Bone and Joint Health

1
Bone and Joint Health
2

• Staying mobile keeps us vibrant,
  independent and feeling beautiful!

2
3
What Can Potentially Affect Our Mobility?

• Arthritis
• Effects 66 million Americans
• 60 of those affected are women
• Joints commonly affected
• Knees
• Hips
• Shoulders
• Joints become stiff and painful which can limit
  how much we walk or do

3
4
Risk Factors for Arthritis

• Family History
• Female gender
• Increasing age
• Obesity
• Joint injury
• Repetitive knee bending
• Infections

4
5
Symptoms of Arthritis

• Stiff joints
• Especially upon waking in the morning
• Painful joints
• Joint inflammation

5
6
Prevention of Arthritis

• Weight management
• Preventing work related injuries
• Sports injury prevention programs
• Prevention of Lyme disease and other infections
  that may affect the joints

6
7
Management of Arthritis

• Heat therapy
• Moist heat
• Paraffin wax
• Exercise
• Warm water swim programs
• Low impact exercises
• People with Arthritis Can Exercise (PACE)
• Rehabilitative services (PT/OT)
• Anti-inflammatory medications
• Aspirin
• Nonsteroidals
• Weight loss

7
8
Another Arthritis Management Option

• Surgical Joint Replacement
• Not the first option in arthritis management
• Usually recommended by an orthopedist
• Most common joints to be replaced
• Knee
• Hip

8
9
Statistics on Joint Replacements

• 300,000 knee replacements annually
• 1 in 4 people with arthritis of the knee will
  have a surgical replacement

9
10
Ask Your Physician About Joint Replacement if

• If medical therapy and exercise is not working
  for you
• You are experiencing severe and worsening joint
  pain
• Your ability to get around is getting worse

10
11
What Else Can Affect Our Mobility?

• Osteoporosis

11
12
Risk Factors for Osteoporosis

• Low bone mineral density
• Family history
• Small/petite frame
• Nicotine use (smoking)
• Alcohol use
• Lack of exercise
• Inadequate calcium and vitamin D intake
• Certain medications
• Estrogen deficiency

12
13
Symptoms of Osteoporosis

• Often times, no symptoms
• Dowagers hump (a forward leaning hump that starts
  in your upper back)
• A fracture during the adult years that resulted
  from a low impact injury

13
14
Prevention of Osteoporosis

• Adequate calcium and vitamin D intake
• It must be both to be effective
• Daily calcium requirements
• lt age 50 1000 mg/day
• gt age 50 1200 mg/day
• Three to four servings of nonfat dairy or
  calcium-fortified foods

14
15
Daily Vitamin D Requirements400 international
units (IUs)

• Sources of vitamin D
• Sunlight (your skin manufactures vitamin D when
  exposed to sunlight)
• Fortified foods
• Milk
• Cereal
• Egg yolks
• Saltwater fish
• Liver
• Supplements
• Multivitamins

15
16
Prevention of Osteoporosis
16
17
What is the Consequence of Brittle Bones?

• FRACTURES!
• Dont wait until its too late find out about
  osteoporosis BEFORE a fracture occurs

17
18
Treatment of Osteoporosis

• Meet with a doctor to discuss your individual
  needs
• Continued calcium and vitamin D
• Continued exercise (using caution)
• Bisphosphonate therapy (pills)
• Fosamax (on the market the longest)
• Actonel
• Boniva (once monthly dosing)

18
19
Keep Your Joints and Bones Strong

• Take action for your health and know your risk
  factors for arthritis and osteoporosis!

19