Andrew Cozadd, PA-C – What the Practicing Chiropractor Needs to Know about Osteoporosis

Course Description

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Osteoporosis is the most common metabolic bone disease. It’s been estimated that 50% of women and 25% of men over age 50 will fracture due to osteoporosis during their lifetime. These injuries are associated with a downward spiral in health, disability, institutionalization, and markedly elevated mortality rates. As the designated musculoskeletal experts within the healthcare apparatus, it is incumbent upon Orthopedists and Chiropractors to have a working knowledge of osteoporosis so that we can encourage best practices among our patients while seeking to minimize any potential risks of our interventions. This session will explore the pathophysiology of osteoporosis, as well as provide an update on fracture risk assessment and osteoporosis treatment.

Learning Objectives:

1. Explain the pathophysiology of osteoporosis, including microscopic and macroscopic changes within bone tissue that contribute to bone frailty.
2. Provide an update on the available clinical tools for fracture risk assessment, including DXA, vertebral fracture analysis (VFA), trabecular bone score (TBS), and fracture risk calculators including FRAX.
3. Provide an evidence-based approach to osteoporosis prevention and treatment, including nutrition, exercise, and osteoporosis medications.

1.0 Regular Credits – Approved

Andrew Cozadd, PA-C took a convoluted path into the world of metabolic bone disease-starting his career in orthopedics before discovering his passion for bone health. He currently heads the bone health clinic at TRIA orthopedics, which has clinical sites throughout the Twin Cities Metro (including Maple Grove, St. Louis Park, Bloomington, Woodbury, and St. Paul.) His clinical interests including osteoporosis, fracture nonunion, functional hypothalamic amenorrhea in the female athlete, and surgical optimization prior to high risk orthopedic procedures including joint arthroplasty and spine fusion. His current research projects include evaluating the use of telemedicine to improve accessibility and outcomes in osteoporosis care, as well as an update on fracture risk assessment which is pending publication in the Journal of Bone and Joint Surgery.