Articles by Dr. Tanawat Amphansap
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Improving bone health prior to joint replacement surgery.
The importance of osteoporosis to joint replacement surgery. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are among the most commonly performed orthopedic procedures. Osteoporosis has been identified as a risk factor that affects the success outcomes of total joint arthroplasty (TJA). Complications associated with TJA include intraoperative fracture, aseptic loosening of the prosthesis, and periprosthetic fracture. Studies have shown that osteoporosis increases the incidence of periprosthetic fractures by 0.3–5.5% after primary joint replacement surgery, and up to 30% following revision joint replacement surgery.
Targeted treatment for osteoporosis
Current treatment for osteoporosis has evolved from a traditional response-to-treatment approach to a goal-directed approach. The core concept of targeted treatment is to ensure each patient receives the most appropriate medication to reduce fracture risk as quickly and effectively as possible. The ultimate goal of treatment is to remain fracture-free.
The Importance of Vitamin K in Osteoporosis
Osteoporosis is a major public health problem, comparable to diabetes, hypertension, and hyperlipidemia. It has long posed a serious threat to the health and quality of life of the Thai population, particularly older adults. Most elderly individuals with osteoporosis experience no warning symptoms or early signs, resulting in delayed diagnosis and lack of early treatment. Consequently, these individuals are at high risk of fragility fractures at various sites, including the wrist, spine, hip, and upper arm.
Exercise for Older Adults with Osteoporosis
Exercise not only helps slow the progression of osteoporosis, but also strengthens muscles and bones while reducing the risk of falls. Recommended exercises for older adults include:
Non-Pharmacological Management of Osteoporosis
Non-drug treatment and behavioral modification are fundamental approaches in managing osteoporosis. These methods help maintain bone strength, slow down bone loss, reduce the risk of falls, and prevent fractures in the future. Therefore, behavioral modifications should be recommended for older adults, especially those diagnosed with osteoporosis,
Osteoporosis: The Silent Threat Common Among the Elderly
Osteoporosis is a significant public health concern often referred to as a "silent disease," much like high blood pressure or elevated cholesterol levels. It quietly undermines the health and quality of life of the elderly. Typically, individuals with osteoporosis show no symptoms, making it difficult to diagnose and treat in its early stages. As people live longer, particularly women, the prevalence of chronic conditions such as osteoporosis is on the rise.