"Building strong bones during childhood and adolescence can be the best defense against developing osteoporosis later."


Peter A, Macdonald, M.D. is a Board Certified Family Practice Physician at Mecosta Health Services in Big Rapids.

He offers medical care to adults and children and will care for you both in the office and at the hospital.

Office hours are 8:00 a.m.-5:00 p.m., Monday through Friday. To schedule an appointment with Dr. Macdonald, please call MHS at (231) 796-3200.

[Research: National Osteoporosis Foundation]

Osteoporosis: It can be prevented and treated
Osteoporosis is a disease in which bones become fragile and more likely to break. If not prevented or if left untreated, osteoporosis can progress painlessly until a bone breaks. These broken bones, also known as fractures, occur typically in the hip, spine, and wrist.


Symptoms
Osteoporosis is often called a "silent disease" because bone loss occurs without symptoms. People may not know that they have osteoporosis until their bones become so weak that a sudden strain, bump or fall causes a fracture or a vertebra to collapse. Collapsed vertebrae may initially be felt or seen in the form of severe back pain, loss of height, or spinal deformities such as kyphosis or stooped posture. Risk Factors
Certain people are more likely to develop osteoporosis than others.  Heart Disease


These risk factors include:  Personal history of fracture after age 50
 Current low bone mass
 History of fracture in a 1° relative
 Being female
 Being thin and/or having a small frame
 Advanced age
 A family history of osteoporosis
 Estrogen deficiency as a result of menopause, specially early or surgically induced
 Abnormal absence of menstrual periods (amenorrhea)
 Anorexia nervosa
 Low lifetime calcium intake
 Vitamin D deficiency
 Use of certain medications (corticosteroids, chemotherapy, anticonvulsants and others)
 Presence of certain chronic medical conditions
 Low testosterone levels in men
 An inactive lifestyle
 Current cigarette smoking
 Excessive use of alcohol
  Being Caucasian or Asian, although African Americans and Hispanic Americans are at significant risk as well

Women can lose up to 20 percent of their bone mass in the five to seven years following menopause, making them more susceptible to osteoporosis.

Detection
Specialized tests called bone mineral density (BMD) tests can measure bone density in various sites of the body.A BMD test can:
 Detect osteoporosis before a fracture occurs
 Predict chances of fracturing in the future
 Determine rate of bone loss and/or monitor the effects of treatment if a DXA BMD test is conducted at intervals of one year or more

Prevention
By about age 20, the average woman has acquired 98 percent of her skeletal mass.Building strong bones during childhood and adolescence can be the best defense against developing osteoporosis later.

There are five steps, which together can optimize bone health and help prevent osteoporosis.
 Get your daily recommended amounts of calcium and vitamin D
 Engage in regular weight-bearing exercise
 Avoid smoking and excessive alcohol
 Talk to your healthcare provider about bone health
 When appropriate, have a bone density test and take medication


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