Babies

Bone growth begins even before babies are born. Premature and low-birth-weight infants often need extra calcium, phosphorus and protein to assure they get the nutrients they need for strong bones. Most baby formula contains calcium and vitamin D.

Breastfed babies get the nutrition they need for good bone health from their mothers. That’s why mothers who breastfeed should increase their intake of vitamin D. Most baby formula contains calcium and vitamin D.

Children

Good bone health begins early in life with good habits. While children and young adults rarely get bone diseases, kids can develop habits that endanger their health and bones. Parents can help by encouraging them to eat healthful food and get at least an hour of physical activity every day.

Jumping rope, running and sports are fun activities that are great for building strong bones. Kids need the amount of calcium equal to three servings of low-fat milk each day. If your child doesn’t drink enough milk, serve low-fat cheese, yogurt or other foods that are high in calcium. If your child is allergic to milk or lactose-intolerant, you should talk to your pediatrician about milk substitutes.

Teens

Teens are especially at risk for not developing strong bones because they are growing so rapidly. Boys and girls from ages 9 to 18 need 1,300 milligrams of calcium each day, more than any other age group. Parents can help teens by making sure they eat four servings of calcium-rich and vitamin D-fortified foods a day.

At least one hour a day of physical activities such as running, skateboarding, sports, and dance is also critical.

But take note: extreme physical exercise when combined with undereating can weaken teens’ bones. Teens who miss adding bone to their skeletons during these crucial years never make it up.

Adults

Adulthood is a time when we need to carefully monitor our bone health. We need 1,000 to 1,200 milligrams of calcium, depending on our age, and at least 30 minutes of moderate physical activity every day. Activity that puts some stress on your bones is essential:

• Physical activity at least 30 minutes every day
• Strength training two to three times a week
• Balance training once a week

Many women over age 50 are at risk for bone disease, but few know it. At menopause, which usually happens in women over age 50, hormone production drops sharply. Because hormones help protect bones, menopause can lead to bone loss. Your doctor can help advise you on protecting bone health around menopause.

Seniors

Seniors can take steps to help prevent bone problems. Physical activity and diet are vital to bone health in older adults. Calcium and vitamin D help reduce bone loss. Activities that put stress on bones keep them strong. Find time for activities like walking, dancing, and gardening. Strengthening your body helps prevent falls. Protecting yourself against falls is key to avoiding a broken hip or wrist. All women over age 65 should have a bone density test.

Seniors should also know that recent studies conclude that anyone over age 50 should increase his or her vitamin D intake to 600 International Units (IU) per day. After age 70, 800 IU per day are needed.

You can prevent most falls

Falls are not just the result of getting older. However, as you age, falls become more dangerous. Most falls can be prevented. Here are some things you can do to make a fall less likely.

Begin a regular exercise program

Exercise is one of the most important ways to reduce your chances of falling. It makes you stronger and helps you feel better. Exercises that improve balance and coordination, like dancing and Tai Chi, are the most helpful. Consider joining an organized program at your local community center or gym.

Make your home safer

• Remove things you can trip over from stairs and places where you walk.
• Remove all small rugs.
• Don’t use step stools. Keep items you need within easy reach.
• Have grab bars put in next to your toilet and in the bathtub or shower.
• Use nonslip mats in the bathtub and shower.
• Use brighter light bulbs in your home.
• Add handrails and light in all staircases.
• Wear shoes that give good support and have nonslip soles.

Ask a health care professional to review your medicines

Ask your doctor, nurse, pharmacist or other health care professional to review all the medicines you are taking. Make sure to mention over-the-counter remedies such as cold medicine. As you get older, the way some medicines work in your body can change. Some medications can make you drowsy or light-headed, which can lead to a fall.

Have your vision checked

Poor vision increases your risk of falling. You could be wearing the wrong glasses or have a condition such as glaucoma or cataracts that limits your vision.

Your Doctor Can Help You Protect Your Bones at Any Age

Talk to your doctor about bone health. Together you can evaluate your risks. Some things to discuss include your current health, your diet and physical activity levels, and your family background.

The doctor can look at your age, weight, height and medical history. From that, he or she can determine if you need a bone density test. Broken bones are a “red flag” for your doctor. If you break a bone after the age of 50, talk to your doctor about measuring your bone density. Even if you broke a bone in an accident, you might have weak bones. It is certainly worth checking.

If your doctor finds that your bones are becoming weaker, there are things you can do to make them stronger. You can be more physically active, change your diet, and take calcium and vitamin D supplements. If your bones are already weak, there are also medications that stop bone loss. They can even build new bone and make it less likely that you will suffer a broken bone.

The physicians at Orthopedic Performance Institute offer Bone Wellness and Fracture Prevention services dedicated to helping you keep your bones strong for a lifetime. Make an appointment today.

The post Protecting Bones at Every Age appeared first on Orthopedic Performance.

Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision in your skin.

Arthroscopy may be recommended for these shoulder problems:

• A torn or damaged cartilage ring (labrum) or ligaments
• Shoulder instability, in which the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)
• A torn or damaged biceps tendon
• A torn rotator cuff
• A bone spur or inflammation around the rotator cuff
• Inflammation or damaged lining of the joint, often caused by an illness, such as rheumatoid arthritis
• Arthritis of the end of the clavicle (collarbone)
• Loose tissue that needs to be removed
• Shoulder impingement syndrome, to make more room for the shoulder to move around

The rotator cuff is a group of muscles and their tendons that form a cuff over the shoulder joint. These muscles and tendons hold the arm in the shoulder joint and help the shoulder move in different directions. The tendons in the rotator cuff can tear when they are overused or injured.

During the procedure, the surgeon:

• Inserts the arthroscope into your shoulder through a small incision. The scope is connected to a video monitor in the operating room.
• Inspects all the tissues of your shoulder joint and the area above the joint. These tissues include the cartilage, bones, tendons, and ligaments.
• Repairs any damaged tissues. To do this, your surgeon makes 1 to 3 more small incisions and inserts other instruments through them. A tear in a muscle, tendon, or cartilage is fixed. Any damaged tissue is removed.

Procedures

Your surgeon may do one or more of these procedures during your operation.

Rotator cuff repair:

• The edges of the tendon are brought together. The tendon is attached to the bone with sutures.
• Small rivets (called suture anchors) are often used to help attach the tendon to the bone.
• The anchors can be made of metal or plastic. They do not need to be removed after surgery.

Surgery for impingement syndrome:

• Damaged or inflamed tissue is cleaned out in the area above the shoulder joint.
• A ligament called the coracoacromial ligament may be cut.
• The underside of a bone called the acromion may be shaved. A bony growth (spur) on the underside of the acromion often causes impingement syndrome. The spur can cause inflammation and pain in your shoulder.

Surgery for shoulder instability:

• If you have a torn labrum, the surgeon will repair it. The labrum is the cartilage that lines the rim of the shoulder joint.
• Ligaments that attach to this area will also be repaired.
• The Bankart lesion is a tear on the labrum in the lower part of the shoulder joint.
• A SLAP lesion involves the labrum and the ligament on the top part of the shoulder joint.

At the end of the surgery, the incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and the repairs that were made.

Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues.

After the Procedure

Recovery can take 1 to 6 months. You will probably have to wear a sling for the first week. If you had a lot of repair done, you may have to wear the sling longer. You may take medicine to control your pain. When you can return to work or play sports will depend on what your surgery involved. It can range from one week to several months.

Physical therapy may help you regain motion and strength in your shoulder. The length of therapy will depend on what was done during your surgery.

Outlook (Prognosis)

Arthroscopy often results in less pain and stiffness, fewer complications, a shorter (if any) hospital stay, and faster recovery than open surgery.

If you had a repair, your body needs time to heal, even after arthroscopic surgery, just as you would need time to recover from open surgery. Because of this, your recovery time may still be long. Surgery to fix a cartilage tear is usually done to make the shoulder more stable. Many people recover fully, and their shoulder stays stable.

Dr. Chris Phelps and Dr. Matthew Dwyer are board certified, expertly-trained surgeons who routinely perform arthroscopic shoulder surgery.

If you feel that you’re a candidate for arthroscopy shoulder surgery and would like an evaluation of your condition, contact Orthopedic Performance Institute in San Antonio at 210-545-7171 or www.orthopedicperformance.com for a consultation.

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