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Suffering from Osteoporosis? Looking for a Orthopedic Specialist to treat you?

Consult our Doctors @ Singapore Sports and Orthopaedic Clinic!

What is Osteoporosis?

Osteoporosis means “Porous Bone”

This happens when your bone loses too much calcium and becomes weak. This is very hard to detect clinically and is usually discovered only after a fracture occurs, or if a person shows reduced height or a humping of the back, or suffers low back pain.

A person with osteoporosis has bones that are brittle and fragile. These fragile bones can break very easily with a simple slip or fall or even with no injury at all.

Both men and women can suffer from osteoporosis, but it is most common in woman after menopause (when the monthly period ends).

What are Osteoporosis symptoms and signs?

 

Osteoporosis can be present without any symptoms for decades because osteoporosis doesn’t cause symptoms until bone breaks (fractures). Moreover, some osteoporotic fractures may escape detection for years when they do not cause symptoms. Therefore, patients may not be aware of their osteoporosis until they suffer a painful fracture. The symptom associated with osteoporotic fractures usually is pain; the location of the pain depends on the location of the fracture. The symptoms of osteoporosis in men are similar to the symptoms of osteoporosis in women.

Fractures of the spine (vertebra) can cause severe “band-like” pain that radiates from the back to the sides of the body. Over the years, repeated spinal fractures can lead to chronic lower back pain as well as loss of height and/or curving of the spine due to collapse of the vertebrae. The collapse gives individuals a hunched-back appearance of the upper back, often called a “dowager hump” because it commonly is seen in elderly women.

A fracture that occurs during the course of normal activity is called a minimal trauma, or stress fracture. For example, some patients with osteoporosis develop stress fractures of the feet while walking or stepping off a curb.

Hip fractures typically occur as a result of a fall. With osteoporosis, hip fractures can occur as a result of trivial slip-and-fall accidents. Hip fractures also may heal slowly or poorly after surgical repair because of poor healing of the bone.

 

 

Osteoporosis causes

The bone is a living tissue. When we are young, any loss of bone is easily replaced. At around the age of 30, our bone is easily replaced. However, as we age, less bone is made and more bone is lost.

After menopause your body’s supply of estrogen decreases and the rate of bone loss increases even further. This is why post-menopausal women are more likely to suffer from osteoporosis.

There are also many other factors that contribute to bone loss such as illnesses, medication and lifestyle choices.

Osteoporosis Risk Factors

The following are factors that will increase the risk of developing osteoporosis:

  • Female gender
  • Caucasian or Asian race
  • Thin and small body frame
  • Family history of osteoporosis (for example, having a mother with an osteoporotic hip fracture doubles your risk of hip fracture)
  • Personal history of fracture as an adult
  • Cigarette smoking
  • Excessive alcohol consumption
  • Lack of exercise
  • Diet low in calcium
  • Poor nutrition and poor general health, especially associated with chronic inflammation or bowel disease
  • Malabsorption (nutrients are not properly absorbed from the gastrointestinal system) from bowel diseases, such as celiac sprue that can be associated with skin diseases, such as dermatitis herpetiformis
  • Low estrogen levels in women (which may occur in menopause or with early surgical removal of both ovaries)
  • Low testosterone levels in men (hypogonadism)
  • Chemotherapy that can cause early menopause due to its toxic effects on the ovaries
  • Amenorrhea (loss of the menstrual period) in young women is associated with low estrogen and osteoporosis; amenorrhea can occur in women who undergo extremely vigorous exercise training and in women with very low body fat (for example, women with anorexia nervosa)
  • Chronic inflammation, due to chronic inflammatory arthritis or diseases, such as rheumatoid arthritis or liver diseases
  • Immobility, such as after a stroke, or from any condition that interferes with walking
  • Hyperthyroidism, a condition wherein too much thyroid hormone is produced by the thyroid gland or is ingested as thyroid hormone medication
  • Hyperparathyroidism is a disease wherein there is excessive parathyroid hormone production by the parathyroid gland, a small gland located near or within the thyroid gland. Normally, parathyroid hormone maintains blood calcium levels by, in part, removing calcium from the bone. In untreated hyperparathyroidism, excessive parathyroid hormone causes too much calcium to be removed from the bone, which can lead to osteoporosis.
  • When vitamin D is lacking, the body cannot absorb adequate amounts of calcium from the diet to prevent osteoporosis. Vitamin D deficiency can result from dietary deficiency, lack of sunlight, or lack of intestinal absorption of the vitamin such as occurs in celiac sprue and primary biliary cirrhosis.
  • Certain medications can cause osteoporosis. 
  • Inherited disorders of connective tissue.

Singapore Sports and Orthopaedic Clinic

We treat and teach you about lifestyle changes to help you manage your pain effectively.

What will the doctor do to diagnose OA?

Doctor sees virtual images of the patient on a blue background.

Osteoporosis can be easily detected through a painless procedure called dual-energy x-ray absorptiometry (DEXA). This test measures the density or solidness of the bones, known as the bone mineral density or BMD.

It uses a thin, invisible beam of low-dose X-rays through the region of interest (usually the lumbar spine and the hip) via two energy streams.

A reading is derived and is reflected as units gram per cm. this will tell us whether is there any osteoporosis.

X-rays

X-rays show problems with bones, such as infection, bone tumors, or fractures. X-rays of the spine also can give your doctor information about how much degeneration has occurred in the spine, such as the amount of space in the neural foramina and between the discs. X-rays are usually the first test ordered before any of the more specialized tests.

MRI Scans 

The magnetic resonance imaging (MRI) scan uses magnetic waves to create pictures of the lumbar spine in slices. The MRI scan shows the lumbar spine bones as well as the soft tissue structures such as the discs, joints, and nerves. MRI scans are painless and don’t require needles or dye. The MRI scan has become the most common test to look at the lumbar spine after X-rays have been taken.

What are the prevention / treatment options?

Prevention

  • Exercise
  • Medication
  • Calcium / Vitamin D Supplement

Treatments: 

  • Hormone Replacement Therapy (HRT)
  • Higher risk with long term usage
  • Selective Estrogen Receptor Modulator (SERMS)
  • Bisphosphonates

Why Choose Singapore Sports Orthopaedic Clinic for Osteoporosis?

ambrose

Dr. Ambrose Yung

Orthopaedic Surgeon

MBBS (HK), MRCS (EDIN), MMED (ORTHO), FRCS (ORTHO)

Special interest in Sports Medicines, Osteoarthritis, Fracture, Partial & Total Joint Replacement, Minimal Invasive Trauma Surgery, Arthroscopy, Common Orthopaedic Problems for Adult & Children

Dr. Ambrose Yung is a specialist orthopaedic consultant with experience in hip fracture surgery, partial knee replacement, complex primary total knee replacement, revision knee replacement, minimal invasive knee and shoulder sports surgery, foot and ankle pain, elbow pain / bursitis, fractures, common orthopaedic problems for Adult and Children.

Dr Mathew

Dr. Mathew Tung

Orthopaedic Surgeon

MBBS (SG), FRCS (GLASG), FRCS (NEUROL), FAMS

Special interest in treating Back Pain, Neck Pain, Nerve Disorder, Headache, Brain, Tumour, Osteoporosis, Stroke, Sweaty Palm

Dr. Mathew Tung is a spinal specialist neurosurgeon who specialises in treating disorders of the brain and spine with special interest in in back pain and neck pain, nerve pain and headache. He believes that neurosurgery should always consider the non-invasive options before open surgery to attain minimum morbidity and a fast return to optimum function.

Dr Chee

Dr. Chee Khin Ghee

Orthopaedic Surgeon

MBBS (SG), MRCS (EDIN), MMED (SX), FAMS

Special interest in Microsurgery of Hand and Wrist – for Adult and Children

Dr. Chee Khin Ghee is a Specialist Hand Surgeon specialising in hand & wrist injuries, arthritis, tumours, wrist arthroscopy, hand joint replacement and soft tissue reconstruction microsurgery. In addition to common bony, soft tissue and nerve conditions of the upper limb, Dr. Chee’s sub-specialty and interest are in Hand and Wrist arthroplasty and arthroscopy which include joint replacement and reconstruction.

kelvin

Dr. Kevin Yip

Orthopaedic Surgeon

MBBS (UK), FRCS (EDIN), FAM (SG), FHKCOS (ORTHO)

Special interest in Knee and Shoulder Pain, Injuries, Fracture, Common Orthopaedic Problems, Arthroscopy Surgery for Adult & Children

Dr. Kevin Yip is a senior orthopaedic surgeon and a professor who specialises in orthopaedic trauma surgery. He has published close to 100 research articles. When Dr. Kevin Yip sees you, he will take a detail history and will then examine you. He uses various methods to diagnose your condition. He will then take you through the results by showing you pictures, on screen, of your tendon, ligaments,nerve or bone and will discuss your treatment options.

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