Decline in bone mass in both sexes (2% loss per year) after age 40. Postmenopausal osteoporosis is the most common form.
Symptoms
1) Severe backache
2) Spontaneous fractures of the hip and vertebrae
3) Decrease in height
Investigations
Demineralization of spine and pelvis can be seen by X-ray. Bone densitometry.
Major risk factors for osteoporosis
1) White or Asian
2) Leanness
3) Low calcium intake
4) Nulliparity
5) Gastric or small bowel resection
6) Long term glucocorticosteroid therapy
7) Long term use of anticonvulsant
8) Hyperthyroidism
9) Smoking
10) Heavy alcohol use
11) Positive family history
Causes
1) Low calcium intake
2) Ca – absorption depends on being ionized / solubilized by stomach acid and 40% of postmenopausal women are hypochlorhydric (i.e. having less acid )
3) Vit-D deficiency leads to osteoporosis
4) Hormonal factors – parathyroid hormone controls release of calcium from bones and its excretion via kidney. Estrogen deficiency makes osteoclast more sensitive to PTH increasing bone breakdown
Therapeutic approach
1) Reduce excess coffee, alcohol, smoking, soft drinks and non-vegetarian food
2) Achieve normal body weight
3) Calcium – milk, leafy vegetables
4) Vit-D – early morning sunlight
5) Vit-B6, Vit B-12*
6) Regular exercise
Ayurveda approach
According to ayurveda this is VATA dominant disorder and involves ASTHIVAHA STROTAS. ASTHIKSHYA can be due to impaired metabolism of nutrition from food.
If medicines are taken regularly and diet regime is followed, can cure the problem.
So ayurveda treatment is highly recommended.
Contact - Dr. Rahul Saraf at rahsaraf@gmail.com, +919422309088 to discuss your health problem or ayurvedic guidance on the same.
Symptoms
1) Severe backache
2) Spontaneous fractures of the hip and vertebrae
3) Decrease in height
Investigations
Demineralization of spine and pelvis can be seen by X-ray. Bone densitometry.
Major risk factors for osteoporosis
1) White or Asian
2) Leanness
3) Low calcium intake
4) Nulliparity
5) Gastric or small bowel resection
6) Long term glucocorticosteroid therapy
7) Long term use of anticonvulsant
8) Hyperthyroidism
9) Smoking
10) Heavy alcohol use
11) Positive family history
Causes
1) Low calcium intake
2) Ca – absorption depends on being ionized / solubilized by stomach acid and 40% of postmenopausal women are hypochlorhydric (i.e. having less acid )
3) Vit-D deficiency leads to osteoporosis
4) Hormonal factors – parathyroid hormone controls release of calcium from bones and its excretion via kidney. Estrogen deficiency makes osteoclast more sensitive to PTH increasing bone breakdown
Therapeutic approach
1) Reduce excess coffee, alcohol, smoking, soft drinks and non-vegetarian food
2) Achieve normal body weight
3) Calcium – milk, leafy vegetables
4) Vit-D – early morning sunlight
5) Vit-B6, Vit B-12*
6) Regular exercise
Ayurveda approach
According to ayurveda this is VATA dominant disorder and involves ASTHIVAHA STROTAS. ASTHIKSHYA can be due to impaired metabolism of nutrition from food.
If medicines are taken regularly and diet regime is followed, can cure the problem.
So ayurveda treatment is highly recommended.
Contact - Dr. Rahul Saraf at rahsaraf@gmail.com, +919422309088 to discuss your health problem or ayurvedic guidance on the same.
No comments:
Post a Comment