Author name: Dr.Anitha Banakar

Osteoporosis Treatment in Bangalore Osteoporosis is a condition of bone becoming brittle and fragile from loss of tissue. It develops when bone density decreases. The body reabsorbs more bone tissue and produces less to replace it. Deficiency of calcium or vitamin D also results into osteoporosis. Osteoporosis means porous bone; it exactly means that the low bone mass and strength. It develops without any symptoms and later leads to fracture. Most of these fracture affects the hips and spine. Causes of osteoporosis • Low intake of calcium • Over active thyroid gland • Reduced sex hormones (Estrogen, progesterone • Disorders of pituitary gland • Family history of osteoporosis • Rheumatoid arthritis • Long duration of inactivity orbed rest • High Alcohol drinking & Smoking Osteoporosis Symptoms: • Pain • Shortness of breath • Bone fracture • Change in posture Treatment for Osteoporosis Prevention is better than cure. Therefore one who is at high risk of getting osteoporosis must follow some disciplinary diet and physical activity. An osteoporosis doctor focuses on diagnosing, treating, and managing bone health to prevent fractures and improve overall bone density, helping patients maintain a strong and active life. Best Diet for osteoporosis : Calcium rich foods are the best remedy to prevent and treat the osteoporosis. It is the major component of bone and helps in healthy bone formation. It also maintenance the skeletal strength and structure. Vit-C, Vit –D and protein rich foods also helps in forming the good bone health. Dairy products – Milk, cheese & yogurt Green leafy vegetables – ladies finger, spinach, kale, broccoli, turnips, beans etc Green gram, soya bean, peas Chia seeds, pumpkin seeds, Almonds, dates Figs, orange, butter fruit etc Physical Activity: Physical activity/ Exercise is the best way to strengthen the bones and to prevent the bone fracture. The Yoga activity helps in improving the bone density and reduces the risk of complications. Yogasanas can build strength, ease pain and encourage good posture. It also helps improve flexibility and stability of skeletal joints. Yoga practices aids in better balance and coordination there by prevents fall or injury. Only the regular practices make the major difference to the bone health. Following asanas are best to strengthen the shoulders, arm spine, hips, core muscles and joints. It also improves the balance and stability. 1. Vrikshasana (Tree pose) 2. Veera bhadrasana (Worrier pose) 3. Trikonasana (Triangle pose) 4. Adho mukha swanasana (Downward dog pose) 5. Chaturanga dandasana (High plank pose) Pranayama and meditation techniques are also advised to manage the mental health. 1. Nadishuddhi pranayama 2. Bhramari pranayama 3. Relaxation techniques 4. Om kara chanting Rejuvenating Therapies for Osteoporosis Treatment: Massage therapy can increase the blood circulation to musculo-skeletal joints. It also calms the nerves, reduces stress and relives anxiety. As the affected person is at high risk of mental disturbance, the massage therapy provides very good relaxation to body and mind. It also helps in reducing the pain. Bones need an adequate blood supply to heal, increasing blood flow can assist the restorative process through massage. Specialised Ayurvedic therapies like Shastika shali pinda sweda or Navarakizhi are very useful therapies to prevent and manage Osteoporosis. Oral medication with treatments such as Yoga Basti (medicated Enema) can be used to manage Osteoporosis Article By- Dr. Anitha Banakar

AVN – Avascular necrosis refers to death of bone tissue due to lack of blood supply. It is also named as osteonecrosis, aseptic necrosis, ischemic bone necrosis. Loss of blood supply to the bone tissues leads to tiny break in the bones and cause bone collapse. It typically affects the long bone at weight bearing joints. The most common sites for AVN are the femoral head, knee, humeral head. Hip joint is the commonest among other joints to get affected. AVN of hip joint causes the stiffness, pain in the outer and inner thigh and difficulty in walking.me. Case of AVN at VHG : A male patient aged 35 years old, came with a known complaint of AVN of bilateral hip joint. He had pain in right and left hip with radiating pain to left lower limb. He also complained of severe pain and stiffness with limping gait. He underwent a core decompression to his left hip a year ago and was asked to repeat it again as his pain resurfaced. Since he was not ready to undergo anther surgery, he approached VHG. MRI report of hip showed stage 2 Avascular necrosis (AVN) of right femoral head and stage 3 Avascular necrosis (AVN) of left femoral head with diffuse marrow oedema lesions. Treatment at VHG: Following a consultation, he was first prescribed Acupuncture for pain management and improvement of circulation and yoga therapy to help reduce his stress and therefore recovery for 7 days. This was followed by Ayurveda treatment as mentioned below: 1. Ekanga elakizhi for 4 days 2. Ekanga navarakizhi for 4 days 3. 5 days of Snehapana, 3 days of sarvanga abhyanga + steam and 1 day of virechana 4. Yogabasti for 8 days Following ayurveda, Acupuncture and yoga therapy was once again administered for 7 days In between the treatment he had pain intermittently for some days. By the end of treatment he the pain and stiffness reduced. Post treatment at VHG center at HSR layout, he continued medicines and yoga practice. MRI reports taken after 2 months showed no further progression of AVN. Pre & post changes: Visual analogue scale was used to assess her pain before and after the treatment. Visual analogue scale (VAS) is one of the pain rating scale. Numeral rating scale is the most commonly used rating scale in VAS were 0 represents no pain and 10 is the worst pain.     Pre Post VAS 8 2   Range of Motion     Pre treatment Post treatment Right Hip flexion 40 Degree 70 Degree Left hip flexion 40 Degree 60 Degree Internal rotation of right hip 30 Degree 40 Degree Internal rotation of left hip 30 Degree 35 Degree External rotation of right hip 30 Degree 35 Degree External rotation of left 30 Degree 35 Degree   His stiffness and limping reduced by 60% -70% post treatment. Conclusion: Integrative approach using Acupuncture, Ayurveda and Yoga therapy helped in Avascular necrosis.

Pre diabetes is a condition where there is a higher blood sugar levels than the normal. It’s a very common condition now a day’s at the clinics. One of the main reason is sedentary lifestyle with inadequate physical activity and lack of awareness on food quality Before people develop type 2 diabetes, they almost always have “prediabetes”—blood sugar levels that are higher than normal but not yet high enough to be diagnosed as diabetes. Risk Factors: • Stress • Junk food / high carb food • Improper sleep • Lack of physical activity • Obesity • Irregular menstruation in women • Pregnancy • Increased blood pressure • Increased cholesterol How does Pre Diabetes Occur? Glucose levels are balanced/controlled with the insulin. Insulin is a hormone which is released by pancreas. After digestion of food, the glucose which is produced from the food enters in to blood stream. Insulin allow the blood sugar to enter the cells and there by the blood glucose reduces. If there is a derangement here then a problem like Pre Diabetes may occur. Symptoms: • Increased thirst • Fatigue • Increased hunger • Frequent urination • Blurred vision Diagnosis: Blood tests FBS – 100 to 125 mg/dl HbA1c – 5.7 to 6.4% Prevention To follow a healthy lifestyle with moderate exercise including Yoga. To be conscious on what to eat and when to eat. Avoid binge eating Avoid sugars, maida/white flour and refined food Yogurt/ curd especially purchased from the market Management Through Yoga Yoga helps in prevention and management of prediabetes by lifestyle change (diet, exercise, habits and stress reduction). Through mind management, yoga helps in several ways: 1. Maintains normal blood glucose (fasting and post meal). 2. Normalizes weight and BMI levels. 3. Reduces HbA1C, bad cholesterol and need for diabetes medication 4. Increases good cholesterol, nerve conduction velocity. 5. Reduces high blood pressure and improves cardiac pumping efficiency even after bypass surgery. 6. This works by reducing stress levels as indicated by reduced blood levels of cortisol (stress hormone) and inflammatory markers. Yoga Therapy: Yoga should become a part of our daily life. Asanas, Pranayama’s, cleansing practices, meditation techniques are important part of yoga. In daily practice it effects holistically where body and mind both are aligned. Asanas can be beneficial for the prediabetic patients. The important facet of Asanas is stability and they relax the body for long time. Pranayama practices such as Bhastrika, Bhramari and Nadishodhana helps to calm down our nervous system and thus helps in diabetes treatment. Bhastrika helps increasing oxygen level and thus it may increase metabolism of glucose in peripheral tissues and liver. Usefulness of meditation in stress management is well proven by modern research. Mindfulness techniques can be helpful in treatment of diabetes. Diet Advise: Bring your awareness to the movements of the abdominal muscles moving up and down as you breathe in and out. Recognize the haphazardness and jerky movement of the abdominal muscles. Do not manipulate the breathing, let it be natural, simply observe the abdominal movement. Count five rounds mentally, one inhalation and one exhalation forming one round. Continue up to five rounds. Phase 2: Associate With Breathing Any 2-3 home remedies with monitoring of blood sugar is very much essential to prevent hypoglycemia and to control high blood sugar. Some Simple Home Remedies: 1. Fenugreek/methi – fenugreek seeds and leaves are act as hypoglycemic and improves glucose tolerance. Soak 1-2 tsp of fenugreek seeds in water overnight. Drink water and eat the seeds on empty stomach next morning. Fenugreek leaves can be used as a curry or sambar. 2. Curry leaves – curry leaves increase the carbohydrate metabolism and reduces the oxidative stress. Good to take few leaves by chewing them on the empty stomach. Curry leaf chutney or curry leaf powder can be consumed daily. 3. Cinnamon – Cinnamon powder can be consumed in the form of tea or can use in sambar or soup. Bioactive compounds of cinnamon will help to reduce the blood sugar. 4. Karela/bitter gourd – bitter gourd is having anti-diabetic compounds like charantinn vicine and polypeptide-p. Poly peptide-p act as insulin, all these together brings reduction of glucose in the blood. This can consume in the form of juice, curry or sambar. 5. Garlic, ginger & turmeric – These are rich in antioxidants and have anti-inflammatory compounds. Act as hypoglycaemic and controls blood sugar. 6. Barley water – barley is a high-protein and high-fiber diet grain which is very good to control high blood sugar. Need to boil barley with water in open vessel. Drink barley water and have barley rice with vegetable curry. 7. High-fiber Food – increase the intake of high fiber vegetables like carrot, beetroot, broccoli, spinach, beans, ladies finger, onion, capsicum, tomato cabbage, etcetera. 8. Fruits intake – citrus fruits, apple, pear, jamun, berries, guava, avocados, water melon and musk melon can be taken. 3 Things You Must Follow To Avoid or Manage Pre- Diabetes Physical activity is must to burn the calories and to improve the function of pancreas. Good sleep to prevent the metabolic imbalance. When the brain is given good rest it heals the body well and therefore balances the hormones Stress management is essential to maintain the calmness of the nervous system and avoid a trigger of increased blood sugars Try the tips, stay healthy and if you need help do talk to your Doctor, a holistic practitioner.