The Importance of Bone Health in Spine Care
At the North American Spine Society (NASS) meeting in Los Angeles, experts in spine health came together to discuss the critical role bone health plays in maintaining a functional and pain-free spine. This gathering coincided with World Osteoporosis Day, a fitting occasion to delve into why bone health matters and how it affects our overall well-being. Dr. Rita Roy, CEO of the National Spine Health Foundation, introduced the session’s moderator, Dr. Tom Schuler, who guided the conversation with renowned bone health expert Dr. Venu Nemani.
Understanding Osteoporosis
Dr. Nemani, an orthopedic spine surgeon at Virginia Mason Medical Center in Seattle, explained osteoporosis as a disorder that makes bones more prone to fractures due to decreased bone mass and quality.
He highlighted that the inner part of the bone, known as trabecular bone, becomes less dense and more fragile, similar to weak scaffolding that can easily crumble under pressure. This condition, often unnoticed until a fracture occurs, is becoming increasingly prevalent in the population due to changing diets and exercise habits.
Risk Factors and Prevention
Dr. Nemani outlined various risk factors for osteoporosis, including a lack of calcium, vitamin D, and weight-bearing exercise, as well as smoking, excessive alcohol intake, and a family history of fractures.
Chronic diseases like rheumatoid arthritis and medications such as steroids and acid reflux drugs can also contribute to poor bone health. He emphasized that osteoporosis should not be taken lightly, as even minor fractures can lead to significant pain and reduced mobility, often indicating an underlying issue that needs to be addressed promptly.
The Role of Exercise and Nutrition
Maintaining a healthy and active lifestyle is crucial in preventing osteoporosis. Dr. Nemani recommended weight-bearing exercises such as walking, hiking, and jogging, which help strengthen bones by placing stress on them.
He also highlighted the importance of proper nutrition, including adequate calcium and vitamin D intake, which are essential for bone health.
For those already diagnosed with osteoporosis, he advocated for medications that build bone density and reduce the risk of fractures, ensuring patients can maintain a higher quality of life.
Managing Bone Health Before Surgery
When patients require spine surgery, it is crucial that their bones are strong enough to support the necessary hardware, such as screws and rods.
Dr. Nemani explained that treating osteoporosis before surgery can lead to significantly better outcomes and reduce the risk of complications. Treatments may include medications that either slow bone loss or actively build bone density, depending on the patient’s specific needs and conditions.
Encouraging Active Lifestyles Despite Pain
For patients in pain, staying active is a challenge but is essential for bone health. Dr. Schuler encouraged patients to find forms of exercise that suit their condition, such as swimming, stationary biking, or water walking. He emphasized that movement helps alleviate pain and prevents the cycle of inactivity that can lead to further health issues.
During the waiting period for surgery, staying active and taking prescribed medications can significantly improve bone strength and overall outcomes.
Final Thoughts and Recommendations
Bone health is integral to maintaining a healthy and functional spine. Dr. Roy highlighted the necessity of early intervention and consistent treatment to manage osteoporosis effectively. She also stressed the importance of informed decision-making and patient education, encouraging individuals to consult with their providers about bone density testing and appropriate treatments.
In summary, the expert panel at the NASS meeting underscored the interconnectedness of bone health and spine care, emphasizing preventive measures, active lifestyles, and advanced treatment options to improve patient outcomes. Their dedication to advancing the field and providing thorough education ensures that patients can live active, healthy lives well into the future.
