Tag Archives: Osteoporosis

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Bone stability loss and osteoporosis

Bone stability loss

With bone stability loss and osteoporosis it becomes difficult to effectively carry your weight

Bone stability loss and osteoporosis: The body structure framework

Before you can see the coverings of the body, there is always the framework of that body. In both humans and other animals, the framework is made up of bones which are expected to carry the weight of the body. Unfortunately as age catches up with us this expectation is gradually not being met what we call the bone stability loss and that is going to form the basis of our discussion in this article. Osteoporosis is a health condition which affects the body and particularly the framework of the body which is the bones. Therefore if you have osteoporosis the understanding is that you have lost some bone material. And your bones have become less dense creating some spaces in between. The creation of the spaces on the bones makes them weak and more vulnerable to breaking at very negligible forces (fracture).

Doctor Dalal Akoury MD says that even though osteoporosis mainly affects older people it can also affect people of all ages. Yes it is true that the risk of osteoporosis is high as we age, but we can take certain measures to reduce this. There are a number of preventive measures we can adapt to slow down bone loss. Medication may be one of the suggestions professionals will recommend in addressing the bone stability loss up on evaluation of individual patient. If you are experiencing certain pain or weakness in your bones, your timely action will be very important. For that reason you may want to consult with the experts at AWAREmed Health and Wellness Resource Center under the leadership of doctor Akoury for speedy correctional measures to be taken.

Bone stability loss and osteoporosis: What is osteoporosis?

The word osteoporosis means porous bones. The bones are made of collagen fibers (tough, elastic fibers) and minerals (gritty, hard material) which are living tissue rich in cells that make, mold and resorb (take back up) bone. As we grow, bone formation exceeds bone resorbtion, however, as we get older, this reverses and, after about the age of 35, you start to lose a certain amount of bone material. This would mean that your bones will become less dense and loses stability. This process of bone loss will not be the same in all people but the amount of bone loss will vary from person to person. Therefore if you have lost more of your bone mass, you could be suffering from osteoporosis. Meaning that your bones becomes bristle (bone stability loss) and can break more easily than normal, especially if you have an injury such as a fall. If you have a milder degree of bone loss, this is known as osteopenia.

Just to help you understand further what osteoporosis is, doctor Akoury further illustrate this porous situation. Like for instance if you were to take a closer look at the bone under a microscope, you will notice that sections of the bone take the shape of a honey comb. It means that those suffering from osteoporosis will have wider holes and spaces in the honeycomb like structure. This is a confirmation that their bones are unhealthy meaning that they have lost their bone density and the structure of their bone is not normal. Doctor Akoury recommends that people should have bone density test especially those who are aging and have broken their bones in the past. You can call for more inquiries about the bone stability loss and osteoporosis for a more professional help.

Bone stability loss and osteoporosis: The body structure framework




Identifying the Right Osteoporosis Medication

Identifying the Right Osteoporosis Medication: The best medicine for Osteoporosis to consider

Identifying the Right Osteoporosis Medication

Identifying the Right Osteoporosis Medication and taking then appropriately

A lot of discoveries have been done over the past few decades in making effort to finding lasting solutions for osteoporosis complications. These have led to the market being rich in several of options for medications which can be confusing sometimes. It is because of these that we want to discourse the best modalities of identifying the right osteoporosis medications for patients. Even as you consider settling for certain medications, doctor Akoury advices that in that medication, you must ensure that you are getting enough supply of calcium and vitamin D. Remember that vitamin D is now officially being reorganize as key player in  osteoporosis. It must be appreciated that the supply of these two elements must not be compromised and that would mean that for guaranteed sufficiency a prescription for vitamin D may become necessary. These supplements must be taken continually even when you are on osteoporosis medicines. Like for instance a postmenopausal woman will require 1,500 milligrams calcium daily, plus 1,000 units of vitamin D. Some need prescription-strength vitamin D (Calcitriol). This deficiency is a serious problem.

Besides that weight bearing exercise would be very important with total elimination of smoking and alcohol nevertheless, if you have to drink, then it must be moderate. Doctor Akoury further advices that you must be in constant consultation with your doctor about getting a bone re-sorption marker test that is either blood or urine test. This will actually help you identify whether your osteoporosis medicine is having an effect on bone loss or not. The first test should target your baseline and it should be done before you start the medication. Then get it checked after you’ve taken the drug for a few months to see the change. There are about six main types of osteoporosis medicine which we want to discuss their merits and in the merits. However for the purpose of this article, we are going to discuss only one (bisphosphonates) and the remaining in the next article. We want to therefore invite you to keep on the link for more information about osteoporosis medications.

Identifying the Right Osteoporosis Medication: Bisphosphonates, Fosamax, Actonel, Boniva, Zoledronic Acid (Reclast or Zometa)

Bisphosphonates are the backbones family of osteoporosis medicines today. They’re the workhorses of osteoporosis treatment. They are often the favorite because they offer a number of options for patients under treatment. However Fosamax was the first FDA-approved osteoporosis medicine just a decade ago and consequently the approval of followed by Actonel three years later. Boniva and Reclast are the most recent FDA approvals.

Identifying the Right Osteoporosis Medication: What They Do

All these drugs have been shown to increase bone density and Fosamax and Actonel lower the risk of spine and hips fractures. Actonel has been shown to work quickly, reducing fracture risk within the first six months. Boniva has not yet been shown to reduce hip fractures, and that’s a concern. On the other hand, Reclast or Zometa increases bone mineral density. Besides this its effectiveness in reducing spine and hip fractures with the reduced spine fracture risk sustained over three years has been confirmed. According to the manufacturer, Reclast also reduces fractures of the wrist, arm, leg, and rib. Reclast has been shown to reduce mortality in people who have already had hip fractures.

Identifying the Right Osteoporosis Medication: The Dosing Options

The good thing about osteoporosis medication is that of flexibility. Upon consultation with your doctor, you can settle for taking the medication daily, weekly, monthly or get a once-a-year intravenous (IV) treatment in your doctor’s office. The choice is yours and below is a simple guideline for you:

  • Fosamax can be taken daily or weekly in pill form.
  • Liquid Fosamax can be taken weekly.
  • Actonel can be taken daily, weekly, or monthly.
  • Boniva can be taken once a day or monthly in pill form.
  • An intravenous (IV) form of Boniva can be given once yearly.
  • Reclast or Zometa is a once-yearly IV infusion treatment.

An IV infusion involves a needle in your arm and a drip bag just like you get in a hospital. While it may sound like a slightly extreme way to get a medication, it has its advantages. The IV drug goes directly to the bone, bypassing the GI tract entirely.

If you are worried of time it may take because of your busy schedule then you need not to be worried because the procedure is friendly and timely. To be precise the whole process would take about five minutes for Boniva and 15 minutes for Reclast and you’re done for the year. In a record of 15minutes you are done meaning that this is very ideal even to those people who may be concerned about time.

Identifying the Right Osteoporosis Medication: The Pill Regimen

When dealing with osteoporosis, it is not just about identifying the right osteoporosis medication but it also put the patient to task on the usage of such medications. Taking osteoporosis medicine in pill form for instance is serious business. You don’t just pop the pill and swallow. The patient must follow specific guidelines which may include:

  • Taking the drugs first thing in the morning and on an empty stomach.
  • You cannot sit or lie down after taking it.
  • You cannot eat or drink anything before or after the medication.
  • You must starve yourself for sometimes like 30 to 60 minutes to allow for the absorption of the medicine into the body.
  • When that time period is over, you can take other medications.

The longer the starvation, the better chances that the osteoporosis medicine will be absorbed. Your stomach has to be empty. You have to make sure there is no competition in the GI tract for the drug. You can take other medications later that morning but not before taking the osteoporosis medicine. This intense regimen is important because very little of the drug is actually absorbed by the body. The body absorbs only about 1% of the drug so you have to make sure you get the most from every dose.

Identifying the Right Osteoporosis Medication: Weighing the Options

When deciding about bisphosphonates, ask yourself these eight questions:

  • How frequently do you want to take an osteoporosis medicine?
  • Will you really remember to take it?
  • Will you follow the morning regimen for taking the pills?
  • Are you taking other medications regularly?
  • Do you have any GI problems?
  • Do you have difficulty swallowing?
  • Would you rather have a once-yearly treatment?

Doctor Dalal Akoury advices that pill-form bisphosphonates are not ideal for people with GI problems like gastritis or ulcers or individuals with serious esophageal problems like stricture. She emphasizes health facilities AWAREmed Health and Wellness Resource Center are in business of ensuring that patients absorb the drug. But if anyone has the conditions described above, they such may opt for an IV. Finally treatment is just the last resort. The best option would have been prevention. This is an area where doctor Akoury specializes on and you can schedule for an appointment with her for professional advice on the preventive approach today.

Identifying the Right Osteoporosis Medication: The best medicine for Osteoporosis to consider



The solution for Osteoporosis is Changing Lifestyle

The solution for Osteoporosis is Changing Lifestyle: Better Bone Health

The solution for Osteoporosis is Changing Lifestyle

The solution for Osteoporosis is Changing Lifestyle. Good exercise will help increase the density of your bones

We promised in our last article that we are going to continue with the discussion of the five elements which are helpful in changing lifestyle for healthy bones. And if you were with us then you understand where we are coming from. However if you are visiting this link for the first time, then you may want to get to our previous article to get the introduction and the in-depth discussion of the first two life changes you may need to make if you want to have healthy bones. Doctor Dalal Akoury who is an expert in this discipline and also the founder of the health facility called AWAREmed Health and Wellness Resource Center is helping us understand the role of changing lifestyle for the production and maintenance of healthy bones. In other words we are discussing the solution for osteoporosis is changing lifestyle.

  • Calcium and Vitamin D
  • Bone density testing
  • Weight bearing exercise
  • No smoking and moderate Alcohol drinking
  • Doctor’s consultation

Now having understood how calcium and vitamins and bone density testing are beneficial, let us continue in to the discussion by understanding the remaining three.

The solution for Osteoporosis is Changing Lifestyle: Weight-Bearing Exercise

The bones need to be protected consistently if it has to do it functions effectively. Some of the elements that can protect the bone’s health may include both calcium foods and calcium supplements and osteoporosis medications. These are the great defenders of the bones and can stop bone loss which eventually necessitates the bone to rebuild itself. However for this to be done effectively, the body needs encouragement or the incentive to rebuild bone. It therefore means that the skeleton needs to be under stress so that it can get stronger. That’s why doctor Dalal Akoury is recommending regular exercise for the benefits of better bone health. But before you engage in this kind of exercise, it is very important that you seek some expert opinion from your doctor. This kind of exercise may be different from the normal weight loss activities. In this case we are using exercise to gain more bone mass says doctor Akoury. She suggests the following types of exercises for the restoration of your bone health:

Make walking a daily ritual – A simple walking, jogging, and light aerobics make your bones and muscles work contrary to gravity which puts stress on the skeleton, which strengthens bones. Cycling is also good for bones because it offers some resistance thereby improving muscle mass and strengthens bones.

Even though swimming may not be a good bone-booster, it is great and essential for joints particularly for those people who have arthritis. Nonetheless it’s not adding anything for osteoporosis. With swimming, the skeleton is comfortable so it is not working to hold itself up. Now whatever the exercise you settle for, it is important that you purpose to dedicate at least 30 minutes of exercise daily for at least three to five days in a week. This way you will be able to achieve your objective of increasing your bone density.

Core strengthening is critical too – Abdominal exercises, lower back exercises, yoga, Pilates, and tai chi help strengthen the spine. You could make reference about this in our previous article but in the meantime all that stuff is great mainly due to the fact that the most common fractures are often in the spine. Strengthening muscles to the spine gives more support to the spine. The other thing about yoga, Pilates, and tai chi is that they are effective in the improvement of body balance which is very essential in preventing unnecessary falls.

Tell your instructor that you have osteoporosis – For those intending to go for yoga or Pilates, it is very important that your instructor is qualified for the job. Ensure that you verify their certification with the relevant bodies or authorities. This is paramount because in this all arrangement, you will need very close supervision to make sure you don’t harm yourself.

The solution for Osteoporosis is Changing Lifestyle: Don’t Smoke & moderate Alcohol

The way nicotine is toxic to other organs of the body so it is to the bone. Many professionals will confess to their smoking patients that smoking is a big impediment to the health you their bones. Quitting is the way to optimize on the treatment, however this is often very difficult for many and especially the addicted ones. The truth of the matter is that with smoking, there is very little the doctor can do for your bones because this will counteract all medications administered.

Even though moderate alcohol is not bad, keeping it moderate is very challenging to many. What is then considered moderate? The experts recommend only one or two drinks a week. Alcohol in excess causes about 2% bone loss in a year’s time. Nicotine also causes 2% bone loss. If you’re having alcohol and nicotine both in excess, the combined bone loss is actually doubled 8% bone loss.

The solution for Osteoporosis is Changing Lifestyle: Talk to Your Doctor

Many factors affect bone strength. Use of certain medications to treat chronic diseases, for example, is an often-overlooked risk factor for developing osteoporosis. Also, certain medications may cause dizziness, light-headedness, or loss of balance which could put you at risk for a fall. Your doctor can explain your own risk as well as options for preventing and treating bone loss. When you visit your doctor’s office you could ask them some of these questions:

  • How can I best improve my bone health?
  • What is the best calcium to take?
  • What medication can help me?
  • Has this medication been proven to lower risk of fractures of spine and hip?
  • What are the side effects?
  • Do I need special instructions for taking my bone medication?
  • Will the medications affect other drugs that I’m taking for other conditions?
  • How will I know if the treatment is working?
  • How soon will I see a change?
  • How long will I take this medication?
  • Am I taking any medications that put me at risk for a fall?
  • What exercise is safest for me?
  • Are there exercises I should not do?
  • How can I know if I’ve fractured a bone in my spine?
  • How soon should I schedule my next appointment?
  • What should I do to prevent falls?

These questions may not be applicable to you all but they can offer guidance when you meet your doctor. Finally when you meet a challenge that needs professional clarification, then you can schedule for an appointment with the experts at AWAREmed Health and Wellness Resource Center and doctor Dalal Akoury will offer real time solutions for your concerns.

The solution for Osteoporosis is Changing Lifestyle: Better Bone Health



Changing Lifestyle for Better Bone Health

Changing Lifestyle for Better Bone Health: What will work for you?

Changing Lifestyle for Better Bone Health

Changing Lifestyle for Better Bone Health begins with an active life and health diet

Who doesn’t want to live a good life? Certainly no one yet most of our choice activities point to the opposite. I mentioned previously that the beauty of any individual is from the inside. When you have healthy bones which forms the body structure, then you will externalize that beauty. All of us are vulnerable to the effects of osteoporosis by virtue of growth and more so when we get to old age. To reduce this vulnerability we want to discuss how changing lifestyle for better bone health can be effective. And start you off, you may need to maximize bone health and reduce the effects of osteoporosis with these simple guidelines. It is wise that for you to succeed in this journey, you will need to consult frequently with your doctor for direction. And if your doctor says that you have thinning bones, osteopenia or osteoporosis, it’s critical to take steps to slow the progression of this disease. Remember that calcium, exercise, no smoking, no excess drinking and bone density tests are very necessary says doctor Akoury, MD, and founder of AWAREmed Health and Wellness Resource Center where it all begins.

Doctor Akoury adds that because women are the most vulnerable, it would be very important that they take these basic things seriously. However, the basics are especially important for women with low bone density. It is worth appreciating that while we may not be able to fully regain the bone density we once had in our youthful life, we can help prevent rapid thinning of our bones, even after diagnosis is confirmed. The following are therefore some of the positive lifestyle changes which will help you on the road to better bone health:

We want to discuss the first tow and progress with the remaining three in our next article so don’t be in a hurry to leave there is more for you with the experts at AWAREmed Health and Wellness Resource Center under the able leadership of Doctor Akoury’s care.

Changing Lifestyle for Better Bone Health: Calcium and Vitamin D

The two pieces of nutrients work hand in hand to help in the restoration of the bone health. Calcium act primarily in building strong bones and it efforts are complimented with vitamin D which facilitates the body’s absorption of calcium. That explains why postmenopausal women need 1,200 milligrams calcium and at least 400 IU to 600 IU vitamin D daily for better bone health. Doctor Akoury advices that patients undergoing treatment of osteoporosis should have both calcium and vitamin D levels checked in blood tests. Most women across the globe and particularly in the US get less than 500 milligrams of calcium in their daily diet. Being exposed in the sun also helps in the production of vitamin D, however as we get older, our skin its efficiency in making vitamin D. Nevertheless if we’re only careful in using sunscreen, we may be at risk of having low vitamin D level. The following can be helpful in boosting both calcium and vitamin D in your body”

Calcium in food – We know that dairy has calcium, but other foods do, too.

  • Low-fat milk or soy milk (8 ounces) – 300 milligrams calcium
  • Cottage cheese (16 ounces) – 300 milligrams calcium
  • Low-fat yogurt (8 ounces) – 250-400 milligrams calcium
  • Canned salmon (3 ounces) – 180 milligrams calcium
  • Calcium-fortified orange juice (6 ounces): 200 milligrams-260 milligrams calcium
  • Cooked spinach, turnip greens, collard greens (1/2 cup) – 100 milligrams calcium
  • Cooked broccoli (1/2 cup) 40 milligrams calcium

Just to be sure of the sufficiency of calcium supplement may be necessary to compliment the food stuff.

Calcium supplements – be keen so that the many calcium bottles on the stores do not confuse you. We are actually having two types of calcium that is to say the calcium carbonate and calcium citrate that can be purchased over the counter.

  • Calcium carbonate must be taken with food for the body to absorb it. Many women have side effects from calcium carbonate like gastrointestinal upset, gassiness, and constipation. If you take calcium carbonate with magnesium, however, you are likely not to have the constipation. It acts just like Milk of Magnesia and seems to help move things through.
  • Calcium citrate is generally well tolerated, and can be taken without food. However, you might need to take more than one pill to get the recommended dosage it is therefore advisable that you take them at different time intervals to help your body absorb the calcium. If you take more than about 500 milligrams of calcium at one time your body will simply pass it as waste.

Check the supplement’s label before buying – Look for either pharmaceutical grade or USP (United States Pharmacopeia) standards. This will ensure high-quality pills that will dissolve in your system. And don’t underrate the generic brands because they are equally fine if they have that information. 

Don’t forget vitamin D – Most calcium pills and multivitamins contain vitamin D. However, you can get vitamin D in food (fortified dairy products, egg yolks, saltwater fish like tuna, and liver). Research suggests that vitamin D3 supplements may be a little bit better absorbed and retained than Vitamin D2.

If you’re taking osteoporosis medications, take calcium, too – Many patients tend to think that when they start treatment they don’t need calcium. That is not true, and physicians often don’t emphasize the point.

Take prescription calcium if necessary – If it becomes necessary in isolated cases, doctors may prescribe higher-strength calcium and vitamin D tablets.

Changing Lifestyle for Better Bone Health: Bone Density Testing

Many people may tell you otherwise but the truth is that it is only a bone mineral density test (BMD) that is used to determine the extent of your bone loss. The gold-standard bone density test is dual energy X-ray absorptiometry (DEXA). This is a low-radiation test which is considered to be the most accurate bone test available. Remember that this test must be guided and you can’t just chose to do it. Therefore your doctor will determine how frequently you should have a bone density test. And remember that if you’re on osteoporosis medications or have certain risk factors, you may need a test every six months. Finally we have only looked at the first tow and we are yet to finish with the last three. Join us in the next article to get the insight and together we can keep our bones healthy.

Changing Lifestyle for Better Bone Health: What will work for you?



The Weight Bearing Exercise for Osteoporosis

The Weight Bearing Exercise for Osteoporosis: Workouts for Strong Bones

The Weight Bearing Exercise for Osteoporosis

The Weight Bearing Exercise for Osteoporosis. Good sporting exercise are very useful in restoration of healthy bones

Gradually osteoporosis is killing our bones and we may not notice it until it is very late. Having discovered that, the experts at AWAREmed Health and Wellness Resource Center are working round the clock to ensure that this trend is changed and that people are able to regain the mass of their bones. This is a facility which was founded by doctor Dalal Akoury primarily to create health awareness in various medical disciplines. Doctor Akoury is on a mission to help the helpless find their own natural inner healing power to help them take charge of their lives and destiny. At this facility individual patients are empowered to adopt doctor Akoury’s style which is focusing on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. Therefore in our topic today, we want to look at the weight bearing exercise for osteoporosis and how people can be empowered to naturally get rid of this situation from their healthy. Now the best approach would be to venture into meaningful exercise which is able to turn the tables round from osteoporosis to healthy bones. We can therefore try weight bearing workouts that stresses bones and muscles slightly more than your everyday life. We are going to be discussing some in this article, but it would be advisable that you consult with your doctor first to be sure that the workout you choose is safe for you. It is only then that you may want to consider from the following trends.

The Weight Bearing Exercise for Osteoporosis: Tai Chi

Tai chi a form of relaxed, smooth and flowing moves that builds both coordination and strong bones. According to a study reported in Physician and Sports medicine it was found that tai chi could slow bone loss in postmenopausal women. During the study the women who did 45 minutes of tai chi a day, five days a week for a year, enjoyed a rate of bone loss up to three-and-a-half times slower than the non-tai-chi group. Their bone health gains showed up on bone mineral density tests.

The Weight Bearing Exercise for Osteoporosis: Yoga

According to a study reported in Yoga Journal it was established that there was an increase in bone mineral density in the spine for women who did yoga regularly. From the slow, precise Iyengar style to the athletic, vigorous ashtanga, yoga can build bone health in your hips, spine, and wrists the bones most vulnerable to fracture.

Standing poses like Warrior I and II work the large bones of the hips and legs, while poses like Downward Dog work the wrists, arms, and shoulders. Both the Cobra and Locust poses, which work the back muscles, may preserve the health of the spine. Yoga also sharpens your balance, coordination, concentration, and body awareness and thus helps prevent falls.

The Weight Bearing Exercise for Osteoporosis: Brisk Walking

One fitness trend that never goes away, walking is still hugely popular among women and a great way to revamp your bone health. A study of nurses found that walking four hours a week gave them a 41% lower risk of hip fractures, compared to walking less than an hour a week. Brisk walking is best, but you can adapt your speed to your current fitness level. Walking is free, and you can do it anywhere, anytime, even when you’re traveling.

The Weight Bearing Exercise for Osteoporosis: Golf

Maybe you’ve always thought golf was for old folks people who could no longer do “real” sports. If this thought ever crossed your mind, then you need to think again. Just carrying that golf bag around 18 holes, and swinging the big clubs to drive the ball long, add up to a lot of upper-body work. And all that walking, and chasing balls lost in the rough, means plenty of work for your hips and spine. It is therefore obvious that golf gives weight bearing exercise a whole new name.

The Weight Bearing Exercise for Osteoporosis: Dancing

The current dances like the hottest trends in salsa, samba, Lindy hop, rhumba, East coast swing, foxtrot, and tango. They can enable your heart pumping in more ways than one, and build strong bones while you’re at it. Besides, you may want to try other activities like aerobics, kickboxing, or step class at your health club or local Y. New classes emerge every few months to keep members motivated. A lot of them now combine strength training with dance or step moves and will perk up your balance as well.

The Weight Bearing Exercise for Osteoporosis: Hiking

The work of weight-bearing and the impact as your feet hit the ground can increase bone density, especially in your hips. It’s just like walking, and then some. You’ll get even more impact on those bones if you’re going uphill or downhill, and that can improve bone health even more. More impact on your feet and legs translates into more bone density.

And with hiking, boredom is never an issue because you will be constantly meeting and socializing with new people, as well as expanding your horizons as you experience new landscapes.

The Weight Bearing Exercise for Osteoporosis: Strength Training

Lifting weights, using the weight machines at your health club, or doing calisthenics, are forms of strength or resistance training. You’re working against some form of resistance whether it’s a set of “free” weights, your own body weight, or weight machines to stress a sequence of muscles and bones. Strength training at least twice a week is needed to stimulate bone growth.

Every gym has a trainer who can design a workout for your legs, back, shoulders, and arms one that’s right for your fitness level and can rally your bone health. Finally it is always said that patient pays. The bone-building phase in young adults at its speediest takes three to four months, and it may take a lot longer if you have osteoporosis or are older. So you won’t be seeing big changes on any bone density tests after your first week of working out. Bones change slowly and this should not worry you because they do change.

The Weight Bearing Exercise for Osteoporosis: Workouts for Strong Bones