Mayo Clinic on Osteoporosis : How to Keep Your Bones Strong and Reduce the Risk of Fracture

by Hodgson, Stephen; Hodgson, M.D., Stephen

• ISBN13: 9781893005242
• ISBN10: 1893005240
• Format: Paperback
• Copyright: 2003-07-01
• Publisher: Mayo Foundation for Medical

Summary

This book provides a clear explanation of osteoporosis and fracturing, and practical advice on your prevention and treatment options. Book jacket.

Author Biography

Stephen Hodgson, M.D., is a consultant in Mayo Clinic's Division of Endocrinology, Diabetes, Metabolism, Nutrition and Internal Medicine and a professor of medicine at Mayo Medical School. Dr. Hodgson is a specialist in metabolic bone and mineral diseases and has been involved in patient care, clinical research and teaching for more than 30 years

Table of Contents

Preface	v
Part 1: Understanding osteoporosis
What is osteoporosis?	3	(10)
The consequences of osteoporosis	4	(2)
The bone bank	6	(2)
Signs and symptoms	8	(1)
Types	9	(2)
A positive perspective on bone health	11	(2)
The life cycle of bones	13	(14)
Bone basics	14	(2)
Bone remodeling	16	(2)
A carefully regulated process	18	(2)
Peak bone mass	20	(2)
Aging and your bones	22	(4)
Maximizing peak bone mass	26	(1)
Fractures and falls	27	(14)
Common types of osteoporotic fractures	28	(6)
Risks of falling	34	(4)
Risks of a second fracture	38	(2)
The critical role of fracture prevention	40	(1)
Can you reduce your risk of osteoporosis?	41	(12)
Assessing your chances	42	(1)
Risk factors you can't change	42	(3)
Risk factors you may influence	45	(4)
Risk factors you can change	49	(2)
What you can do	51	(2)
Screening and diagnosis	53	(18)
Screening vs. diagnosing	54	(1)
What is a bone density test?	55	(5)
How do bone densitometers work?	60	(1)
Types of bone densitometers	60	(8)
History and physical evaluation	68	(1)
Bone marker tests	69	(1)
Making a diagnosis	70	(1)
Making sense of your test results	71	(16)
What you see on your test results	72	(4)
Understanding T-scores	76	(2)
Understanding Z-scores	78	(1)
How are the numbers used?	79	(2)
Can test results predict a fracture?	81	(1)
Putting T-scores and Z-scores in context	82	(1)
Important considerations	83	(4)
Part 2: Preventing and treating osteoporosis
Elements of your action plan	87	(14)
Strong bones for a lifetime	88	(1)
Diet and nutrition	89	(7)
Physical activity	96	(1)
Medications	97	(1)
Healthy behaviors	97	(3)
Perfecting your posture	100	(1)
Meeting the challenge	100	(1)
Eating for healthy bones	101	(20)
Good nutrition in a nutshell	102	(3)
Calcium in your diet	105	(1)
Tips for increasing your calcium intake	106	(4)
Bone-healthy menus and recipes	110	(6)
Calcium supplements	116	(5)
Staying active	121	(18)
Putting theory into practice	121	(1)
Getting started	122	(5)
Exercises for osteoporosis	127	(9)
How much should you exercise?	136	(1)
Staying in the game	137	(2)
Taking medications	139	(14)
Estrogen and hormone replacement therapy	140	(4)
Bisphosphonates	144	(1)
Teriparatide	145	(2)
Raloxifene	147	(1)
Calcitonin	148	(2)
Medications under investigation	150	(2)
Evaluating your options	152	(1)
Living with osteoporosis	153	(14)
Practice good posture	154	(5)
Boost your emotional health	159	(5)
Maintain social connections	164	(3)
Recovering from a fracture	167	(18)
The nature of your recovery	168	(1)
How bone heals	168	(2)
Treating vertebral fractures	170	(4)
Treating hip fractures	174	(5)
Treating wrist fractures	179	(2)
Managing chronic pain	181	(4)
Home safety	185	(12)
Staying safe indoors	186	(3)
Assistive devices: Help around the house	189	(6)
The importance of attitude	195	(1)
Taking control	196	(1)
Additional resources	197	(4)
Index	201