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Long-Term Bisphosphonate Use and Increased Fracture Risk

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This article was published in Dynamic Chiropractic  June 17, 2010 (Vol. 28, issue 13) and is presented here for review.

By Deborah Pate, DC, DACBR

There has been a flurry of reports recently on the association of atypical femoral fractures with long-term treatment with bisphosphonates. Several studies have reported the occurrence of specific and rare types of femur fractures in individuals (mostly women) who had been taking bisphosphonates, specifically alendronate (Fosamax), for approximately 4-8 years.1-9 It should be noted that the fractures occurred with no apparent trauma.

These fractures were not from falls. In fact, in most cases, individuals were performing low-energy exercise, sometimes just walking down a flight of stairs.10-11

Bisphosphonates such as alendronate, risendronate and ibandronate are inhibitors of bone resorption. Extensive studies have shown that therapy with bisphosphonates improves bone density and decreases fracture risk. These drugs, especially the oldest one, alendronate, are used by large numbers of postmenopausal women, as well as smaller numbers of men with osteoporosis. In 2008, bisphosphonate sales exceeded $3.5 billion, according to data from IMS Health.

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The Worst 'Aging Sins' You Can Commit Against Your Skin This Summer

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The following is an excerpt from Dr. Mercola at www.mercola.com

If you have been reading this site for awhile you know that I am a major advocate of plenty of safe sun exposure and all the healthy vitamin D that it will generate for you. And this is the time of the year that you can actually do that.

Unfortunately there is a dark side to sun exposure that you need to know about.

If you overdo your sun exposure it can increase photoaging of your skin, unless you proactively take steps to address it.

Fortunately there's an incredibly simple solution to prevent this.

 

http://www.mercolahealthyskin.com/

 

Little League Elbow Syndrome

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 baseball3

The following article was written by Holly J Benjamin, MD, FACSM, FAAP and Igor Boyarsky, DO, was published on medscape on Jan 5, 2009 and is listed here as a reference detailing Little League Elbow.

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Should You Get a Flu Shot

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Before You Do, Make Sure You Understand the Potential Risks

This article is not intended to encourage you to vaccinate or not to vaccinate against the flu, but rather to provide you with some basic information so you can decide for yourself.

Full Article Here in PDF

 

The Pathology & Healing of Tendinosis

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By Warren Hammer, MS, DC, DABCO

This article was origionally published in Dynamic Chiropractic in the April 22, 2002  Vol. 20, Issue 9

Tendonitis is a misnomer. With microtraumatic overuse injury, we are dealing most of the time with tendinosis. While the stages of pathology of the macrotraumatic inflammatory response are well-known, the tissue pathology of tendinosis needs more clarity.

In conditions such as tennis elbow, and overuse injuries in general, there is a fibroblastic and vascular response (tendinosis), rather than an immune blood-cell inflammatory response.1 In a normal tendon, collagen fibrils are embedded in a matrix of proteoglycans, glycosaminoglycans and water, surrounded by a loose connective tissue containing visceral and parietal layers. Vascularized tendons (de Quervain, etc.) are surrounded by epitenon with capillaries and penetrating vessels.2

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Tendinitis, Tendinosis- New Terminology

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By Warren Hammer, MS, DC, DABCO

This article origionally was published in Dynamic Chiropractic November 6, 1992  Vol. 10, Issue 23

It is often assumed that if there is pain, there must be inflammation. But on second thought, we realize that a myofascial trigger point or even fibrositis (which implies inflammation) may have a neurogenic origin and not be inflamed.

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Injury: Inflammation and Body Repair

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The normal response to injury in the body is inflammation and the formation of scar tissue.  The following PDF reviews the stages of healing from acute injury through recovery.

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The Sacroiliac Joint: A Comprehensive Review

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Sacroiliac Joint Pain: A Comprehensive Review of Anatomy, Diagnosis, and Treatment

Steven P. Cohen, MD

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Muscle Hyperplasia and Exercise

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Current Research on Muscle Hyperplasia and Exercise

Each skeletal muscle fiber is a syncytium and develops by the fusion of many myoblasts. Myoblasts proliferate extensively, but once they have fused, they can no longer divide. Fusion generally follows the onset of myoblast differentiation, in which many genes encoding muscle-specific proteins are switched on coordinately. Some myoblasts persist in a quiescent state as satellite cells in adult muscle; when a muscle is damaged, these cells are reactivated to proliferate and to fuse to replace the muscle cells that have been lost. Muscle bulk is regulated homeostatically by a negative-feedback mechanism, in which existing muscle secretes myostatin, which inhibits further muscle growth

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Musculoskeletal Issues and ART

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The soft tissues of the body(muscles, tendons, and ligaments) control the movement of the joints.  Muscle imbalance due to contracted soft tissues that results from repetitive use or minor sports related trauma can accumulate over months and years.  Active Release Techniques® is a medically patented technique for soft tissue management that can detect and alleviate adhesions and scar tissue that is restricting muscle and joint function.  When proper soft tissue treatment is paired correctly with corrective rehabilitative exercise, many of the overuse chronic and nagging injuries can be completely resolved and allow a full return to activity and sport.

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The Female Athlete Tetrad

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The female athlete triad put forth by the ACSM in 1997 was defined as a triad of disordered eating, amenorrhea, and osteoporosis affecting female athletes.  Research on the female athlete triad for the past decade or so has culminated in an updated definition published by ACSM.  The 2007 ACSM positional stand looks at each disorder as it exists on a continuous spectrum instead of a serious pathologic endpoint.

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Patient Educational Handout

NOTE:  The Female Athlete Triad has now become the Female Athlete Tetrad.  Medical researchers have added cardiovascular disease after discovering that many women with the other three health issues often have a dysfunction with thier blood vessels, making them more likely to develop cardiovascular diseases.

For more Info go to http://www.femaleathletetriad.org/

 

 
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