A “fracture cascade” refers to bones and ailments such as osteoporosis, where a person experiences multiple fractures in a sequence, often initiated by a single initial fracture. Falling is a major reason leading to such circumstances. When bones weaken due to poor nutrition, inactivity and age, osteopenia and osteoporosis can grow into serious medical conditions. Herein bones become less dense and more porous, which can make bones more prone to fractures. This “fracture cascade” highlights the possibility of a domino effect that can manifest in individuals with osteoporosis. Falling and landing on one’s hand, can cause fractures to the fingers, wrist, bones in the forearm (ulna and radius) and the bones that comprise the shoulder joint. Additionally, when someone falls, they may injure their knees, hip joints (head of the femur) as well as injuries to the spinal vertebrae. Having a physical exercise plan that not only increases bone strength, but helps to improve balance, and flexibility as well as strength of the muscles. Grip strength becomes more important as we age and sometimes need to grab on to solid structures to avoid falling. Weight training, yoga, tai chi and Pilates are all appropriate methods to achieve these goals.
A fracture cascade might occur from the following circumstances:
This cycle of decline can contribute to compromised overall health and thereby quality of life for those with osteoporosis. Management strategies for osteoporosis should involve prevention through lifestyle modifications, dietary awareness (rich in calcium and vitamin D), weight-bearing exercises and activities. If necessary, there are pharmaceuticals intended to improve bone density and reduce fracture risk. However, almost all medications have side-effect that needed to be weighed against their benefits. It is highly important that individuals at risk with osteopenia/osteoporosis seek healthcare professionals as well as fitness and wellness advocates to pursue a comprehensive plan for bone health.
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