Back Break Without the Fall

Back Break Without the Fall

You did not fall, and you did nothing hard. So it may be a surprise when the bad pain is reversing you are experiencing one or more broken bones in your back. "The common story is that someone is bending to put something into the dishwasher or it takes off a little hard curb and adds an extra burden to his spine. Julia Charles, rheumatologist and bone cell researcher at Brigham and Harvard Women's Hospital affiliated.

What weakens the spine?
There are about 30 bone called vertebrae in your spine, and it is stacked on top of each other like rolling the quarters. Each vertebrate consists of an outer surface of bone (such as plaster), and inside filled with sweet rods of support rods called a tractor.

The body constantly renews these structures, using two groups of specialized cells: osteoclasts, which break down bone, and osteoblasts, which build a new bone.

Over time, the osteopaths cannot keep pace, and the traverse becomes narrower and weaker. For some people, the bones become particularly thin and brittle – a condition called osteoporosis.

In women, the menopause is the fault. "We know that osteoclasts are more active around the menopause, and that delaying osteoblasts," says Dr.. Charles.

Compressed fractures
When vertebrates are not strong enough to support the load you put on it, it could fall. This is called a compression break.

Sometimes the break is sudden and comes with a sharp, moving pain that can be set aside for months.

"But most fractures don't have signs," explains Dr. Charles. "It is not uncommon for x-ray chest or CT scan to show old compression breaking that you did not know."

Long-term risks
When any vertebrate breaks, there is a high risk of another will. Each break has a small loss of height and reduced bending capacity.

Multiple fractures contribute to the salvation of the reverse called a dummy lump (kyphosis). This condition greatly increases the risk of your disability, as well as difficulty in digesting food or breathing.

If you have an x-ray showing that you have been compressed, your doctor may recommend that he takes over-the-counter painters such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin).

In the case of more serious pain, your doctor may recommend a short course (up to four weeks) on a nasal spray called calcitonin (Miacalcin), which prevents bone breakdown; or opioids, such as oxycodone (OxyContin).

Playing pain
Pain often lasts up to six weeks. For people whose pain lasts more than six months, treatment referred to as vertebrate may be considered (for example kyphoplasty). It is a bit like cement to pour in broken vertebrae to make it stronger.

But Dr. says Charles discusses his effectiveness. "There are good studies that show that it is not helpful to control pain from the abyss of sudden sudden compression. Still, some people can benefit from it," she says.

Long-term view
Consider breaking compressed as a wake-up call to seek treatment for osteoporosis. Osteoporosis treatment may include any of the following: t

Taking prescription medication. Examples include oral alendronate (Fosamax) or intravenous zoledronic acid (Reclast) to increase bone density. These could reduce the risk of further compression breaking up to 70%.

Many calcium get. Calcium is important for maintaining bone health. If the diet contains 1,200 milligrams of calcium per day, this is sufficient. If this is less in your diet, add calcium pills at each meal to make the difference, says Dr Charles.

Taking vitamin D. We need vitamin D to absorb calcium. Dr. Charles 800 international units per day. You could get some of that through milk secured with vitamin D. Vitamin D3 capsules can provide the rest.

Application. Exercise helps weight, like walking, to build a bone. "But we don't have good data about what is safe when osteoporosis is on you," says Dr. Charles. "The bands of resistance and light weights are good, but do not try to load the spine."

What if you treat you? "Your risk increases for other compressed breakages under five, and what is involved in breaking compression increases your risk of hip breaking as well," says Dr Charles. "There are risks associated with the option of not treating osteoporosis."

(Harvard Health Letter)


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