Article featured on Time
Orthopedic doctors have a bone to pick with all the people who forget they’re carrying a very important skeleton around every day. We might not be able to see our ribs or tailbone or humerus, but it’s still important to make bone health a priority—because it’s tied to every other aspect of well-being.
“Your bone health and joint health is really tied to your overall wellness and health,” says Dr. David Shau, an orthopedic surgeon and assistant professor at the Burnett School of Medicine at Texas Christian University. Consider, for example, that about 54 million Americans have osteoporosis, low bone mass, or both, and 2 million osteoporotic fractures occur annually. That number will exceed 3 million per year by 2040, researchers predict. “When that happens, you have a period of time where you have to heal and recover,” Shau says. “You can’t be active with your family. You can’t travel. You can’t exercise, so your cardiovascular health goes down, and you start seeing metabolic issues and other health issues.” It’s a potentially devastating chain of events, he says, that can spell trouble far into the future.
It’s never too early to start thinking about preserving your bones. Your bone density is highest when you’re in your mid-20s, Shau says, after which it typically starts to decline. That can lead to osteopenia, or decreasing bone density that isn’t yet low enough to be considered full-blown osteoporosis but is still associated with an increased risk of fractures. Once someone develops osteoporosis, they’re prone to experiencing fractures from even minor incidents—but since it’s a silent disease, many people don’t realize they have it until their bones start breaking.
With that in mind, we asked four orthopedic doctors what we can all do every day to protect and preserve our bone health.
1. Keep moving
People tend to think of bones as a static part of the body—but they’re actually dynamic, with old bone constantly breaking down and being absorbed into the bloodstream, and new bone forming. That process, called remodeling, is affected by lots of factors, including mechanical stress from weight-bearing exercise. For example: walking, climbing the stairs, playing sports like pickleball, doing push-ups, and jumping rope. “You’ll increase your bone density in the areas where the bone is seeing force,” says Dr. Jack Steele, an orthopedic surgeon at the University of Maryland St. Joseph Medical Center. “In areas where you’re not putting stress on the bone, your body will start to resorb that bone, and you’ll lose bone density—and that can lead to osteopenia or osteoporosis.” While these conditions aren’t reversible, they are treatable with a range of medications, and progression can be slowed, minimizing damage.
Patients often ask Steele how much they need to exercise; some like walking for 30 minutes a day, while others squeeze in two hours of tennis on the weekend. Either approach works. The most important thing, he tells them, is to be consistent and move around as regularly as possible, rather than allowing days to pass by without any activity.
2. If you’re in menopause, prioritize strength-training
A growing body of research suggests that menopause takes a toll on bone health. It can lead to a decline in bone density—increasing the risk of osteoporosis—as well as muscle loss from decreasing estrogen. One way to counteract that damage: lift weights. “It’s very important for women to add strength training into their routine, because there’s so much muscle and bone loss as you get into those perimenopausal and menopausal years,” says Dr. Pamela Mehta, an orthopedic surgeon and founder of Resilience Orthopedics in San Jose, Calif. If you’re new to weight lifting, consider doing some squats while holding free weights, or experiment with beginner-friendly moves like bicep curls and chest presses.
3. Focus on two essential nutrients
Lots of minerals and nutrients play a role in strengthening bones—but two deserve special attention. Calcium, which you can only get from food or supplements, is particularly important; if you don’t get enough, your body will start to pull it from your bones, making them weaker. Vitamin D, meanwhile, helps the body absorb calcium and plays a key role in preventing osteoporosis. “You really need to have a good quantity of both,” Shau says. Depending on age, most adults need 1,000 to 1,200 mg of calcium per day, and 15 to 20 mcg of vitamin D.
To boost your calcium intake, focus on dairy products like milk, cheese, and yogurt; almonds; dark leafy greens like kale; and soy products including tofu, he advises. Foods high in vitamin D, meanwhile, include egg yolks, tuna, sardines, salmon, and cheese.
4. Try to get sunlight every day
Basking in the sun is a great move for bone health. “When sunlight hits your skin, your body produces vitamin D,” Steele says. “You can get some vitamin D through your diet, but you get the majority through sunlight.” Of course, the sun can lead to plenty of negative effects, as well, so it’s important to proceed carefully: Aim to go outside when the UV Index is under 8, ideally in the early morning or evening hours, and always wear sunscreen. “It doesn’t need to be hours and hours,” he adds. “Even 30 minutes walking outside and being in the sun will produce vitamin D.” Plus, a sunny walk doubles as weight-bearing exercise—a win-win for your bones.
5. Consider calcium and vitamin D supplements
If you’re not getting enough calcium or vitamin D, you might benefit from supplements. How do you know if that’s you? Try keeping a food diary, suggests Dr. Christine Jablonski, who leads the bone health and osteoporosis program at Orlando Health. “You can look over it and see, on a typical day, what am I doing?” she says. If you’re getting at least 1,000 mg of calcium, you’re in good shape. If you’re consistently falling short, you can either make some dietary tweaks or talk to your doctor about starting a supplement.
Vitamin D is a little trickier to track, Jablonski acknowledges, especially since much of it comes from sun exposure. “A lot of people are deficient without knowing it,” she says. If you already have osteoporosis, your doctor should be doing regular blood draws to monitor your levels. If you haven’t been tested lately, bring it up at your next check-in with your primary care physician, especially if you’ve noticed symptoms of a possible deficiency, like bone pain, fatigue, or mood changes.
6. Double-check your medications
Certain medications are associated with poor bone health. For example: proton pump inhibitors (which are used to treat heartburn), selective serotonin receptor inhibitors, anticonvulsants that control seizures, glucocorticoids (steroid hormones), and the blood thinner heparin. “If you need them, you need them,” Jablonski says. But it’s possible you could talk to your doctor about switching to a different medication, or only staying on for a short time. “Always ask questions and do your own research with reliable sources,” she advises.
7. Go easy on the alcohol and caffeine—and quit smoking
Your caffeine or cocktail habit could be detrimental to your bone health. “Those things basically limit the ability of the body to heal,” Steele says. “The bone is always breaking down, and you’re always building new bone and then breaking it down.” Consuming too much alcohol or caffeine could disrupt that process, he adds, and cause you to lose bone mass over time.
The same goes for smoking: Research suggests that older adults who smoke are 30% to 40% more likely to break their hips than non-smokers. In addition to increasing the risk of osteoporosis, smoking slows the production of bone-forming cells and decreases the amount of calcium that’s absorbed. Some surgeons even refuse to operate on patients who smoke, Mehta points out, since smoking has a negative effect on post-op fracture healing; plus, smokers have more complications after surgery than nonsmokers. That’s why it’s always a good idea to try to quit, even if you’ve attempted before and failed.
8. Reduce your risk of falling
Taking steps to minimize your risk of falling is a terrific way to look out for your bones. “Especially as you get older, you want to be mindful of how your home is set up to reduce the risk of falling,” Shau says. That might mean removing hazards like boxes and electrical cords from walkways; employing nonslip mats in the shower; repairing loose floorboards; and placing night lights in hallways.
Shau hopes more people prioritize keeping their bones strong and healthy. “I want people to not blow off bone health,” he says. “It’s easy to think about things you can see, and to visualize things you can feel. But your skeleton is the foundation—the structural support of your whole body. We know the impact of bone health goes beyond the bones, and into the whole well-being of an individual.”
Common Hand Conditions or Injuries That May Require Surgery
in Carpal Tunnel, Finger Injuries, Hand Diseases, Hand Fractures, Hand InjuriesThe Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
3 Common Running Injuries and Prevention
in Joint Replacement, Prevention, Sports Related Injuries, Wellness TipsThe Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
Emergency Orthopedic First Aid: How to Handle Traumatic Situations
in General Orthopedics, Nutrition & General Health, PreventionThe Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
8 Tips for Stronger Bones
in Bone HealthThe Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
A Guide to Managing Arthritis Pain Throughout the Body
in Arthritis, General OrthopedicsThe Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
How to Stay Healthy When Exercising
in Health & WellnessThe Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
What is Texting Thumbs?
in Finger Injuries, Hand InjuriesThe Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
Golfers and Baseball Elbow: What is it?
in Golf Elbow, Joint Replacement, Sports Medicine, Sports Related InjuriesArticle featured on UW Medicine
What is medial epicondylitis?
Medial epicondylitis is also known as golfer elbow, baseball elbow, suitcase elbow, or forehand tennis elbow. It causes pain from the elbow to the wrist on the inside (medial side) of the elbow. The pain is caused by damage to the tendons that bend the wrist toward the palm. A tendon is a tough cord of tissue that connects muscles to bones.
What causes medial epicondylitis?
Medial epicondylitis is caused when too much force is used to bend the wrist toward the palm. This can happen when swinging a golf club or pitching a baseball. Other possible causes of the condition include:
What are the symptoms of medial epicondylitis?
The most common symptom of medial epicondylitis is pain along the palm side of the forearm, from the elbow to the wrist, on the same side as the little finger. The pain can be felt when bending the wrist toward the palm against resistance or when squeezing a rubber ball.
The symptoms of medial epicondylitis may look like other health problems or conditions. Always see your healthcare provider for a diagnosis.
How is medial epicondylitis diagnosed?
The diagnosis of medial epicondylitis often can be made based on a physical exam. Your healthcare provider may rest your arm on a table, palm side up, and ask you to raise your hand by bending your wrist against resistance. If you have the condition, pain often is felt in the inner aspect of the elbow.
How is medial epicondylitis treated?
Treatment for medial epicondylitis includes stopping the activity that produces the symptoms. It is important to stop doing the movement that caused the condition in the first place. Treatment may include:
What can I do to prevent medial epicondylitis?
Being aware of your daily movements can help prevent this condition. Some suggestions include:
Key points about medial epicondylitis
Next steps
Tips to help you get the most from a visit to your healthcare provider:
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
What is Bursitis?
in Bursitis, Joint PainArticle featured on John Hopkins Medicine
What is bursitis?
Bursitis is inflammation of a bursa. A bursa is a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. The major bursae (this is the plural of bursa) are located next to the tendons near the large joints, such as in the shoulders, elbows, hips, and knees.
Bursitis is usually a temporary condition. It may limit motion, but generally does not cause deformity.
Bursitis can happen in any bursa in the body, but there are some common types of bursitis, including:
What causes bursitis?
The most common causes of bursitis are injury or overuse. Infection may also cause it.
Bursitis is also associated with other problems. These include arthritis, gout, tendonitis, diabetes, and thyroid disease.
What are the symptoms of bursitis?
The following are the most common symptoms of bursitis. However, each person may experience symptoms differently.
Chronic bursitis may involve repeated attacks of pain, swelling, and tenderness. These may lead to the deterioration of muscles and a limited range of motion in the affected joint.
The symptoms of bursitis may resemble other medical conditions or problems. Always see a healthcare provider for a diagnosis.
How is bursitis diagnosed?
In addition to a complete medical history and physical exam, diagnostic tests for bursitis may include:
How is bursitis treated?
The treatment of any bursitis depends on whether or not it involves infection.
What can I do to prevent bursitis?
Try the following measures to prevent bursitis:
When should I call my healthcare provider?
Call your healthcare provider if you have any of the following:
Key points about bursitis
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
How Long Does it Take to Recover from Orthopedic Surgery?
in General Orthopedics, Surgery RecoveryArticle featured on Orthopedic Associates
Preparing for orthopedic surgery can make a person nervous and hopeful at the same time. You are optimistic about the potential results and improvements that can come from surgical interventions. At the same time, there are often questions about the recovery process.
If you have an injury or chronic health issues affecting your function and movement, orthopedic surgery might be the key to restoring your health. Rest assured, knowing that the surgeon will plan the ideal treatment to address your unique needs, as well as recommendations to speed up your healing time and optimize overall results during recovery.
In addition to the surgical treatment, it’s just as important to ensure that you are diligent about implementing rehabilitation and care to support your healing. It takes time and effort to recover after surgery, but it will be worth the inconvenience because of the long-term results you can achieve.
How Long Does It Take to Recover from Orthopedic Surgery?
Remember that it is going to take time to recover from orthopedic surgery. Many patients are anxious to return to normal lifestyles as quickly as possible. But it’s critical that you follow the doctor’s recommendations to ensure proper healing.
Depending on the type of surgery you need, it can take anywhere from a few weeks to a few months to recover from orthopedic surgery.
The initial days and weeks after surgery often require immobilization and limited activities. But as your body heals, you can return to normal activities once again. Always follow the doctor’s recommendations because certain things might slow your progress if you aren’t careful about this healing time.
Initially, you will likely be dealing with pain, swelling, and inflammation. As these post-operative symptoms start to subside, your recovery treatment can change to include treatments that help you move again and restore normal function.
What Is Involved in Post-Surgery Recovery?
Each patient receives unique recommendations for their recovery plan, depending on the type of surgery and personalized concerns. Common recommendations during rehabilitation include services from medical experts and at-home methods to support the healing process.
The more diligent you are in following the surgeon’s recommendations, the faster you can return to normal activities in the coming weeks and months. It’s critical that you respect this recovery period to allow your body time to heal. Returning to certain activities too soon could potentially harm your progress because of the damage or stress that occurs to the surgical site.
Recommendations for Post-Surgery Rehabilitation
Always plan time for recovery after orthopedic surgery. Your doctor will recommend how many days, weeks, or months you will need during this recovery time.
While there are unique recommendations depending on the type of surgery you need, general suggestions apply to all types of surgery.
Have Patience During Your Recovery
Even though you are anxious to return to your normal activities as quickly as possible, it’s essential that you are patient with yourself during this recovery time. Be kind to yourself and remember that time is one of the most important factors in supporting your healing.
Recovery won’t happen overnight. Healing takes time, and you need to respect your body and allow the natural healing processes to take place. A positive attitude about this process will help you maintain consistency in implementing the recommended practices during your recovery.
Talk to the surgeon before the treatment to understand realistic expectations for your recovery period. This conversation will help you know what to expect so you can maintain the right mindset, including realistic expectations for the recovery timeframe and specific treatments to assist with this healing period.
There’s no question that surgery is a major, life-changing procedure. Not only will this treatment affect your life, but it also has an impact on the lives of your family and friends. Loved ones can step in to assist during this treatment time.
Additionally, your recovery ensures that you can return to your family and career responsibilities after the surgery. Our team at Orthopedic Associates prioritizes your overall health, helping you return to an optimal way of living as quickly as possible.
Long-Term Perspective for Optimal Recovery
Not only are we helping you with a fast and effective recovery, but we also want to be sure that you achieve the best possible results in the future.
The small recovery steps you take right now can impact the long-term results you can achieve in the future.
If immobilization is recommended after surgery, avoiding activities that could overwork this part of the body is essential. For example, if you have knee surgery and the doctor recommends no weight on that leg for the first few weeks, then be diligent about using crutches. Wait to walk on the leg until you have consulted with the surgeon, and they have determined that sufficient healing has occurred.
What to Expect After Different Types of Orthopedic Surgeries
Post-recovery recommendations will vary depending on the type of surgery and the area of the body that is treated. Small surgeries might only require a few days of downtime. But major treatments will need several weeks or months to ensure proper healing.
Each situation is unique, and your doctor can offer recommendations to support your healing period. The best thing you can do is follow these suggestions to ensure your injured area recovers as quickly and effectively as possible.
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm