Healthy Bones - 9 July 2017
Healthy Bones - 9 July 2017
Healthy Bones - 9 July 2017
HEALTHY BONES
Structural integrity
We are told to maintain bone strength but few of us know
exactly why we have to. See inside to find out more about the
importance of strong bones.
2 Healthy Bones SUNDAY STAR, 9 JULY 2017
Growing pains
NATURAL height is widely accepted
to be unchangeable. Look a little
deeper, however, and one may
unearth the world of stature
adjustment that has been growing
and developing for more than half
a century.
Surgeons who perform stature
or limb-length adjustment
To kick-start
procedures are scattered sparsely regrowth, a
lengthening device is
throughout the world, many with
centres that offer long-term
residential aftercare quarters for
patients to stay in during their
implanted into a long
recovery term. bone and the bone
gently cracked in half,
While the cosmetic aspect of
the surgery has gained popularity
in the past decade, the usefulness
of bone lengthening and before being reset
reformation has not waned in the
field of reconstructive limb
a distance apart to
treatment. begin the lengthening
People suffering from length
discrepancy between limbs due to process.
congenital birth defects, scoliosis or
atrophied muscles can also benefit
from stature adjustment surgery.
A persons final stature and limb
length are naturally unalterable between the two halves and the The period between initial muscular atrophy from pull both halves apart.
after a certain period due to the whole bone eventually consolidates contact with surgeon and poliomyelitis, it was eventually To preserve integrity in a
fusing of their growth plates. into a homologous structure. consultation itself could take discovered that the healing patients overall skeletal structure,
These growth plates are located This basic principle is also used months to complete, depending potential of broken bone across a only long bones are suitable to be
at either end of each of their bones in stature adjustment to treat heavily on whether the surgeon tiny distance of separation could be lengthened.
and continue regenerating and complications resulting from deems an applicant suitable. used for limb lengthening and, Bones most commonly operated
lengthening bone until late leg length discrepancy where the consequently, stature lengthening. on for cosmetic procedures are
teenagehood or early adulthood,
when these growth plates ossify to
patients spine and joints are
subject to abnormal pressure from
Mechanics of limb Today, the Ilizarov apparatus is
used for both medical and cosmetic
the femur and tibia in the leg as
well as the humerus in the arm,
halt bone growth. uneven gait. lengthening limb-lengthening procedures. but medical procedures are
However, some arm-lengthening For cosmetic procedures, Different surgeons offer different performed on a wider range of
surgeries have been performed on interested patients are often Limb lengthening originated methods of limb lengthening. The bones depending on the affected
children with bone deformities required to answer a screening with a bone treatment device by ever-popular Ilizarov apparatus is area.
whose growth plates were still questionnaire before they are Russian orthopaedic surgeon one and others are newer, fully Patients seeking limb-
active. granted a consultation with the Gavriil Ilizarov. internal implanted lengthening lengthening surgery are advised to
To kick-start regrowth, a surgeon. The device, called the Ilizarov devices that come in the form of conduct extensive research and
lengthening device is implanted The screening helps surgeons apparatus, was monumental in the intramedullary nails such as gain expert medical opinion to
into a long bone and the bone ensure potential patients are treatment and healing process of Precice, Fitbone or Albizzia. make the most informed decision
gently cracked in half, before being serious about undergoing the broken bones and is still used The rods of these devices are they can before undergoing this
reset a distance apart to begin the procedure and are aware of risks today. inserted into the cavity of a long irreversible procedure.
lengthening process. associated with the procedure and Initially used to correct bone and the nails are anchored
New growth of bone forms its permanence. congenital limb abnormalities and to either end of the bone to slowly > TURN TO PAGE 4
SUNDAY STAR, 9 JULY 2017 Healthy Bones 3
the best
In healthy joints, bone ends are covered with optimal joint health.
a layer of tough but slippery tissue known as MSM is an organic sulphur-containing
Biogrow DPF High Vitamin D3 + Protein + cartilage. It acts as a cushion between the compound vital in maintaining and
Fiber Powder with cocoa flavour is specially bones. repairing connective tissue in the joints. Its
formulated to meet the nutritional needs of The inner membrane of synovial joints, anti-inflammatory properties are beneficial
known as synovial membrane, secretes to alleviate joint pain, stiffness and swelling.
growing children.
lubricating synovial fluid into the joint cavity Why let joint pain ruin your life when you
to reduce friction to the articular cartilage can fix it? Get relief, move freely and live a
THE Nutrition Survey of Malaysian Children strong bones and teeth during movement. fulfilling life without the pain of joint woes
(SEANUTS Malaysia) was carried out to l Magnesium promotes calcium However, factors such as ageing, repetitive today.
comprehensively assess the nutritional absorption and retention wear and tear, and forceful movements put
status of Malaysian children. It unveiled l Vitamin D helps the body utilise calcium an incredible amount of stress on your This informational article is brought to
some unexpected results almost half of the and phosphorus cartilage. Eventually, the cartilage between you by VitaHealth.
children are vitamin D-deficient. the joints breaks down and wears away,
The reasons for vitamin D deficiency could Biogrow DPF High Vitamin D3 + Protein + causing adjacent bones to rub against each n For more information, call 1800 183 288.
be low dietary intake of vitamin D and Fiber Powder with cocoa flavour is specially other.
calcium as well as lack of sun exposure formulated to meet the nutritional needs and The friction leads to aggravating pain,
among urban children. dietary requirements of growing children swelling and stiffness in the affected joints. Hyaluronic acid and methylsulfonylmethane
Vitamin D3 or cholecalciferol is formed in with the rich chocolatey taste they love. This condition is known as osteoarthritis. It (MSM) are the answer to optimal joint health.
the body when the skin synthesises sunlight One scoop ( 25g) of it provides more than develops gradually over the years and the
on its surface. Staying indoors most of the 27% of plant protein (from non-genetically symptoms tend to worsen over time.
time could lead to deficiency in this sunshine modified organisms soy and pea), with all A comprehensive joint-health formula
vitamin and a possible negative impact on nine essential amino acids, calcium, comprising hyaluronic acid (HA) and
bone growth. magnesium, vitamin D3 and soluble fibre methylsulfonylmethane (MSM) can give
Children should have a balance of dextrin. you the support you need to stay active in
dietary energy intake and regular physical It is a combination of plant protein and your golden years. It helps enhance joint
activities. To maximise height growth, fibre with additional bone and digestive mobility, keeping you moving flexibly and
achieving healthy muscles and bone health benefits. It contains soluble fibre comfortably.
structure is necessary through adequate (wheat-resistant dextrin) to promote regular Naturally occurring in synovial fluid, HA
intakes of protein, calcium and vitamin D3. bowel movement. Dextrose and malt lubricates and cushions the joints to
Histidine, leucine and lysine are three extracts are added as sources of instant reduce bone-to-bone friction. It also
specific essential amino acids required to energy for children and active individuals. helps absorb shock in joints during
produce growth hormones in the body. A In addition, it is dairy free, lactose free rapid movements. However, the level
combination of calcium, protein, vitamin D3 and suitable for all ages, including of HA tends to dwindle as you age,
and magnesium would produce higher bone vegetarians and adults leading active leaving your joints stiff and painful.
density and structure for optimal growth. lifestyles. Therefore, it is important to
These are the health claims allowed on consider taking oral supplementation
food products by the Health Ministry: n For more information, call 03-7956 2220 to replenish the diminishing supply of
l Protein is essential for growth and (Monday to Friday, 9am to 5pm), e-mail HA in the body. HA extracted from
development [email protected] or visit streptococcal fermentation is animal-
l Calcium aids in the development of www.fb.biogrow.com.my. free and has an optimal molecular weight
4 Healthy Bones SUNDAY STAR, 9 JULY 2017
Forewarned is forearmed
> FROM PAGE 2 of open wounds presents an increased risk
of diseases being passed on through blood or
Every body heals and reacts differently to bodily fluids.
changes. This holds true for any major l Age Tissue regeneration ability in the
Make no
bones about it
Protein for strength
PROTEIN is built from building that the body absorbs more calcium
blocks called amino acids. Good when the diet includes adequate
> FROM PREVIOUS PAGE protein contains all 20 amino acids, protein.
including the nine essential amino Biogrow HPF-5 is a blend of plant
For patients, the most important part of undergoing acids that our body cannot produce protein and digestive fibre,
limb-lengthening and stature adjustment procedures is to know and must obtain from dietary enhanced with nutrients for bone
exactly what they are signing up for, as listed in the infographic below. sources. health such as calcium, magnesium
Besides professional consultations and advice, interested patients can High consumption of animal and vitamin D3. It is suitable for all
seek more anecdotal information from people who have undergone protein could result in many ages.
the process through support groups, both online and offline. adverse health effects such as Replacing one or two servings of
osteoporosis and long-term risk of meat protein with plant protein can
1 developing diabetes.
According to a study published
make a big health difference.
Unlike dairy products, the high
Physical preparation
in The American Journal of Clinical protein-fibre powder contains no
2 Nutrition in 2006, poultry, fish and Biogrow HPF-5s high protein-fibre lactose and cholesterol, is low in
Potential patients should: shellfish as the main sources of powder provides your body with a saturated fats, and has lower risk
First contact with surgeon l Begin preparation up to dietary protein led to an increased good supply of plant protein, of being contaminated with
l Interested patients submit a year before they intend to risk of gout, while plant-based digestive fibre, calcium, magnesium antibiotics and growth hormones.
an enquiry to a limb- undergo limb lengthening proteins reduced the risk. and vitamin D3. Take one scoop of Biogrow
lengthening surgeon. l Maintain the body in an Animal protein contains a higher HPF-5 daily to obtain a high
active regenerative state to amount of acid-based amino A consistent supply of plant amount of plant protein, calcium,
ease bone growth process acids that can cause greater loss of protein along with sufficient magnesium and vitamin D3 for the
l Include weight- calcium through urine and a calcium and vitamin D in ones diet development of strong muscles,
3 Screening phase
bearing and flexibility bone-weakening effect. is important for the maintenance of bones and teeth.
exercises to improve Plant proteins such as soy and bone and muscle mass.
(at surgeons regeneration rate of
discretion) peas, on the other hand, can Studies have shown that people This article is brought to you by
soft tissue around the provide all the essential amino who meet their daily protein Legosan (Malaysia) Sdn Bhd.
l Patients are asked to bone acids packaged with plenty of requirements maintained
write essays on questions fibre and other phytonutrients their bone health compared to n For more information,
the surgeon has prepared,
which include matters such
4 when consumed in the right
combination.
those who eat less than the
recommended levels, as it is proven
call 03-7956 2220 or e-mail
[email protected].
as mental well-being, Consultation
physical health and reasons
they want to undergo limb l The surgeon listens to
lengthening. the patients needs and
l Only shortlisted sets a realistic target and
applicants are contacted by timeline for the
the surgeon for their first procedure.
consultations. l At this stage, if the
patient decides to go
through with the process,
5 the surgeon sets an
First surgery appointment for the
surgery from a few
l The surgeon implants the months up to a year into
limb-lengthening device. the future to allow the
patient time to prepare.
6
Lengthening phase (50 to 75 days)
7 8
Consolidation phase
(20 to 60 days) In case of complication
MAL15040024T
Natural remedy
for osteoarthritis
DID you know that you cannot prevent ingredients have been clinically tested to
osteoarthritis (OA)? provide relief from joint pain.
The ends of each of our bones are covered Pomegranate seed oil is rich in punicic
with cartilage that acts as a cushion between acid, ellagic acid, sterol, fatty acids and
the bones. polyunsaturated fatty acids (PUFAs) while
Over time, the cartilage breaks down and the fruit is a great source of anthocyanins
causes pain and swelling when the joints and hydrolysable tannins.
rub together. Excess weight and repetitive These components protect the cartilage
movements speed up wear and tear of the and help prevent the onset and severity of
cartilage. inflammatory arthritis.
Healthcare practitioners today are looking Green-lipped mussel extract relieves joint
at the pomegranate and green-lipped mussel inflammation that causes pain and stiffness.
to manage OA.
Both these ingredients are used in This article is brought to you by Vitraplus
Vitraplus J-Flex with Pomegranate and Green J-Flex with Pomegranate and Green Lipped
Lipped Mussel Extract Complex Softgel, the Mussel Extract Complex Softgel, the all-
all-natural remedy for relief from joint pain. natural remedy for relief from joint pain.
Each softgel contains 150mg of
pomegranate fruit extract, 100mg of n For more information, call AJ Research &
pomegranate seed oil and 100mg of green- Pharma Sdn Bhd at 03-2161 1585.
lipped mussel extract. These active KKLIU No.2243/2016
SUNDAY STAR, 9 JULY 2017 Healthy Bones 7
Maintain
bones is damaged. fatigue. It strengthens the muscles known as hyaluronic acid breaks
that support your joints. down. This is a supplement product
l Practise good posture Proper Loss of hyaluronic acid appears to advertisement.
posture protects your shoulder, hip contribute to joint pain and stiffness. KKLIU No.0320/2017
and knee joints. It is a substance that is naturally
l Eat for joint health Choose a present in the human body. It is
your
diet with calcium content, omega-3, found in the highest
MAL15065001NC
type II collagen peptides or concentrations in fluids in the
hyaluronic acid to protect your eyes and joints.
joints. Hyaluronic acid works by
acting as a cushion and lubricant
movement
Opceden Fortigen is formulated in the joints and other tissues. In
with type II collagen peptides, addition, it might affect the way
hyaluronic acid and vitamin C to the body responds to injury.
keep people physically active and Vitamin C is a water-soluble
mobile. vitamin. This means it is not
What is type II collagen? stored in your body and you
Cartilage is composed of a variety must consume adequate amounts
JOINTS are places in the body l Collagen Type II collagen
where two or more bones meet. represents the largest group of
A firm material called cartilage collagens in the cartilage. It
covers the end of each bone. helps to maintain the tensile
Cartilage acts as a cushion strength of the cartilage or
between bones and provides a resist stretching force on the
gliding surface for joint motion. cartilage.
Arthritis usually refers to any
joint pain or joint diseases. A combination of glucosamine
There are various types of and chondroitin is more
arthritis, including: effective in providing clinically
l Degenerative arthritis meaningful and sustaining
Also known as wear and tear analgaesia in knee OA.
joint disease, osteoarthritis (OA) Lifestyle modifications also
is the most common type of help to improve joint functions.
arthritis. It happens when the l Maintaining a healthy
cartilage breaks down and weight A person who is 4.53kg
bones start rubbing each other, (10 pounds) overweight has
causing pain, swelling and 18.1kg (40 pounds) of extra
stiffness. pressure on the knees. Besides
l Inflammatory arthritis causing extra pressure on
Inflammatory arthritis happens weight-bearing joints, excess fat
when the immune system that accumulates in the body
attacks the joints with could also release chemicals into
uncontrolled inflammation, the body that promote
potentially causing joint erosion. inflammation.
Rheumatoid arthritis (RA) and l Exercise Exercise can
psoriatic arthritis are examples help to increase flexibility,
of inflammatory arthritis. reduce joint pain and maintain
l Metabolic arthritis When a healthy weight, which helps
the body produces more uric to reduce stress on painful
acid than needed or the body joints.
cannot get rid of it quickly Some of the exercises that are
enough, the excess uric acid suitable for those facing arthritis
might build up and form needle- problems include walking,
like crystals in the joint. This will stretching and swimming.
result in sudden joint pain also Some people might feel pain
known as gout attack. when doing exercise. However,
do not stop exercising, just
There are some medicine that reduce the time and frequency
can be taken as arthritis slightly. Excluding exercise can
management: make the arthritis worse, which
l Glucosamine can then cause more pain.
Glucosamine is an amino sugar l Diet There is no specific
and prominent precursor in the diet that helps arthritis. Our
biochemical synthesis of joints thrive on the same healthy
glycosylated proteins and lipids, diet as other organs, requiring
including glycosaminoglycans plenty of fruits, vegetables,
(GAG). whole grains and oily fish.
Glucosamine acts as the For people having gout
cartilage building block in problem, they need to take
reducing friction between joints. control of their diet by avoiding
l Chondroitin Chondroitin alcohol and high-purine food.
is a molecule naturally found in
the body. It is a vital part of This article is brought to you
cartilage that cushions the joints, by BiO-LiFE Marketing Sdn Bhd.
maintains cartilage elasticity by
retaining water, and reduces the n For more information, call
activity of enzymes that break 03-7882 6419 or visit
down cartilage. www.biolife.com.my.
8 Healthy Bones SUNDAY STAR, 9 JULY 2017
development. The milk is also rich in many manufactured in New Zealand. and shipping, ensuring a safe, n For more information, call
Karihome goats milk contains added nutrients such as vitamin B. It undergoes strict quality checks nutritionally adequate product 03-5569 5405.