Osteoporosis (OP) and osteoarthritis (OA) are two medical conditions that share similarities in their names yet are not the same.

Definition

1.Osteoporosis (OP) happens when bones start to become porous (tiny spaces in the bone start to form), leaving the bone more fragile and susceptible to breaking or fractures.

2.Osteoarthritis (OA) is due to the thinning of the cartilage in between the bones, typically at the joints. The direct contact between bones leads to pain.

3. The signs of OA and OP includes:

◦Frequently experience pain from physical activity

◦Have painful and stiff joints, especially upon waking up in the morning or after sitting for a long time

◦Have intolerable pain even after taking medication prescribed by a doctor

 

OP OA
CAUSES 1.Low levels of estrogen. The body uses calcium from existing bones to repair or form new bones. Estrogen prevents this from happening excessively.

2. Inadequate calcium & vitamin D. Insufficient calcium in the body means the body needs to take calcium from existing bones in the body. Vitamin D increases the absorption of calcium from the diet. Without an adequate level of vitamin D, most of the calcium consumed will be excreted.

3.Excessive alcohol consumption. Alcohol can increase levels of cortisol in the body; which leads to decreased bone formation and increased breakdown of bones.

4.Lack of physical activity. Exercise stimulates the growth & strengthening of bones and muscles. Without adequate exercise, bones start to get weaker over time.

1. Wear and tear. The cartilage between bones cushions the bones against damage from the impact of our movement. Over time, the cartilage starts to thin out, and direct contact between bones makes the movement painful. Overuse of torn cartilage, such as during physically strenuous exercises, quicken the thinning of cartilage.

2.Inflammation of the joints. The direct contact between bones at the joints causes inflammation. Inflammation triggers the release of chemicals that can damage the bones and cartilage. Conditions such as rheumatoid arthritis and gout can also trigger joint inflammation.

3.Past injuries. Past physical trauma to joints can also lead to OA because cartilage cannot regrow. Such trauma may cause misalignment of joints and uneven load distribution throughout the body. Consequently, the joints wear out faster.

RISK FACTORS 1.Genetic factors

2.Postmenopausal female

3.Short stature individual

4.A person with a hump

 

1.Females

2.Aging factor

3.Overweight

4. Frequently engage with high-impact physical activities

5.Post-sport-related trauma

 

TREATMENTS & PREVENTIVE MEASURES 1. Weight-bearing exercises help to strengthen bones and muscles by stimulating their growth.

2.Adequate intake of calcium and vitamin D.

◦Vitamin D

◦RNI for adult is 15mcg/day

◦RNI for above 65 years old is 20mcg/day

1. Losing weight. For overweight and obese patients who are intolerable of physical exercise because of extreme joint pain should opt for dietary changes to low-calorie intake.

2.Medications. NSAIDs and corticosteroids can be used to reduce the inflammation that leads to pain. However, this may not be a long term solution as it is just to treat the issue symptomatically.

3.Joint replacement therapy. Patients may opt for surgery to implant a synthetic joint between affected bones as cartilage does not heal by itself.

 

Biobay Coral Calcium Plus Biobay Joingard Biobay Panvestin
1.Coral calcium 200mg, Seaweed Calcium 200mg, Vitamin D3 100IU. Take 2 capsules, twice daily after meals

2.The natural form of calcium with superior absorption rate; especially good in aquamin from seaweed. Added with Vit D3 for enhanced calcium absorption.

3. Aquamin calcium is a multi-mineral complex which is derived from the red marine algae Lithothamnion calcareum. .It contains 72 trace minerals absorbed from the sea that make the calcium in Aquamin more bioactive than calcium derived from limestone (calcium carbonate).

4. Calcium supplementation is important to increase bone mineral density as the bone is made up majority of calcium mineral.

5. Denser bone density will reduce the risk of developing osteoporosis.

1.A herbal supplement used for anti-inflammatory targeting joint pain. This includes Turmeric extract (200mg), Devil’s claw (100mg), Boswellia (100mg), French Melon concentrate 10mg with Extramel.

2.Extremel is the primary antioxidant extracted from French Melon. It contains Superoxide dismutase (SOD) that serves as the primary antioxidant to neutralize most reactive oxygen species from releasing free radical ROO at the beginning of the mechanism. Thus, primary antioxidants are the first line of defense to protect human cells against free radical and oxidative attacks. At the same time, Extramel also induces a decrease in the IL-6 and TNF-alpha that trigger inflammation.

3. Boswellia contains gum resin, which is known as boswellic acid or frankincense that effectively reduce joint inflammation disorders.

4. Devil’s claw contains iridoid glucosides (harpagoside, harpagide & procumbide) that have an anti-osteoarthritis effect. This herb has been approved by German Commission for the treatment of degenerative diseases of musculoskeletal disease.

5. The active component of turmeric is known as curcumin, a yellow phenolic pigment that reduces inflammation. At the same time, it blocks central nervous system activation, effectively reduce the synthesis & secretion of inflammatory mediators for arthritic pain reduction.

1.Skullcap extract (200mg), Catechu extract (50mg) and curcumin extract (100mg)

2. Baicalin from skullcap extract & catechu from Acacia catechu extract works synergistically to reduce COX & LOX that cause inflammation in the joints; as well as to protect joints from further damage.

3. The active component of turmeric is known as curcumin, a yellow phenolic pigment that reduces inflammation. At the same time, it blocks central nervous system activation, effectively reduces the synthesis & secretion of inflammatory mediators for arthritic pain reduction.

4.Can see a reduction in pain score as soon as 7 days of consumption.