Breaking of the thigh bone & vertebrae especially in post-menopausal woman are seen more often in comparison to males of that age.Though rarification of bone called Osteoporosis plays a role it is not absolute cause in my opinion.Several panic buttons are triggered and volumes written about prevention of bone breakage in menopausal ladies.Those are worth reading .
Osteoporosis occurs in those ladies who lead a sedentary life style.I have perhaps never seen a fracture of thigh bone in ladies who work in the field in my village. Some cases are seen in the urban set up.
Osteoblasts ,Osteoclasts & Bone Modeling.
Osteoporosis occurs in the later life due to excessive activity of bone resorbing cells called osteoclasts and decreased activity of bone forming osteoblasts probably due to decreased or weaning female hormone activity.Add to it are Vit.D deficiency,lack of exercise and less dietary calcium intake.If some drugs like steroids are being taken for some disease that enhances osteoporosis .Associated kidney diseases contributes to it.
Head & Neck Of Femur,A Common Site Of Fracture.
So different articles describe drugs those halt bone resorption and female hormone therapy for it.Female hormone supplementation has it’s inherent problems of vaginal bleeding,facilitation of breast and liver benign tumor formation .And drugs targeting inhibition of osteoclasts are costly.
In this setting a few tests described such as Bone Mineral Density (BMD) and Bone Mass Index(BMI) are worth to be taken up.But the abnormality if any should not panic one for searching of drug remedy.Because an osteoporotic bone may not necessarily fragile. Therefore it is necessary to take adequate weight bearing exercise,Vit.D,exposure to sunlight especially morning,nutritional supplementation for calcium and avoid unnecessary use of drugs those contribute to osteoporosis. After trying all of the above one may opt for drugs those halt osteoporosis in consultation with their doctor.There are also some phyto-remedies available where it is claimed to contain phyto-estrogen without much side effects.Experienced people must be consulted to continue those.
Sprouting Broccoli Good For Health.
But the fact remains is that life style modification goes a long way in preventing bone break.
Many come to the hospital with a story that one of their apparently healthy looking relation fell down on ground suddenly.Actually it is possible that a hidden unhealthy process might be going on under ground.The causes are numerous and may range from much innocent ones to dangers ones. Most common are (a) Simple vasovagal attack (b) Hypertension (c)Heat Stroke (d) Brain Stroke (e) Heart Stroke (f)Absent Attack of Epilepsy and more diverse (G) Fracture of head of thigh bone called Femur. The vasovagal attack being more simple may occur after listening to very shocking news , seeing a dreaded scene or sudden rising from a sitting posture .Simple measure like elevating the legs will normalize blood flow to the brain and patient gains consciousness.Other injuries are to be looked after. Hypertensives especially undiagnosed ones and those dincontinued drugs against a medical advice or due to complication called hypertensive encephalopathey may suddenly fall down.They usually complain of reeling of head before the episode.Obviously the root cause is to be treated.Associated injuries in form if a traumatic haematoma of scalp has to be evaluated in the light of possible injury to brain. Heat stroke is a tell tale diagnosis and has to be treated promptly.Main stray of treatment being rehydration by intravenous fluid administration and cooling. Juvenile epileptics especially experience absent attacks sustaining multiple injuries ,has to be treated accordingly.And they must be warned and guided not to go to dangers places like fire and water body. A fracture of head of thigh bone ,femur mainly due to old age osteoporosis usually seen in menopausal lady and person falls on ground.Also pathological fractures due to other causes importantly a metastaticcancer may cause it.A simple X-Rays will clinch diagnosis and guide the treatment.Post menopausal ladies should always get calcium supplement to prevent osteoporosis. Heart stroke and brain strokes are more dangerous usually associated with hypertension and/or diabetes.So the primary disease if known should be kept under control always and patient should not discontinue drugs without consulting treating doctor.If undiagnosed and these diseases suspected one tablet of aspirin 150 mg. ,if available should be started at home and swiftly shifted to the nearest health centre even if small one.Because first-aid can be started which is similar everywhere.
BESIDES THERE ARE SO MANY OTHER CAUSES OF BLACK OUT AND FALL ON GROUD, ARE OF ACEDEMIC INTEREST AND BY FAR ABOVE ONES TO BE KEPT IN MIND.
The typical description an aged female patient and her relatives gives is that she fell down in the bathroom and unable to get up. The clinician finds a fracture of neck of femur, the upper part of thigh bone.And the book also describes in the similar manner.Actually the truth is that the bone breaks first and patient falls down.This is called a pathological fracture usually follows osteoporosis associated in the old age.There are other causes of a pathological fracture also.Estrogen a female hormone plays an important role in maintaining the bone density.After age of forty gradually the hormone secretion decreases resulting in more porous and weak bone, making it vulnerable to crack .If one follows weight bearing exercise, walking being one of them ,it helps to make the bone stronger by applying stress.Along with it she should take calcium and calcium containing food supplementation according to advice of doctor.It can be avoided to a larger extent if can not be stopped.
Activated Osteoclast. 
Osteoblasts ,Osteoclasts & Bone Modeling. 
Head & Neck Of Femur,A Common Site Of Fracture. 
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Sprouting Broccoli Good For Health. 
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