Osteoporosis is a disease which results in weakened bones, especially the hip, spine and wrist. Injuries and falling usually mean bone fractures and significant healing time for the deteriorated bones.  Women experiencing menopause are particularly susceptible to bone loss but everyone should pay attention to keeping their bones as strong as possible through healthy habits.  The best way to prevent this disease is to get the correct amount of calcium and vitamin D, do regular weight-bearing exercise and utilize the bioDensity training equipment if you have one in your area.  Not smoking and eating a well-balanced diet are proven to help as well.  Physical Therapy can provide excellent muscle-strengthening exercises and help improve balance to prevent falls. The best way to find out your current bone density and if you have the beginnings of osteoporosis is to get a specialized test called a dual energy x-ray absorbtiometry, commonly called a DEXA scan.

Dr. Jill Rose
Physical Therapist
Kaizen Total Wellness

(941)556-7788

Who knows? There have been several studies showing that high doses of calcium supplements can increase the risk of heart disease, especially if taken on an empty stomach.
Our recommendations; Try to take 500 mg/day of a supplement and get the rest from vitamin enriched foods and exercise.
Genetics and life style play a large role and it seems to be much more important to get enough VITAMIN D and sunshine in your life as well as regular TOTAL BODY WEIGHT RESISTANCE EXERCISES.

Sure, prescriptions can help, but I have seen so many failures that medications should only play a part of your treatment. Of course, they are expensive and now come loaded with increased long side effects after you have been on them for more then 5 years.
At Kaizen Total Wellness, we utilize the latest state of the art equipment along with certified fitness trainers to help our patients achieve their goals .Our exclusive Power Plate machine was actually invented by the Russian Space Program in the 1970’s and is still being used by NASA to this day. SPACE=NO GRAVITY=NO WEIGHT BEARING=DECREASED BONE AND MUSCLE MASS!)

15-30 minutes twice a week on our low impact machines are very safe, and most likely covered by insurance.
Call us for more information or a free demo.
Kaizen Total Wellness
(941)556-7788

According to a study on weight bearing and muscle loading in respect to bone mineral accrual in pre-pubescent 10-13 year old girls, there was a 35%-45% increase in muscle mass. According to researchers, the impact the mechanical loading on the musculoskeletal structure could be anywhere from 4-9 times body weight.
With bioDensity, this magnitude of this loading is made possible while maintaining safety, even in the elderly.
Females over 70 are able to generate anywhere from 478 pounds to 1129 pounds of mechanical load during a leg press. In other words, these females are able to generate from 3 to 6 times their body weight in a safe user friendly environment to help maintain bone mass as they age.

bioDENSITY at KAIZEN TOTAL WELLNESS
LAKEWOOD RANCH, FLORIDA
941-556-7788

OsteoporosisInstitute.org

According to a study performed at Florida State University, the effects of different fruits on osteoporosis were evaluated.
They found that after 12 months of eating dried plums (10 prunes/day), the study group that ate the plums had a significant increase in bone density as compared to the groups that ate other fruits (figs, dates, strawberries, apples and raisins).
It was thought that the dried plums decreased the rate of bone breakdown (which leads to osteoporosis).
Please note that weight bearing exercises and Vitamin D supplements are equally important in preventing osteoporosis.
Calcium?? We still don’t know but most calcium should be dietary and not pills due to heart issues.
 
KAIZEN TOTAL WELLNESS
941-556-7788

Osteoporosis is a disease which results in weakened bones, especially the hip, spine and wrist. Injuries and falling usually mean bone fractures and significant healing time for the deteriorated bones.  Women experiencing menopause are particularly susceptible to bone loss but everyone should pay attention to keeping their bones as strong as possible through healthy habits.  The best way to prevent this disease is to get the correct amount of calcium and vitamin D, do regular weight-bearing exercise and utilize the bioDensity training equipment if you have one in your area.  Not smoking and eating a well-balanced diet are proven to help as well.  Physical Therapy can provide excellent muscle-strengthening exercises and help improve balance to prevent falls. The best way to find out your current bone density and if you have the beginnings of osteoporosis is to get a specialized test called a dual energy x-ray absorbtiometry, commonly called a DEXA scan.  

All women older than 65 (or younger if there are certain risk factors like family history, smoking, alcohol use, low body weight or premature menopause. Also, the use of antidepressants, steroids or epilepsy drugs can increase the risk of osteoporosis.
All men older than 70! (Gentlemen, are you willing to pay out of your pocket because I am not aware of Medicare reimbursement for this)
All postmenopausal women and men >50 who have a history of abnormal fractures.
 
Please note that ALL patients with osteoporosis should be treated with medication.
NOT every patient with OSTEOPENIA needs medications! Only those at risk for fractures.
 
Please note that most CALCIUM should be dietary and only about 500 mg/day should come form a pill and that everyone should take at least 1000 units of Vitamin D3 daily.
Also weight bearing exercise can not be emphasized enough.

Glucosamine and chondroitin sulfate supplements are used to slow the progression of osteoarthritis — the deterioration of cartilage between joint bones — and to reduce the associated pain. A study sponsored by the National Institutes of Health (NIH) called the Glucosamine/Chondroitin Arthritis Intervention Trial (or GAIT study), showed that the combination of glucosamine and chondroitin sulfate seems to be effective in osteoarthritis patients with moderate to severe knee pain, although not those with mild pain. However, a 2007 review of several past, large-scale studies of chondroitin alone concluded that it did not provide a benefit.
A well-controlled study of glucosamine sulfate (1,500 mg per day) versus placebo for lower back pain caused by osteoarthritis showed that both glucosamine and placebo improved symptoms reported by patients. However, there was no significant difference in the level of improvement between the groups, suggesting that glucosamine is not truly effective for lower back pain (Wilkens, JAMA 2010).
A six-month study of chondroitin sulfate (800 mg once daily) versus placebo in patients with hand osteoarthritis showed a significantly greater decrease in hand pain and improvement in hand function among those taking chondroitin sulfate (Gabay, Arth & Rheum 2011). The duration of morning stiffness was also slightly reduced. These benefits were not noticeable until after 3 months of treatment. There was no significant difference in grip strength or the amount of analgesic used by patients. The chondroitin tested in the study was a tablet containing highly purified (95% pure) chondroitin of fish origin and is marketed as Chondrosulf (IBSA, Switzerland) in Europe where it is approved as a “Symptomatic Slow Acting Drug for Osteoarthritis” (IBSA website – accessed 9/21/2011).
Results may vary from patient to patient, but I can not recommend the use of glucosamine at this time. It is possible that chondroitin may be beneficial for hand pain, but be patient as it could take up to 3 months to work.
Please remember that OTC arthritis pills like Advil or Aleve will help pain but do NOTHING to reverse arthritis. These medications do have a lot of potentially severe side effects and you should discuss their use with your physician. 

www.kaizentotalwellness.com   (941)556-7788
www.drmishner.com   (941)747-2090

We have been using this technology at Kaizen Total Wellness® for the past 1 1/2 years with a great deal of success! We are currently the only facility in Florida offering this combination of technologies. If you have been diagnosed with osteopenia or osteoporosis, this may be used by itself or in conjunction with prescription medications.

BStrong4Life™,  a Chicago-based wellness company has launched a 6-month pilot study to determine the effectiveness of their system on improving bone mineral density without medication. The system is a combination of two technologies: Power Plate, and bioDensity,  as well as a proprietary training system that integrates the two.
Power Plate equipment works on the principles of whole-body vibration. This proprietary system uses warm-up procedures to prepare the user for each bioDensity session and to optimize performance. The Power Plate equipment vibrates almost imperceptibly, causing whole body vibrations that create instability and trigger reflexive contractions in the muscles, as frequently as 25 to 50 times per second.
The equipment also oscillates, so the muscles must contract in multiple dimensions. This technique stimulates the fast-twitch muscle fibers, which can lead to increased muscle strength, endurance and overall agility. The user stands on the equipment while performing either static or dynamic exercises.
The user creates as much muscular force as possible while performing four comprehensive static isometric muscle contractions. The equipment uses a patented load cell/software interface that precisely measures, tabulates and records muscular force output at 30 times per second. All physical efforts are recorded, and compared and contrasted over time. Each user receives a Performance Report at the conclusion of each training session.

www.kaizentotalwellness.com   (941)556-7788
www.drmishner.com   (941) 747-2090

Kaizen Total Wellness 11505 Palmbrush Trail, Suite 220
Lakewood Ranch, FL
Serving the communities of Manatee and Sarasota counties

Osteoporosis is a disease that affects younger as well as older women (men, too!). The biggest risk appears to be genetic, although if you are fair skinned smoke, drinks colas,and petite your are more prone to get it.

The problem with treating this stems from the fact, like hypertension, your first experience with the disease may be when you break a bone. The time to treat it is to when it is diagnosed at an asymptomatic stage.

Calcium, Magnesium and vitamin D are very important supplements to take. However, weight bearing exercise is equally important. In our practice we see many patients who have been on medications for years and do not show significant improvement in their bone density. Luckily, there are new medications on the market that treat resistant osteoporosis, but they are expensive and by injection only.

At Kaizen Total Wellness, we have been amazed by the improvement of bone density with our low impact weight resistance programs ( with and without the use of prescriptions)

Working with our trainers in our office for 30 minutes twice a week (on our low-impact Power Plate and bioDensity machines) in addition to walking or biking the other days can do wonders for your bones.

The next time you see a 70 year old women 4’10”, please be aware that 10 years earlier she was probably 5’2” or greater and asymptomatic.

For more information, please call Kaizen Total Wellness, (941)556-7788.  Please note that all programs are private one on one encounters with our certified fitness trainers and physical therapists. Most insurances accepted.

www.kaizentotalwellness.com / www.drmishner.com

First there was the snake-oil salesman who found that by claiming his product cured numerous ailments more people were enticed to buy it, and pay a higher price as well.  Constantly traveling from town to town served him well because people eventually discovered his boasts and 'guarantees' were false.  Today we are aware and against any false advertising and there are many laws and regulations, especially for things we consume such as vitamins, supplements, medicine, alcohol, tobacco and food.  Currently there are several health claims which are approved for legal use in the U.S. as long as they meet FDA-established criteria.  You will recognize them because of course manufacturers use them in marketing.  These are some of the valid claims which show a tested and true relationship: Consumption of dietary (non-sugar) sweeteners and reduced risk of dental caries; Diets rich in whole grain foods and reduced risk of heat disease and certain cancers; Consumption of soluble fiber from certain foods and reduced risk of coronary heart disease; Diets low in sodium and reduced risk of hypertension; Diets low in total fat and reduced risk of cancer; Diets with enough calcium and reduced risk of osteoporosis in certain populations.   Do not assume that health claims you read are valid, check them out for yourself.  For complete information about claims and food labeling visit www.fda.gov/Food/GuidanceComplianceRegulatoryInformation

Osteoporosis is a very common disease associated with significant morbidity and mortality. For many years, studies have shown use of a calcium supplement has been recommended for postmenopausal women to decrease fracture risk. A recent article talks about studies that are now questioning the use of calcium in reducing fracture risk:
Four of the studies indicated that calcium users may be at increased risk for renal stones and gastrointestinal problems.

In some of the studies, vitamin D was not included in the treatment protocol or was not used at levels sufficient to optimize calcium absorption.
Moreover, the trials indicate that calcium supplementation does not significantly reduce fracture risk in postmenopausal women. However, evidence from the same studies suggests that beneficial effects on fracture risk may be seen in women who are adherent to therapy. Postmenopausal women should continue calcium supplementation to reduce osteoporosis risk.