What Are STEROIDS and Orthopaedic implications?

Steroids are chemicals, often hormones, that the body produces naturally. They help the  organs, tissues, and cells do their jobs. Body need a healthy balance of them to grow and even to make babies. The two main types of steroids are " corticosteroids " and " anabolic-androgenic steroids" (or anabolics for short).Steroids used to treat disease are called "corticosteroids".

Steroid medicines are man-made but are similar to these natural hormones.

Steroids are available as tablets, soluble tablets, and liquids (solutions), creams, ointments, inhalers and injections.

Do steroids cause any side-effects?

A short course of steroids usually causes no side-effects. For example, a 1- to 2-week course is often prescribed to ease a severe attack of asthma. This is usually taken without any problems.

Side-effects are more likely to occur if a person take a long course of steroids (more than 2-3 months), or if person take short courses repeatedly.

"Corticosteroids" can degrade the bone health and increase the risk of fractures.  This occurs quite quickly and even with low doses.  It is estimated that up to 50% of patients using long term oral corticosteroids course will develop Osteoporosis or bone week bones and some may get bone fractures. 

After the covid-19 pandemic many people who have undergone treatments consumed a  lot amount of steroid. Overdosing in steroids leads to loss of bone ,lower bone density, easy fractures and irregular breaking of bones.Steroids have major effects on how the body uses calcium and vitamin D to build bones. When steroid medications are used in high doses, bone loss can happen rapidly.

Not all people who take steroid medications lose bone or lose bone at the same rate.

PREDNISOLONE was one of the most common steroid used in the treatment of COVID19 

Prednisolone is a corticosteroid, a type of medication that's very effective in managing inflammation in rheumatoid arthritis and many other conditions. Unfortunately, corticosteroids also can weaken bones and lead to osteoporosis .If someone taking prednisone for more than a few months then there will be other risk factors for bone loss.

People with past history of COVID are more likely to complaint about back pain, knee pain and ankle pain. 

Prevention of STEROIDS related complications
  • Eat a varied, nutrient-rich diet that includes plenty of fruits and vegetables.
  • Food rich in calcium and might be important supplements
  • Get the recommended amount of vitamin D.  This often requires taking a supplement.
  • Be physically active every day. These activities are good -: walking, recreational sports, and dancing.
  • Do not smoke.
  • Limit drinking alcohol.
  • Improve your strength and balance to prevent falls.
  • Make home safe from falls.
  • Apply principle of work simplification

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