When the Bones are Good: 5 Keys to Bone Health

You often hear “the bones are good” when people talk about the value of a house. It’s to say the structure is sound, that it can stand up to what it may face, that it can protect those who live there. Well, the same goes for when the actual bones in your body are healthy. They can protect you from falls and fractures, and support all the functions of your body.

Let’s talk about those bones. Did you know your skeleton rebuilds itself as we age? That right, about every 10 years, our bones regenerate where new bone tissue replaces the old. As we age, though, the amount of new bone can decrease, resulting in bone loss which leads to weaker bones, increasing the risk for fractures. Thankfully, there are proactive measures we can take to better balance the process and protect our bones.  

Understand your risks for bone loss

Many individual factors can affect bone density, namely age, family history, weight and related health issues. Age: The older you get the more bone loss is projected to occur. Women, in particular, experience rapid loss following menopause, putting them at risk for osteoporosis. Family History: Bone mass is determined by our genes, so it’s important for this and other reasons to have a good understanding of your family medical history. Weight: Overweight adults are at higher risk for falls which can lead to bone breaks, and being underweight can increase bone loss and risk of fractures. Health Issues: If you have diabetes, an autoimmune disease, or are taking medications that are known to cause bone loss, be sure to discuss your risks with your doctor.

Nutrition

The right combination of vitamins and nutrients is needed to promote healthy bones. We hear much about the importance of calcium for bone health, which is for good reason. Calcium is stored in our bones. When our body does not have enough to function, it will steal some from its storage in, you guessed it, the bones. So load up on green leafy vegetables and dairy products, and try supplements if you need increase your daily dosage. And grab some water instead of soda, specifically, since they decrease calcium absorption. Vitamin D is also super important, as it helps our bodies absorb calcium from our diets and build those strong bones. It’s hard to get enough Vitamin D through food, so look for supplements or help your body make some by sitting in some good sunlight – just don’t forget the sunscreen!

Exercise

Committing to regular physical activity is a key component to a healthy lifestyle and the benefits extend to bone health. Weight-bearing activity helps your bones become stronger and can slow down bone loss after menopause. Brisk walks, dancing, tennis, jump roping, even hopscotch! Exercise in all forms is good for your skeleton. Also, as you grow stronger and gain balance through activity, you decrease your risk of falls leading to fractures. So get out there and keep moving!

Lifestyle & Environment

We all know smoking and heavy alcohol use are no good for your overall health, so it is no surprise that both can reduce bone mass. In fact, nicotine actually suppresses bone-forming cells. There may also be other everyday risks right under your nose. Tripping hazards and obstacles can lead to accidental falls, so be sure fix that loose step or tuck that computer cord away, for instance. And adding safety features around the house, like a grip bar in the tub for instance, is never a bad idea.

Consult with your doctor

If you are at risk for bone loss, be sure to consult with your physician. A bone density test may be in order to determine if prescription medicine may be necessary to help protect and build up bone tissue. It’s better to be proactive, than try to make up for severe bone loss down the road.

We hope that with this guidance, you can make your bone health a priority. The specialists at NEOSM are here to answer any questions you have in your journey.

Source: American Academy of Orthopedic Surgeons/orthoinfo.org

Tiger Woods’ Injuries: Defining Terms and Procedures

The recent news of Tiger Woods’ horrific car accident has been startling. Watching the images of the aftermath, we see how serious the incident and the injuries sustained by the golf great are. While news outlets have been reporting on details of the necessary emergency orthopedic surgery, fans are growing more and more concerned, so we thought it would be helpful to provide some expert insight into the meaning of some common terms and procedures being reported.

High-Energy Trauma/Fracture

Injuries sustained where a large amount of energy or force are at play are considered high-energy traumas. Accidents involving a moving vehicle, like in the case of Tiger Woods, or a fall from a significant height are examples. These traumas result in more complex injuries that generally involve more tissue damage.

Open Fracture

An open fracture, historically known as a compound fracture, is a fracture in which the bone has broken through the skin of the area at the time of injury. Because the wound is open, there may be contamination at the fracture site that increases the risk of infection. Severity of the injury depends on the degree of contamination and extent of damage to soft tissues such as muscles, tendons, nerves, and blood vessels. Open fractures should always considered an emergency and treated immediately due to the increased risk of infection.

Use of Rods, Plates and Screws

When a fracture cannot be adequately treated with conservative measures, such as setting the bone and casting or splinting, surgery is indicated. In the case of open fractures, surgery is necessary to clean the area to minimize the risk of infection. Fractures treated in this way usually need to be stabilized with metal hardware, such as rods, plates and screws. This is called internal fixation. Nails or rods are inserted into the center of long bones, such as the tibia, for stabilization. These are most often used for fractures near the middle of long bones. Some fractures may require a plate and screws to hold the bones in place while they heal. In some cases, wires or pins are utilized to treat fractures in smaller bones. Depending on the case, pins and wires are usually removed once the bone has healed adequately. Rods, plates and screws are often not removed.

Compartment Syndrome

Fractures can cause bleeding and severe swelling, which can create excessive pressure within muscle compartments. If this occurs, this pressure can cause damage to muscle and other soft tissue within that compartment, which may be irreversible. This is called compartment syndrome. If this occurs, emergency surgery must be done to prevent this tissue damage. If not properly treated, this problem may lead to amputation. Treating this requires a procedure called fasciotomy, during which surgeons incise the covering of muscles (called fascia) to relieve the pressure from the injury. This release is commonly achieved through large incisions, which may heal together once swelling is reduced or may require skin grafting. Sometimes fasciotomy is performed if the injury is felt to have a high risk for developing compartment syndrome.

Until more information is released about the specifics of Tiger Woods’ injuries and treatment, it is hard to speculate on what his recovery will look like. The focus now is on successful healing from surgery and combating any complications, should they arise. Traumatic injuries are devastating to those who have had the unfortunate experience. We hope through the support of his family and all his fans, Tiger Woods will make a full and healthy recovery. We wish him all the best in his journey.

To learn more about the orthopedic trauma specialists in our practice, visit our NEOSM physician profiles.

6 Signs You Should See an Orthopedic

“Should I get this checked out?” That’s the question most of us ask ourselves when we’ve suffered an injury or have been experiencing some ongoing discomfort. It’s hard to know what you can let heal on its own and what needs the attention of a specialist. Consider, though, that waiting on treatment can create deeper issues and complications. To help, our orthopedics are sharing the tell-tale signs that it’s time for them to take a look.

Pain, Swelling, Discoloration, Loss of Motion Lasting More Than 48 Hours

Things don’t feel or look normal, and they don’t seem to be getting better.

Deformity 

Your joint or extremity is looking deformed, for instance a finger that is now crooked.

Locked Joint 

You have lost range of motion in a joint, such as your elbow, shoulder or knee.

Any Bone or Joint Injury with Broken Skin 

An open wound or break in the skin is visible in the area of the injured bone.

Over-the-counter Pain Medication Not Providing Relief

You’ve tried Tylenol or ibuprofen, but your pain has not been reduced to a tolerable level.

Unable to Bear Weight 

Standing or walking is painful, or nearly impossible

Any of the symptoms above could be a sign of a serious orthopedic issue that could get worse if not treated. If you think you, or someone you know, is in need of a consultation, reach out for an appointment with one of our highly trained specialists today. 

Is Rehab Right For You?

By: Dr. Barry Kraushaar

Many patients who see an Orthopedic Surgeon arrive with a concern that the prescription for treatment is surgery. The fact is, surgery is a small part of the entire care of an orthopedic patient. While it is true that a surgeon may need to perform procedures to repair some injuries, there is an important role for Physical and Occupational Therapy in all the phases of patient care.

Many patients have discomfort due to muscle imbalances. These can be recently acquired, or they can be developing over decades.

  • Physical therapy is prescribed to assess as well as treat these imbalances. The field of Sports Medicine has been helpful in showing us the benefit of strength-balancing to restore function. The fact is, most patients with shoulder pain can be treated with this approach. A person can have a rotator cuff tendon tear or shoulder instability, yet they may avoid surgery if the remaining muscles are properly rehabilitated. Rehab takes time. With the supervision of a therapist a patient can be moved forward in a manner tailored to that specific person’s pattern of injury.

In order to rehabilitate properly, a patient must be comfortable enough to perform the exercises.

  • This is where the modalities of PT matter. Massager, electrical stimulation, TENS (transcutaneous electrical nerve stimulation) and ice/heat combinations are examples of comfort measures. Some patients need a gradual approach to rehab, and modalities are very helpful in the immediate postoperative period before exercises can begin.

Stiffness can be a separate category of difficulty that the therapist may need to address.

  • Muscle imbalances do not always explain loss of function. Sometimes stiffness is a separate issue that takes time to manage. A physical therapist can not only teach stretching, but they also can help the patient perform them. This can be especially true in patients with chronic shoulder or knee pain. The posterior (rear) position of the shoulder gets tight in some shoulders, especially baseball pitchers. The hamstrings tend to tighten up in patients with chronic knee pain. Therapists know to address this category of rehabilitation in addition to strength and comfort.

You are your own best friend in Rehabilitation.

  • The goal of Physical or Occupational therapy is to restore your function as close as possible to your pre-injured state. With your own participation the results are more likely to work. A good therapist will teach you techniques that you can use, and provide you with home exercises to make the improvements last.

Not everyone needs rehabilitation, and there is eventually a limit to the benefits achieved. The purpose of an Orthopedic Surgeon prescribing rehabilitation is to address the injured part and the surrounding region. So if your doctor prescribes therapy, there is probably a good reason for it.

Contact us today to speak to a Northeast Orthopedics & Sports Medicine physician to discuss how therapy may fit into your treatment plan.