metabolic bone diseases like rickets and osteoporosis.
Over or under secretion of the parathyroid hormone:The parathyroid hormone (PTH) stimulates the secretion of an enzyme, which converts the inactive circulatory form of vitamin D into its active usable form. The hormone can also increase the circulation of free or ionized calcium (Ca2+), which is not attached to proteins. Both underproduction and overproduction of the hormone causes skeletal problems.
Symptoms of Metabolic Bone Diseases:

The symptoms of most of the Metabolic Bone Diseases are similar, such as

A dull, throbbing pain in the bones is the most common symptom. The pain is frequent and lasts for a long amount of time, but unlike muscular pain, the exact region of bone pain cannot be specified.
Severe joint pains accompanied by stiffness and swelling of the joints. The patient experience pain during regular physical activities, especially during cold weather conditions.
Frequent fractures are caused by most bone diseases because the bone mineral density decreases drastically. Severe bone injury may be caused by mild trauma.
Defects in the bones can cause bowed out legs and a bent backbone.
A general feeling of exhaustion is often caused by bone diseases.
Kidney stones are an associated complication of metabolic bone diseases.
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Best Homeopathic Remedies For Osteoarthritis!

BHMS
Homeopathy Doctor, Delhi
Best Homeopathic Remedies For Osteoarthritis!
Osteoarthritis (OA) is a degenerative disease that affects the various bone and joints health, leading to painful movement and thereby limiting the patient's mobility. Knees, hips, joints of hands and legs are affected.

Symptoms of OA

The symptoms revolve around the bones and joints including:

Pain and stiffness of the joints
Swelling of the joints
Inability to form a clench
Difficulty holding things
Stooped posture
Weakness of legs and hands
Reduced height over time
Treatment options in allopathy are limited to nonsteroidal analgesics to control pain and in severe cases, surgical correction, in case of OA. However, homeopathy takes into account the triggering symptoms, the associated symptoms, and the status of the immune system before deciding on a treatment regimen.

With this holistic approach, homeopathy achieve the following:

Reduce the pain, swelling and stiffness
Slows the pace of further degeneration
Improves mobility of the affected joint(s)
Improves the body's overall immune system, thereby allow the body to promote healing on its own
Homeopathic intervention in the early phases is particularly helpful, as it will arrest disease progression
It also enable better absorption of minerals and nutrients essential for bone health. This allows healing of existing bone fractures and avoids further bone damage by strengthening the bones
Homeopathic treatment also enables the body's chemical state to withstand stress and illnesses better
It vitalizes the body's natural healing and ability to repair itself, to create a better state of health and well-being
Homeopathy For Osteoarthritis

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat osteoarthritis but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved remedies are available for osteoarthritis which can be selected on the basis of cause, location, sensation, modalities and extension of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person.
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Hip Replacement Surgery - Know Everything About It!

MBBS, MS - Orthopaedics, DNB (Orthopedics), Fellowship in Joint Replacement
Orthopedic Doctor, Hubli-Dharwad
Hip Replacement Surgery - Know Everything About It!
Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

Relieve pain
Help the hip joint work better
Improve walking and other movements.
Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)
Osteonecrosis (a disease that causes the bone in joints to die)
Injury of the hip joint
Bone tumors that break down the hip joint.
Your doctor will likely suggest other treatments first, including:

Walking aids, such as a cane
An exercise program
Physical therapy
Medications.
These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.
An equipment is then used to remove the ball socket of the joint by cutting the thighbone.
The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.
Once the joint is fixed, the ball of the thighbone is then put in the hip socket.
The fluids from the incision area are then allowed to drain.
The hip muscles are then put in place and the incision is closed.
Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.
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