Bone Health and Wound Care

Bone Health

Bone Health

Bone health is considered a relatively new “field” in medicine. Bones at one time were considered to be static lumps of calcium – now we know they are living and dynamic structures that require care like all other parts of our body. For the bones in the body (the musculoskeletal system) to be healthy, there must be a balance between adequate and appropriate nutrition and activity. Often, at least one if not both of these aspects are deficient in our daily lives and our bones suffer for that. However, when our bones suffer, we also suffer – hip fractures, wrist fractures, shoulder fractures and spine-compression fractures are the most common fractures that occur as we get older. These fractures are often referred to as “insufficiency” fractures, because the fracture occurs due to the bone having an insufficient amount of calcium to withstand a fall. Osteoporosis is the name of the condition of the bone that has lost its density due to lack of calcium and other nutrients that are important for bone health. Osteoporosis is not reversible – once you have been diagnosed with osteoporosis you will always have bone whose density is below what is considered normal. The goal of the treatment of osteoporosis is preventative – we want to prevent the further loss of bone and also keep the other parts of the musculoskeletal system strong to prevent falls and injuries. As our practice begins to focus on this significant issue, discussions on bone health will become a normal part of our treatments and recommendations will be made for determining or monitoring bone density and available methods of treatment of osteoporosis.

Wound Care

Wound Care

The management of chronic wounds has two aspects – office based and surgical. Sometimes surgery is needed to help a wound begin to heal. Office care can then manage the healing process. Advances in wound care have been closely aligned with the better understanding of how wounds heal and with developments in the field of Regenerative Medicine. Dr. Bush is only one of two Orthopedic Surgeons in the state of North Carolina that is certified by the American Board of Wound Management for chronic wound care. Our practice has recently started seeing patients with chronic and difficult-to-heal wounds. Dr. Bush has the ability to treat wounds in the operating room if necessary and also provide the appropriate care for the wounds in the office setting. As we branch into this new part of our practice, we are happy that it is a service that we can now provide for our patients and for our community.

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