Osteoporose Anhängsel
Frei nach: JJ Kleber
Definition und Diagnose
“Die Osteoporose ist eine systemische Skeletterkrankung, die durch eine niedrige Knochenmasse und eine Verschlechterung der Mikroarchitektur des Knochengewebes charakterisiert ist.
Daraus erfolgt eine gesteigerte Knochenbrüchigkeit”. Die Osteoporose macht keine Beschwerden, solange nicht eine Fraktur eingetreten ist o. Wirbelkörper eingebrochen sind.
Erstmals diese Knochen-(Wirbelkörper)-Brüche und die daraus folgenden Deformierungen (durch Wirbelkörperveränderungen) können starke akute und auch chronische Schmerzen machen.
Männer haben nur die Hälfte des Knochenbruch-Risikos von gleichaltrigen Frauen. Generell steigt dieses Frakturrisiko steil an etwa dem 50sten Lebensjahr mit Risikoverdoppelung alle 10 Jahre.
Deshalb hat ein Mann schätzungsweise das Frakturrisiko einer 10 Jahre jüngeren Frau.
Diagnose:
Risikofaktoren für Osteoporose: ein Alter über 50 Jahre.
Oberschenkelhals- und Wirbelfrakturen bei den Eltern,
Sitzende Tätigkeit ohne Bewegungsausgleich,
Nikotin- o. Alkoholmissbrauch und Untergewicht,
Schlechte Ernährung
Langzeitige Einnahme Arzneimittel (Cortison-Präparate/Antikoagulantien/Heparin/Magenschutzpräparate Typ Protonenpumpenhemmer/Thiazid-Diuretika/Serotonin-
Wiederaufnahmehemmer).
Liegt einer dieser Risikofaktoren vor sollte bei Frauen ab 60 Jahren, bei Männern ab 70 Jahren eine spezifische Osteoporosediagnostik durch den Arzt durchgeführt werden (siehe unten) und
zumindest eine naturheilkundliche Osteoporoseprophylaxe betrieben werden (Bewegung/Ernährung/Vitamine/Mineralien).
Jeder Knochenbruch durch normales Trauma (häuslicher Sturz ohne übermäßige Gewalteinwirkung) beweist eine Osteoporose und bedeutet dass eine Osteoporosetherapie unbedingt begonnen
werden muss (eigentlich schon Jahre vorher begonnen hätte werden sollen).
Diagnostik:
Schulmedizinisch wird bei obigen Risikofaktoren und natürlich bei Knochenbruch nach “Bagatelltrauma” zum Nachweis einer Osteoporose die Durchführung einer speziellen Röntgenuntersuchung
empfohlen (DXA = dual-X- ray-absorption). Weitere spezifische Röntgen- und Laboruntersuchungen können notwendig sein.
Eine amerikanische Arbeit empfiehlt bei Osteoporose o. Verdacht folgende Laborwerte als Grundprogramm: Serum-Konzentration von Kalzium und 5-hydroxy-Vitamin-D, Blutbild,
Leber- und Nierenwerte
Therapie:
Bei der zusätzlichen naturheilkundlichen Unterstützungstherapie ist darauf zu achten dass die tägliche Kalzium-Dosis nicht überschritten wird, da die Gabe von Kalzium und Vitamin D bei Naturheilkunde
und Schulmedizin gleichermaßen empfohlen werden. Die anderen naturheilkundlichen Empfehlungen zur Osteoporosetherapie überschneiden sich nicht mit der leitliniengerechten schulmedizinischen Empfehlung.
Naturheilkundige Therapie:
Wichtigste Therapie und Prophylaxe: Belastung des Bewegungsapparates mit Einwirkung des vollen Körpergewichts. Weiter ist wichtig Nikotinabstinenz, ausreichende hochwertige Ernährung mit Vermeidung von Untergewicht und hierbei speziell Aufnahme der für die Knochenmineralisation wichtigen Vitamine und Mineralien. Leitsubstanzen: Kalzium (Citrat- oder Gluconat-Salze), Magnesium
(Citrat- oder Gluconat-Salze) und Vit. D.
orthomolekulare Basistherapie
zur Vorbeugung einer Osteoporose o. bei Osteoporose
Hochdosiertes Multivitaminpräparat mit Selen
(für BRD Selen 60-100 µg/d; Ziel-Serum-Selen-Konzentration bei 120-150 µg/l)
Kalzium 1,2-1,5 g täglich (Nahrungs-Kalzium mitrechnen)
Magnesium: 0,3 - 0,6 g täglich
Vitamin D 20-30-50 µg = 800-1200-(2000) IE
Magnesium 300-400 mg täglich
Omega-3 0,5-1,5 g/d (1-3 Lachsölkapseln)
Meeres-Spuren-Elemente aus Korallen-Kalzium
Zusatztherapie
Sport + Bewegung am Wichtigste
Schwere Osteoporose
Aminosäuren Lysin ca. 1g und Arginin 0,5-1g (z.B. in Aminoplus® Immun 1 Beutel jeden 2. Tag)
Vitamin C zusätzlich 300 - 500 mg (1)-2 x täglich.
Vitamin K 70-100 µg/nicht bei Antikoagulation (nicht bei Blutverdünnungstherapie)
Fluorid meist ausreichend im Kochsalz + Zahnpasta
Bor evt. 5 - 7 mg/wenn im Kombi-Präparat enthalten
Ernährung: mineral- und basenreiche Kost sie unten
Soja-Produkte mit phytoöstrogenen Wirkstoffen stimulieren Knochenwachstum
Bisphosphonate (Schulmedizin) sind bei schwerer und bei schmerzhafter Osteoporose unverzichtbar
Frei nach: Dana Ullman
Move your bod.
Exercise,
especially own weight-bearing exercise:
walking/tennis/dancing/rope-jumping/basketball, and backpacking, helps building
strong bones. Swimming is not considered a weight-bearing exercise because of
the zero-gravity environment of water.
Do kinder gentler exercises.
Free the
neck! Power to the pelvis, Liberate the vertebrae. Doing
yoga and other gentle exercises help make you limber and stronger. However,
headstands and shoulderstands should not be done if
you already have osteoporesis.
Avoid calcium vampires.
Calcium
vampires are substances that suck the calcium out of your bones. Stimulate the
body to excrete more calcium than is being put into it. These substances are:
alcohol/caffeine/salt/animal protein/fats/tobacco/distilled water/oxalic
acid-rich foods (chard, rhubarb, spinach, and chocolate)/aluminum
(absorbed from baking soda, aluminum pots, and from
certain deodorants). Phosphorus-rich foods and drinks also impair calcium
absorption, the worse offenders being soda drinks, milk and milk products, and
many processed foods.
Avoid the calcium vampire drugs.
Many drugs
disrupt calcium absorption or metabolism:
antacids/antibiotics/anti-depressants/barbituates/cholesterol-reducing
drugs/corticosteroids/diuretics/laxatives/chemotherapeutic drugs.
Support stomach acid.
An
inadequate amount of stomach acid can lead to poor absorption of calcium. To
increase stomach acid, eat charcoal-barbequed foods or charcoal supplements,
eat more slowly. Don’t drink at your meals.
Go outside. Vitamin D is important for calcium
absorption. You can absorb vitamin D by being exposed to the sun. Get a healthy
dose of this sun vitamin (an hour or two), but don't overdo it.
Fish for fish oil.
Fish oil
has a healthy dose of vitamin D which helps the body absorb calcium.
Do the calcium-magnesium team.
Calcium and
magnesium are a team that work together in your body, so take calcium and
magnesium on the same day. Pre-menopausal women should take approximately 1,000
mg. of calcium a day, and during menopause they should take about 1,500 mg. The
best calcium supplements (in order of preference): hydroxyapatite/citrate/lactate/gluconate/carbonate.
It is best to avoid taking large doses of calcium at one time; better to take
smaller doses more frequently. Also, don't think that megadoses
of calcium are better than the above recommendations; too much calcium can
create problems because it displaces iron, manganese, and zinc, and it can lead
to kidney stones. The dose of magnesium should be at least 50% of the dose of
calcium. For additional help, take 1,000 mg. of vitamin C, which helps to
create collagenous fibers
to which the calcium of the bone is attached.
Supplemental supplements.
Boron,
zinc, copper, and manganese are essential for bone integrity. They are all in
green leafy vegetables. Boron is of special value; it has been found to
stimulate higher estrogen levels and increase bone
density. Supplementation of 5 mg. per day is recommended.
Calcium-rich
foods.
Sardines,
salmon, green leafy vegetables, broccoli, tofu with calcium sulfate,
mineral water, and sesame seeds all will supply your body with calcium. If you
choose to get your calcium from milk, yogurt, or cheese, it is recommended to
consume low-fat or non-fat products because the body will be better able to
assimilate their calcium.
Horsetail tea.
It won't
grow you a tail, but is rich in calcium and silica and can help build strong
bones.
Be born black.
While this
too is not a one-minute strategy, evidence does show that black people do not
experience as much osteoporesis as white people,
possibly because they have greater bone mass.
Nach einem durch Osteoporose verursachten Knochenbruch ist zu denken an Symphytum (anfangs D12, später C200 in seltenen Dosen) und zusätzlich Calcium phosporicum D2 bis D4 3x/ Tag für die ersten 4-6 Wochen nach dem Knochenbruch. Später muss das typspezifische Simile oder Simillimum gesucht werden.
‡ Folgendes hat anthroposofische
Einschlüße ‡
Frei
nach: Clinton L. Greenstone, M.D.The bones are
dense, highly active tissues comprised of special protein fibers
called collagen that become mineralized primarily with calcium and phosphorus. Their
surfaces are constantly being built up and broken down through the process of
bone remodeling. Osteoclasts
are bone cells that eat away old tired bone and pave the way for osteoblasts to lay down new healthy bone. Beyond that
provided by simple material density, strength is added to bones through
cross-bridging in their microscopic architecture.
Peak bone
mass is reached in women by age 30-35 and in men between ages 40-45. After this
time, breakdown exceeds bone growth and build-up. Bone loss is a normal process
that takes place with aging and is not a disease.
Osteoporosis
is characterized by weak, under-mineralized, and therefore frail bone that is
at risk for spontaneous or fragility fracture (low impact). Even though postmenopausal
women over age 60 have decreased bone density, only a small fraction of them
actually experience fractures. A 50-year-old woman has a 15% chance of
developing a hip fracture by the age of 85.
Most of
patients are surprised to hear how low the risk is, given the media hype about
osteoporosis + bombardment of advertising for drugs that supposedly treat it. Osteoporosis
is rare in men.
The most
common tests for osteoporosis are DEXA or Bone Mineral Density (BMD) scans. These
tests alone don't predict fracture rates or show true bone strength in the
overwhelming majority of patients. Instead, they are predictive of fractures
only in people who have already had fragility fractures, and who have low bone
density test scores.
The tests
are commonly conducted because administering them to large populations is
relatively inexpensive. BMD is only one of many risk factors predicting
fractures. Age, history of a previous fracture after age 40 and a maternal
history of hip fracture are all independently more predictive than BMD.
Furthermore,
BMD measures only bone density, not bone strength. In a recent article in our
premiere medical journal, The New England Journal of Medicine, experts studying
osteoporosis showed that while, over time, a natural process of bone loss does
take place, the strength of bone actually improves
through increases in bone diameter. Changes in bone configuration and dynamics
allow it to stay strong, accounting for relatively low hip fracture risks in
the setting of low BMD.
Some medications,
particularly those in the bisphosphonate class,
readily improve bone density within 2 years. Beyond 2 years, while bisphosphonates do not yield further BMD increases, they do
poison the osteoclasts, allowing osteoblasts
to lay down new bone on top of old, weak bone that would otherwise have been
removed. Recent studies have suggested that even though there are slight
decreases (1-5%) in fracture rates with bisphosphonates
early on, after 5 - 6 years the fracture rates increase because the bone formed
while on these medications is actually weaker.
The safety
of many of these medications beyond five years is relatively unknown. Furthermore,
the specific dynamics of the most commonly prescribed medication for bone loss
causes it to stay in the body for many years. So if it turns out not to be
safe, it will be difficult to purge such a medication from your system. If a
person already has a fragility fracture and low BMD, it is not unreasonable for
a doctor to prescribe bisphosphonates - but taking them
longer than two years is not wise.
There are
many natural approaches to preventing bone loss, increasing bone strength, and
decreasing fracture rates, falls and complications from osteoporosis. Diet
plays an important role. Our bodies function best in a slightly alkaline
environment, with a blood pH (a measure of acid and base balance) of 7.4. Our
enzymes and internal cellular activities function best in this environment. The
majority of foods we ingest, however, are acidic. Along with our kidneys, our bones
provide a means of buffering the acid foods and keeping the blood in the basic
pH range. To perform this buffering process, our bones lose calcium and
therefore density. Furthermore, diets high in animal protein are quite acidic
and cause calcium to be leeched from our bones.
Our diets
may also be somewhat deficient in appropriate mineralizing substances found in
plants, in particular root-based and green, leafy vegetables.
Nutrition for Bone Health
10 mg of Vit D and 1.000 mg of Ca, 500 mg Mg daily.
Sources of Calcium
Parsley, seaweed, broccoli, Sesame seeds, almonds, figs, green leafy veggies,
yogurt, molasses, dried beans, Brazil nuts, watercress, sardines, celery,
turnips, cabbage, garbanzo beans, kelp
Sources of Vitamin D essential for the body to be able to
use calcium
sunlight
oily fish-cod liver, salmon, sardines, herring, mackerel, tuna, egg yolks
Sources of Vitamin C necessary for the production of
collagen
citrus fruits
rose hips
acerola cherries
guava, papaya, grapefruit, lemons, tomatoes, cantaloupe, strawberries, kiwi,
broccoli, green peppers, kale, cauliflower
Sources of Magnesium Magnesium can decline with a diet high in
salt.
figs, sunflower seeds, black beans, kelp, molasses,
whole grains
• Coffee, alcohol, refined bran (phytic acid) and smoking all lead to low calcium in the
bones, a high salt-red meat diet increases calcium excretion.
• Medications may decrease the absorption of
calcium, vitamin C and vitamin D.
• Antacids containing aluminum, and anticoagulants
may reduce calcium absorption.
• Vitamin C effectiveness may be reduced by
nicotine, sulpha drugs, mineral oils, tetracycline antibiotics and birth
control pills.
The process
of bone remodeling goes on constantly. Weight-bearing
exercises are the best way to stress the bones and stimulate the osteoblast/ osteoclast activity
that lays down new, healthy, strong bone.
Weight-bearing activities such as:
walking • jogging • yoga?
eurythmy • special dynamics
weight lifting
strengthen the bones
Other
natural therapies include anthroposophical remedies,
such as Calcon AM and PM, which promote healthy bone
formation, calcium absorption and appropriate delivery of the calcium to bone. Appropriate
calcium delivery also minimizes calcium entrance to other structures, such as
our coronary arteries, where it is unwanted. The fatty sclerotic/hardening
process of atherosclerosis is partly driven by inappropriate calcium
deposition. Remember, heart disease is the no. 1 killer of postmenopausal
women.
Hormone
replacement therapy medications have been commonly recommended for treating
osteoporosis. The U.S. Food and Drug Administration, however, actually pulled
its recommendation and approval for the use of hormone replacement therapy in
the treatment of osteoporosis in 2001. The reason: increasing evidence that the
slight benefit in lowered fracture rates is significantly offset by heightened
risks of developing stroke, heart attack and leg blood clots. These blood clots
often migrate to the lungs with dire consequences.
It is
imperative that everyone, but especially young women, become informed about
these bone health issues so that they may be encouraged to take up
weight-bearing exercise, and increase their consumption of whole foods and the
higher plant protein-rich diets. These practices can help prevent osteoporosis,
frailty and osteoporosis-related complications. We also need to support older
women with their greater osteoporosis risk through similar appropriate
recommendations, plus other natural approaches that support bone health and
bone strength.
Finally, we
must not allow ourselves to be misled by recommendations for BMD measurements
before age 60 or 65. They are designed to push us towards medications that show
only minimal benefit, while adding significant risks and cost. It should be
pointed out, also, that there are other medications and specific medical
conditions that can adversely affect bone health. Ask a health care provider
familiar with your health status for relevant individualized information.
‡ Folgendes hat anthroposofische
Einschlüße ‡
Frei nach: Philip Incao, M.D.
A lot of
misleading advertising today reminds us, especially women, to be sure to take enough
calcium to avoid osteoporosis. Therefore most Americans mistakenly believe that
the
reason our bones get thinner (osteoporosis) and we become more prone to
fractures as we get older, is because we're not getting enough calcium in our
diet. This popular
misconception is good for the dairy and supplement industries but it doesn't help the
rest of us very much. Here's why: Bones are not the solid inert chunks of
calcium that we imagine.
Bones are
living dynamic organs of our body that are continually being remodeled; that is, they are continually dissolved and
rebuilt by specialized bone-dissolving and bone-building cells
within
us. All of our bones completely renew themselves every seven to ten years. Bone
loss that can lead to osteoporosis happens when, for a variety of known and
unknown
reasons,
the activity of the bone-dissolving cells predominates over that of the bonebudding cells.
Our bones
consist of a living matrix or network of protein fibers
which create the framework upon which mineral crystals of calcium phosphate
salts are laid down. The protein fibers are
alive and
gristly and make the bone flexible while the mineral calcium salts are dead and
make the bone hard, dense and heavy.
Bone
density measurements, which essentially measure bone calcium, confirm that
after about the age of 50 it is normal for a person to lose bone density over
time. Loss of bone density that
is
slightly greater than normal for ones age is called osteopenia.
Moderately greater than normal loss of bone density is called osteoporosis.
Research
done in
nothing
to do with loss of calcium or bone density but rather with the loss of
flexibility and elasticity of the bones which normally occurs as we age.
What makes
our bones elastic and flexible? The living part of our bones,
the protein fiber matrix. As we age, this
tight and dense framework or matrix of protein fibers
becomes thinner and
looser
because the individual fibers lose their elasticity
and become drier and stiffer (the same is true for all the tissues of our
body). This makes our bones more brittle and prone to fractures,
and
slower to heal when they do fracture.
Therefore,
to avoid fractures and to have vigorous, quick-healing bones we must learn how
to maintain our life forces, for these are the forces which maintain the
tightness and the resilience
of the
living protein fibers which are deposited within that
protein fiber framework. Osteoporosis is not just the
loss of bone mineral mass (calcium crystals) but also the fraying of the
intimate fabric of living protein fibers which forms
the very basis of our bones. One can demonstrate this non-calcium protein
fabric of bone by immersing a chicken bone in a bottle of white vinegar for
several days until all the calcium is dissolved away. What remains still has
the same shape and form of the bone but it is entirely elastic, as if made of
rubber! Rubber is, after all, also derived
from a
living substance. It is made by the rubber tree.
So we see
that our miraculous human organism combines living and pliant protein fibers with hard crystalline calcium from the non-living
mineral world to create our sturdy and resilient
bones,
and then our organism continually remodels them and heals them when they are
injured. These life forces of growth, remodeling and
healing in us which R.S. called etheric forces or
simply
the etheric (called chi or prana
in eastern wisdom) are responsible for the vigor and
resilience of our bones and of all our other organs and tissues as well.
After
mid-life our vital etheric forces gradually decline. This
is the fundamental reason why our bones lose both elasticity and density then. What
makes us vulnerable to fractures is primarily
the loss
of the living elasticity of the protein fiber bone
matrix. The loss of non-living calcium density from our bones is only a
secondary cause. Both losses are caused by the gradual withdrawal
of our etheric life forces from our bones with aging. However, it
is only when the life forces withdraw at a faster than average rate for our age
that osteoporosis and an abnormally high risk of fractures comes about. Modern
medicine has no name for, and no way of measuring, the loss of elasticity of
the protein fiber framework of our bones.
Nevertheless, the integrity and flexibility of this living framework are the
most important factors protecting us from fractures.
Modern
medical research however has identified a number of lifestyle, nutritional and hormonal
factors which have been repeatedly observed to accelerate the bone deterioration
we call osteoporosis. These factors are quite diverse, ranging from physical immobility
to lack of sunlight to poor diet to caffeine intake to hormonal imbalance to excessive
protein intake to tobacco
use to
alcohol overindulgence to overly vigorous exercise!
What we can
say with certainty from the perspective of anthroposophic
medicine is that all of these known factors which accelerate osteoporosis are
factors which diminish or
deplete
the vital work of our body's etheric life forces.
We will
discuss these factors in detail in The Doctor Speaks in the next issue, but for
now in order to promote bone healing, I recommend the following; Eat fresh
whole foods with
lots of
leafy greens and root vegetables like carrots, beets and turnips, in addition
to your normal diet.
• Do aerobic exercise at least 4x weekly to
promote better circulation to your feet and bones.
• Try to avoid all caffeine, soft drinks,
alcohol and tobacco.
• Take 1/2 tsp. of a tested,
certified pure cod liver oil every morning, to provide vitamin D.
• Take calcium citrate providing 600mg to 1200
mg per day of elemental calcium.
• Take a multivitamin/mineral pill daily
• Take a total of 400 to 800 mg daily of
magnesium and 3 to 5mg daily of boron (as sodium tetraborate).
In my last
column on bone health I emphasized a broader view: that the elasticity and
flexibility of the living protein fiber framework of
a bone is much more important than its calcium content
in
protecting our bones from fractures. DEXA bone mineral density scans are
commonly prescribed by doctors to assess one's risk of fractures and to
diagnose a mild (osteopenia) or moderate
(osteoporosis) low-calcium status of one's bones. However, in an excellent
article on bone health in the winter 2003 issue of LILIPOH, Clinton Greenstone,
M.D. stated, "Actually, these [bone density] tests alone don't predict
fracture rates or show true bone strength in the overwhelming majority of patients."
Dr. Greenstone further explained that bisphosphonate
drugs like Fosamax
cause
slight increases in bone density and a slight lowering of the fracture rate
only for about two years and that "after five or six years the fracture
rates increase because the bone formed while
on these
medications is actually weaker."
In the
narrow focus on calcium that dominates most media stories on bone health today,
we are seldom told that the first step in building strong, resilient bone is
the laying down of a dense, elastic and well-structured living protein fiber framework, or bone matrix. The second step is the
attachment of calcium phosphate mineral crystals to the protein fiber framework, i.e. the protein fibers
become calcified. A tightly woven protein fiber
matrix will attract more calcium to a developing bone and result in a stronger
and denser bone than the bone formed from a loosely woven protein fiber matrix. This explains why osteoporosis never results
from calcium deficiency alone but rather from those factors which hinder the
formation of a tightly woven protein fiber matrix as
our bones continually remodel themselves throughout our lives. In the last
LILIPOH I said that the wise forces of life, growth and remodeling
in us are responsible for the strength and resilience of our bones, skin,
connective tissue and all the organs and tissues of our body. These wise forces
of life, or etheric forces, are our inner highly
skilled construction crew which builds the protein fiber
matrix of our bones and everything else in our body. Yet, these forces need the
direction of our "inner architect” to maintain our bones and our body in
good health throughout life.
Just as an
architect knows the materials needed for a building as well as the plans, our
inner architect knows exactly how much and what kind of foods are needed to
maintain strong bones and tissues. This inner architect is our inner
instinctive sense that humans and animals are born with, a “life sense: that
guides our food choices as our needs change throughout life. Animals in the
wild have a keen instinctual life sense which unerringly guides them to eat
what they need to maintain health lifelong.
We humans lose this function of our life sense after early childhood, so
that,
except
during pregnancy or illness or other special circumstances, we are left with
only our habitual likes and dislikes to guide our food choices.
Osteoporosis
and many other chronic conditions prevalent in developed nations owe their
existence to the sad fact that for most of us, our likes and dislikes in food
and lifestyle have little or nothing to do with what our bodies need to
maintain good health. This keeps doctors busy. The good news however, is that
we can educate our life sense to begin wanting the foods that we
actually
need, if we're willing to make the effort.
I find that
many of my patients don't eat enough vegetables, fruits or whole grains. Modern
research confirms that vegetables, leafy greens, and whole grains like oats,
rye and brown rice,
are rich
in the forces and nutrients needed by our inner construction crew, our etheric life forces, to build a strong protein fiber bone matrix and to calcify it into a sturdy yet
flexible bone.
Perhaps
surprisingly, countries with the highest dairy intake have the highest hip
fractures rates. In the Nurse's Health Study in 1980 of 761 women aged 34
through 59-years-old who had never
used calcium
supplements, the women who drank two or more glasses of milk per day had a 45%
increased risk of hip fracture compared to women consuming one glass or less
per week.
Many of the
causes of osteoporosis mentioned in my last column, such as tobacco use and
excessive intake of protein, (including dairy), caffeine, alcohol, sugar,
processed foods and soft drinks have in common an acid-forming effect in the
body. An acidic inner environment is also created by stress, nervousness,
exhaustion, excessive exercise and by an overactive thyroid gland.
All of
these factors increase the tendency to osteoporosis by depleting our vital etheric forces. When our life forces are strong and our
stress is low, our inner environment becomes alkaline
and we
slow down and relax and become more cow-like in our behavior.
When the hectic pace of life depletes our etheric
forces, then our inner condition is acid and, if we have not yet
reached
the stage of exhaustion, we are tense, nervous, irritable, and generally
bird-like in our behavior. Many of our modern
illnesses, including osteoporosis, stem from dietary and lifestyle influences
that speed us up, make us inwardly acid and brittle and deplete our etheric vitality.
In the
natural world, cows are the epitome of strong etheric
life forces; that's why they are considered holy in
linked to
our prevailing high-stress, accelerated, bird-like lifestyle. So the bottom
line is: to have strong bones, be bovine, not aquiline!
ZEIT ONLINE
Gesundheit
Stimmt's? Knochenbruch
"Sind Knochen nach einem Bruch stärker als
vorher?"…fragt Christoph Bathelt aus Mainz.
Wir stellen uns die Knochen unseres Körpers ja oft als starres, totes Material vor. Aber das sind sie mitnichten – im Knochen findet ein ständiger Auf- und Abbau von Zellen statt.
Zwar verläuft dieser Prozess mit zunehmendem Alter langsamer, aber selbst bei einem sehr alten Menschen bestehen die Knochen aus Material, das nicht älter als 20 Jahre ist. Und so ist auch
die Stärke der Knochen variabel:
Ein Knochen, den man stark belastet, wird stärker, und ein
unbelasteter Knochen bildet sich zurück – deshalb leiden Astronauten in der
Schwerelosigkeit des Weltalls nicht nur unter Muskel-, sondern auch unter Knochenschwund.
Außerdem werden die Knochen von vielen Blutgefäßen durchzogen. Bricht ein Knochen unter Belastung, dann entsteht an der Bruchstelle zunächst ein großer Bluterguss. Dieses Hämatom ist das Signal für den Körper, mit der Reparaturarbeit zu beginnen. An der Stelle der Fraktur bauen die sogenannten Osteoblasten (so heißen die Zellen, die für die Knochenbildung zuständig sind)
neues Material auf.
Während man zum Beispiel den gebrochenen Arm im Gips trägt,
wird der Knochen an der Stelle des Bruchs zunächst einmal dicker als vorher,
während das alte Knochenmaterial rechts und links
davon aufgrund mangelnder Belastung eher schwächer wird. In dieser
Reparaturphase könnte man also tatsächlich behaupten, dass der Knochen an der
Bruchstelle stärker ist.
Dabei bleibt es aber nicht. Denn Zellen einer anderen Sorte, die sogenannten Osteoklasten, bauen überschüssiges Material wieder ab. Sie bedienen sich dazu einer starken Säure. Das Resultat
ihrer Feinarbeit ist ein völlig intakter Knochen, dessen Bruchgeschichte hinterher nur noch ein Fachmann zu erkennen vermag. Die Stelle der Fraktur ist dann nicht schwächer – sie ist aber auch nicht stärker als vor dem Unfall.
Vorwort/Suchen Zeichen/Abkürzungen Impressum