LETTER O-OSTEOPOROSIS

OSTEOPOROSIS

Kartik, a 26-year-old working in a multinational company had on and off back pain. As most would do, he used ointments and some medicines from a local pharmacy and pulled on. When the frequency of pain increased he consulted at a hospital and diagnosis revealed he had Osteoporosis. He was terrified as he had the notion that his age and gender both were such that it was unlikely he suffered from it.

These myths often block our way to know about the condition and possibility of having it. People have this attitude ‘I cannot have it’ and often overlook simple symptoms that are crucial for diagnosis.

This is an eye-opener for all as sedentary lifestyle, is one of the leading cause of osteoporosis.

*Osteo- related to bones

*Porosis – weakening or loosening of solid architecture

So in this condition, the architecture of bone deteriorates and bone mass decreases making it vulnerable to injuries.

If there is a presence of any of the risk factors, it is good to get an examination done. Most cases can be managed easily with timely intervention and severe consequences can be prevented.

Various options are available for the detection of osteoporosis. A routine X-ray can also reveal it but by the time X-rays show osteoporosis, at least 30% of the bone has been lost.

Universal recommendation for the diagnosis of osteoporosis is DXA or DEXA- dual-energy X-ray absorptiometry scan. It typically measures bone density in the hip, the spine, and the forearm.

The bone density of the patient is compared to the average peak bone density of young adults of the same sex and race. This score is called the “T score”.It shows the bone density in terms of the number of standard deviations (SD) below peak young adult bone mass.

*T-score interpretation:

-Normal −1.0 or higher

-Osteopenia is defined as between −1.0 and −2.5. It is considered to be a precursor to osteoporosis.

-Osteoporosis is defined as −2.5 or lower. 

This test hardly takes 15-20 minutes and results are accurate to start treatment if found necessary.

Our routine schedule of rushing to office/ workplace, indoor working, coming back and doing household chores, spending time for social commitments, etc. reduces our exposure to sunlight, active exercising, proper nutrition, and sleep. Acknowledging the need to examine ourselves and starting a properly planned rehabilitation for our bone health works wonders to prevent and manage physical and mental well-being.