BONE AND JOINT HEALTH, NEUROLOGICAL PROBLEM AS WE AGE

 Saya mendapat kesempatan berharga untuk hadir dalam Seminar mengenai "Bagaimana memelihara sendi-sendi di masa usia senja".

Presentasi pertama oleh Dr. Lim Kay Kiat, Surgery Orthopaedic Doctor:   ""Bone & Joint Health as we age"
Presesntasi kedua oleh Prof Timohty Lee, Neurosurgery

Osteoporosis:
*  Porous Bone:   - Low bone mass
                            - Increased bone fragility

Bone Mass:
o Bone is living tissue
o New bone formation vs old bone rsorption
o Bone produced faster than it is removed until early 20s
o Bone mass declines thereafter
o Rapid decline after menopause

Impact of Osteoporos
o 200 million women worldwide
o osteoporotic facture in 2/3 of women above 50
o 1.7 million hip fractures related to osteoporosi

Significance of Osteoporosis
o Fractures from low energy injury
o Vertebral compress fractures
o Hip fractures

Risk Factors-Modifiable
o Smoking
o Exessive alcohol consumption
o Vitamin D deficiency
o Malnutrion especially low calcium intake
o Inactivity

Diagnosis
o Bone Density (DXA)scan
o Women with risk factors at 60
o Women with no risk factors at 65

Prevention
o Stop smoking
o Limit alcohol consumption
o Increase load-bearing excercise
o Calcium intake
o Vitamin D

Treatment
o Diagnosis by DXA scan
o Medications
o Calcium and Vi D
o Lifestyle modifications
o Aim of treatment

Stress on lower limbs
o start walking from 1 year
o average number of steps per day
o Pressure on joints
o Effect of body weight
o Cumulative stress

Joint Pain
o Causes
Magnitude or problem
o Osteoarthiris

HEADACHE, GIIDNESS,NECK AND LOW BACK PAIN
by  Dr. Timothy Lee

Common Neurological Problems:
o Headaches, sakit kepala
o Giddines, pusing
o Neckache, leher
o Back pain, punggung

My relevant concern is for NECK and BACK PAIN:

Most important:
o If pain only in neck or low back, no trapped never.
o If pain or numbness in arms or legs, must see doctors because of trapped nerve.

Second importance:
o Do the right excercise: Put your hand front of your upper face, hold it tightly
                                      Put your hand back of your head, hold it tightly
o Avoid extreme range of movement, esp lifting up of head:
   avoid jerking or stretching
   avoid badminton, tennis,swimming good for lower back but not for neck
o Sleeping posture: lie on back is best
   Pillow care: support head as well as neck
o What you can do to help your sickness:
   # Massage
   #Medication: pain killer with antiinflamatory effect. Mustle relaxants to relieve muscle spasm
   #Physiotherapy such as heat,ultrasound,immobilitzation, traction
   #Chorinic pain treatment such as acupuncture, message
   #Suregery is the last option
oWhat can we do to help ourself?
   #Complete bed rest will settle most acute pain
   #avoid bending forward
   #Avoid heavy lifting or carring heavy weight
oLow Back Pain Excercise: do it as per example

o Surgery is the last option
   #Removal of pressure on the nerves, eg disc (HNP) bones (osteophytes) or tumore
   #Spinal fusion to stabilise the spine

Below is some exercise to do :

For those who had NECK PAIN
For Neck Pain Exercises
Neck and back pain exercises
For Back pain exercises

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