New Info on How Stress Weakens Your Bones

This article is from our support group newsletter. Just wanted to share...

Keep Stress from Weakening Your Bones
by Woody McMahon

Stress and Your Bones
A high stress lifestyle has always been suspected as one of the contributing causes of osteoporosis and other major health problems. Continued high stress levels can also lead to depression or depressive behaviors. Now, recent studies have indicated people with major depression have a lower bone mass density compared to non-depressed individuals. Other studies have found that an
extended loss of social interactions and pleasurable activities may have an impact on bone density as well. In light of these findings, it is important to consider two important trends.

First, stress appears to be more important than once thought in the healthy functioning of your bones. Second, depression should be considered as another important risk factor for osteoporosis.

Definition of Depression
By definition, depression is a mental condition affecting your mood, thought
process and physical functioning. It is characterized by a range of negative
feelings such as sadness, loneliness, anger, despair, fatigue, and guilt as
well as loss of energy and low self-esteem. Depression may cause you to lose
interest in many aspects of life and no longer find pleasure in activities and
relationships. Depressive thoughts can cause physical changes in your body that
include various pain syndromes and other medical conditions.

The Chemical Cascade Affecting Bone
What is really happening inside your body as the result of high stress living
and how does it affect bones? Constant stress promotes an unhealthy
hormone shift increasing cortisol and reducing serotonin levels. Higher
cortisol levels increase total body inflammation decreasing calcium absorption
and increased calcium excretion. Osteoblasts (bone-building cells) are reduced
in number impairing the bones ability to renew which is essential to
maintaining normal bone density.

The Bone / Brain Connection
The depressed brain sends different signals to your internal organs and
bones than a healthy brain. The brain uses the sympathetic nervous system
to increase the secretion of a chemical compound called noradrenalin within
the bone. Noradrenalin literally has a depressive effect on the osteoblasts. The
interleukin-1 protein, which has been known for many years as a stimulator of
the immune system, increases the number and activity of osteoclastic cells
(bone break-down cells). Stress causes less bone to be created and more
bone to be destroyed resulting in osteoporosis.

Bone Balance Destroyed
Chronic stress can now be physiologically traced as a significant player in
the creation of osteoporotic bones. By reducing the ability of the osteoblasts
to form new bone and speeding the osteoclasts into bone breakdown, the
natural balance of bone growth and repair is altered. Effective osteoporosis
treatments must consider stress reduction so bone formation and repair
can return to normal.

Consider a New Direction for Your Healthy Bones
In light of these recent discoveries it's not enough to just discuss diet,
exercise, supplements and medication for the treatment of osteoporosis. The
research indicates that effective treatment programs for healthy bones must
include mechanisms to reduce the negative effects of stress on your body.
Reducing the negative effects of stress on your body helps the cells
responsible for healthy bones begin to function normally once again. In a
nutshell, the time spent promoting good mental wellbeing is as important as
that spent on good physical health.

Edited October 2, 2009 at 8:30 am

41 replies   

Okay, so I'm a year out of treatment for breast cancer, my husband is in treatment for cancer.
I was laid off in February, found and started a new job, and my 19-yr-old just totalled our paid-up car.
I'm trying meditation, but there's only so much you can do with stress!

Woody, this discussion has had so much support in my readings.

Let's explore the relevance of this to each of us. (I'm hearing you, "I can do this")

How many of us, diagnosed with osteoporosis and possibly other co-existing health conditions are feeling stressed?
Stressed because of uncertainty about what's going to happen.
Stressed because of feelings of vulnerability.
Stressed because it's so hard navigating a course to wellness when there is so much contradiction out there and a mass of information to absorb.
Stressed because our doctors are letting us down.
Stressed because we have to fend for ourselves because of a gap in knowledge and/or disinclination by doctors to help us explore the REASONS we have osteoporosis.
Stressed because we no longer know what to trust out there as far as medical information and research goes.

Stressed because of the changes we have to make to our "normal" way of living. These involve the people who are part of our lives. They have to adjust for us too.
Are you getting support? And are you able to support them?

Maybe you live alone and there's no support. There's no one to help in the daily jobs you can do less effectively but need to do in order to survive? Stressful.

Change is resisted in human behaviour. Why? Because it requires adjustment and adjustment to anything new takes us out of our comfort zones. Stress. But more than that. This is about our bodies. Here we are at our most vulnerable. Super stress.

Now add to this the normal daily stresses like those regarding financial security in these difficult times, problems guiding your kids through the hazards of life ( kids of any age, your kids are always your kids), maybe relationship problems, workplace issues and dilemmas.... the list is extensive.

Okay, can't believe there's anyone out there who can't tick off some of this list.

I guess the effects on us are going to depend on the severity of the stress, its duration and the way we deal with it.

How many of you are sleeping well? That's a good indication of stress levels I think. Are you waking around 3 or 4 in the morning with your mind racing or agonizing over worries? Can you feel your heart racing as it all feels too much?

What's to be done?

We've learnt that high stress and depression causes secretions in the body that have an adverse effect on bone density (simplified).

We NEED to promote good mental well being. How?

Well someone on this site is promoting guided imagery. When I first heard this term I thought it might be a bit 'airy fairy' but looking at it more carefully I can see that it could help.

I think it would require a form of mental discipline. The mind wants to agitate over its pain just as the tongue will always fuss over the chipped tooth! Getting the mind to give itself a rest would be beneficial.
Put guided imagery in the search bar.

Early hours of the morning stress. You are awake and it's 3 am. You are exhausted but can't sleep. If I am grappling with worries and need the sleep I tell myself, "now is not the time and this is not the place.You need the sleep to face the day."

So, I count from one to whatever it takes till I'm asleep. Mind can't be stimulated by solution seeking: it's numbed by monotony. Works every time.

Look again at Woody's discussion "Other studies have found that an
extended loss of social interactions and pleasurable activities may have an impact on bone density as well."

When I was at my worst with grief; and stress levels so high that I could literally feel the incredible pressure on the inside of my skull and when I couldn't swallow because there felt like there was a 'lump in my throat' - diagnosed as globulus hystericus ( the old cliches have a basis in fact, just like heartache when the heart really DOES ache).... when all of this was going on, the things that helped me were social interaction and doing things to take my mind away from the bottomless pit in front of me.

Get out among friends and chat. This is why this site helps so many. But it's good to chat about things other than the problems/traumas/trials as well. Give the mind a break. This helped me stay sane.
(globulus hystericus didn't mean I was hysterical !)

The other thing that was brilliant and I found this helped at the very worst time. Escapism. Go to the movies.You lose yourself in the world on the screen. The mind gets a break.

I'd love to hear of other strategies?

But before I finish, I'd like to say that YES there is something we must do re diet. I wrote about this under Nathji's discussion on tell tale signs of osteoporosis so I'll be brief. (And exercise too, because that relieves stress but that's another story to be explored)

If you are chronically stressed, or stressed continually, your body may be deficient in magnesium. When stressed the body's hormonal response causes an outpouring of magnesium from the cells into the plasma from where it is excreted into the urine. What minerals are ESSENTIAL for calcium metabolism? Magnesium is one of them. Without magnesium you will have osteoporosis.

Magnesium deficiency CAUSES increased levels of adrenaline which leads to anxiety/stress. There is a magnesium/stress cycle.

I said brief, but I should warn that lab tests for magnesium could be unreliable in indicating magnesium status because levels fluctuate according to the stress cycle.

According to Dr Galland,
"Your symptoms are a better guide. Muscle tension, spasm and twitching are the most characteristic symptoms of magnesium depletion, followed by palpitation and breathlessness. Irritability, fatigue, trouble falling asleep and hypersensitivity to loud noises are also common. The presence of migraine or tension headache, unexplained chest pain, strange sensations of the skin (like insects crawling) and abdominal pain or consti-pation are further indications of magnesium deficiency. If you are suffer from any of these symptoms, or if you are being treated for heart disease or high blood pressure, you may need a magnesium supplement."

There is another way but I have gone on too long again and patience will be lost.
This topic has so many interrelating threads all of deep significance and importance.

I have friends that are totally stressed out. Take antidepressents, and are all over weight.
They do not have Osteoporosis.

That said, my Friends that are thin, and not so stressed, do have Osteo.

I think stress cause's most illness. It lowers the imune stytem.

Have you ever noticed people that smoke, drink allot of alcohol, eat all the wrong foods, but they live for ever a healthy life? (they never cease to amaze me)
I notice those types of people , NOTHING bothers them, or there too drunk to care lol ...

Are there really any rules to why we have Osteoporosis. I do notice most of use are Thin.

In the real world, everyone has stress. Of course to different degrees.

Although I think a great De-stresser is Meditating.
I should to it more often!!!

April said just what I was thinking - how many stressed people do not have osteoporosis? Everything is not cause and effect. Two things can both be effects of one other cause. For example, if you knew that 80% of people who lived in one square mile in an area died every year, would you buy a house there? Then if you found out that square mile had a home for the terminally ill, would you buy a house there?
Stress, depression etc. and bad bones are both symptoms of hormone and chemical imbalances. There may not be cause and effect. On the other hand, depression and stress may cause these imbalances for all we know.

Aussielass & All, Belleruth Naperstek is a psychotherapist and is a nationally recognized innovator in the field of guilded imagery. You may be able to imagine how pleased I was when she accepted my invitation to register and participate on the community. We are all different in personality, and our ability to deal with what life throws our way. With an ideal reaction to the "fight or flight" stress, we do what we can to resolve the problems and our stress hormones return to normal. If we don't resolve the problem, the stress may lower the immune system and result in health conditions. I think it depends on how each of each response to stress. The fear, the worry, the concern are all thoughts in our own minds. There are many ways to reduce stress: meditation with slow breathing. Taking some breaks during the day or at night before sleep focusing on breathing. Yoga: corpse pose or mountain pose. A woman in yoga recently told me that life would be so wonderful if she could only stay in a yoga pose 24/7 because yoga was so relaxing for her. Unfortunatly, most of us can't give 24/7 to a yoga pose, but brief moments can also be very helpful. Getting enough sleep. Having a healthy nutritional plan; especially eliminating sugar. Enjoy pet time. Listening to relaxing music, relaxing cd, or guided imagery. Guided imagery may not work for everyone, but I am not one to be taken in easily. I'm not sure if it is Belleruth's word, voice, or background music, but I have used her guided imagery cd's for various reasons for many years and it's worked for me. Belleruth can much better explain how guided imagery works over time to change thought patterns, so I won't attempt an explanation. But it's not a promotion of guided imagery. Pick up any book on how to reduce stress and guided imagery will probably be mentioned. Guided imagery and visualization has been shown to promote healing and reduce anxiety. Stay in the moment and be mindful. Once the moment is gone, it is gone forever. Projecting ahead can be overwhelming. Set up boundaries and make what is important to you the priority. On airplanes, we are told to put our oxygen masks on first. Learn to say "no". Surround yourself with positive, upbeat people. If the community discussions make you more fearful or become overwhelming, please take a break. We are here to support; not add fuel to the fire. Aromatherapy is often helpful to reduce stress. Take a walk. Make a gratitude notebook. If nothing else, be grateful that you woke up this morning. Support is helpful; finding people that understand and will listen; no matter how many times the same story needs to be told. Finally, I feel we are all responsible for our own feelings and how we respond. It takes time and practice to replace the feelings that cause us distress, but if we learn to replace negative thoughts, which I think are patterns that we have learned and need to unlearn, the payoff will be a much less stressful life. Stress may be a part of our lives, but too much stress is unhealthy, so we must do what we can to reduce and minimize. The above is only my personal opinion and what I have learned over the years that have helped me during some very stressful times. Maybe one of my suggestions will be helpful. Sandi

I think you have to keep practicing meditation for a while before it starts to kick in. I went on a week long retreat and there's nothing like meditating 3 times a day to get you into the swing of it. Now I get up early every morning to meditate and treat it like taking medicine - ie I have to do it, it's not optional . After about two months of doing that, I feel much more grounded and on an even keel, and this comes from someone who used to experience massive mood swings and feel sick with stress. Have a look at Jonathan Kabat Zinn's books esp Full Catastrophe Living. I hesitate to say anything as cheesy as it changed my life, but I think it possibly has. Groups help - is there a mindfulness meditation group near you?

April, good point.

Stress doesn't always = osteoporosis.

What we do know for sure is that stress produces hormones and these hormones have a bad effect on our bone health. There is a lot of literature out there supporting this.

Why isn't this always the case? Maybe there are mitigating factors. Nothing to do with the human body is a simple one chain cause and effect I guess. So much interrelates.

Overweight people are less likely than thin people to get osteoporosis I read somewhere (and yes there ARE overweight people with osteo). One given reason was the weight bearing down on the bones. We know how weight bearing helps our bones improve.

Your thin non stressed friends may have PTH problems that lead to their Osteo for example. Or the fact that they are thin may indicate a lower bone density to begin with. We have only a certain amount of time in life to reach a good peak in bone mass.

Your friends who live life to the excess? I still think there's time for that to catch up with them. We are the authors of our own disease I read somewhere. Some bodies are more resilient than others, granted, but ill treatment leads to bad stuff in the long run especially if it continues!

There's a saying about being here for a good time not a long time.

Yes, stress does indeed lower the immune system if this article is to be believed. There's much supporting evidence.

http://mentalhealth.about.com/od/stress/a/stressimmune604.htm

Yes, I agree, everyone has stress. In some respects a certain amount of stress is good for you and the body responds in a positive way. It's the overload that's the problem. And not knowing ways of dealing with it. As Sandi says, it's in the mind. In other words, it's our own perceptions that are doing us in. We can alter those states by drawing on the positives in life and by all the other ways Sandi suggests.

Have heard meditation is good, agree there.

I think we all take stress in a different way.

I use to worry about my kids, now its my Grandkids (son is a single parent of 3 kids). My son is flying in his plane back from Vegas tomorrow. The weather is not so good, and I worry, he has to fly over the Sierra's!!!
He is having surgery on the 14th, I worry what they are going to find, and the recovery.
I have health problems etc.
I know allot of other people would laugh at this , but Its hard to let it go!!

I'am very smalled boned, thin.. Have always been healthy, and strong. Never drink in my life (tasted it and don't like it), do not smoke, do not drink coffee, or soda. read all food labels etc.
Since growing up in California, went to the beach all the time, so I got allot of sun. As a kid played out side, and exercised all the time..My thin friends did basicly the same as I did, and I have know them for Years..Now us thin Women have Osteo!!

I started meditating In the later 70's it was the thing to do lol.
I got my mantra and Meditated twice aday for more then a couple of years. It felt great, it was calming etc.. Then I noticed, I would get buzy with my kids, and miss it one time, then start again, and life changes, and some how I wasn't meditiate anymore! .
Then in 98 I started taking Reiki. (Reiki is energy healing)
I trufully have seem some miracles happen giving Reiki to my self, Hubby, and others.
I'm not saying its a cure all , at all, but it does help.
When I do Reiki, my hands get so hot, I have to move them around!
Then life gets busy again, and I have not done it in awhile!

After hearing all the postives about Meditating again, I'm going to start being more Pro-active, and make it one of my priorities.
It does take time to quite your mind, and get back into it, but once I start, I'll notice how much better my life is. Its worth the time, and I look forward to it.
I'm going to do Reiki again, and volunteer my time for others, as I use too.

Well this has been an eye opener for me.
I appreciate the good feedback from everyone here:-)

Happy Meditating,
April
P.s. I hope I didn't give you more info on me then you wanted to know lol..

DBM,

That's a great analogy to use and one certainly to think about. I would like to respond to your post in more detail when I return from a trip on Sunday night. Till then I am really rushed! So much yet to complete!

Sandi,

There is so much there you have given us! All crammed into those words. I have printed it out for myself because I know I will refer back to it and come back to ask questions. Till then I must run. I will be away till Sunday. Probably Monday before I can get back to this. Thank you so much for the effort you put into this. Sure it will be a great help to those who read it carefully.

April, speaking for myself, I enjoyed what you had to say and no, definitely not too much about yourself. These posts, opening windows to each other are a great help.

If you look for them, sometimes you can find a Meditation Group (meetup groups) online or look for a Wellness Center or something similar, near you & some of them will have Meditations scheduled.
I like going somewhere else (besides home) to Meditate because this really gets my mind off things that I worry about - because I am both physically & mentally "somewhere else".

Thanks AussieLass :-)

Petplant,
That is a great Idea, and I use to meditate with a group.
Personally, I feel more comfortable at home by myself, why I still can't figure out, but your idea is a great idea, and the feeling in a room full of meditaters is always a great high, so to speak.

April

Hello eveyone, I'm new on this site so if i do or say anything wrong just let me know. I'm 44, just diangnosed with osteoporosis, I have back pains, a pinches nerve for (3 months now) in left shoulder. Feel numb from my shouler to my two fingures on left hand. Its scary, frustrating, cant' sit in a straight position, my back is always hunced over. I need help, info on this thing. Doc says i'm at highest risk for fractures. Dont't know what to do

Hi stychie:
It sounds like you have a couple of problems going on at the same time. I would be surprised at 44 if your shoulder and osteoporosis are related. For the shoulder and hand numbness I would see a good chiropractor and/or acupuncturist. I have had good luck personally and I refer my clients regularly.

It also sounds like you have not fractured yet which is a good sign. I am listing the recommendations that I give to my clients and support group members below.

There is a definite protocol for strengthening your bones. Osteoporosis is very much a lifestyle condition. Based on recent research it is a condition that is affected by both physical and mental factors. I recommend 5 important lifestyle changes for my clients who have been diagnosed with osteoporosis/osteopenia before they set off on medication unless their case is extreme.

These are:

1. A daily stress reduction program. This helps lower inflammation caused by high cortisol and homocysteine levels reducing calcium loss. Also normalizes bone building cells (osteoblast) function.
2. A diet that contains 50% fruits and vegetables. Fruits and veggies contain greater amounts of water and minerals with generally lesser amounts of
animal protein.
3. Adequate water intake for maximum hydration. Water is very important in helping the kidneys regulate pH and detoxify the body.
4. Year round vitamin D3 levels in the 50-80 ng/mL (or 125-200 nM/L).
This should be confirmed by 25-hydroxyvitamin D testing.
5. Sufficient weight bearing exercise to stimulate balance and muscle growth which is essential for bone strengthening determined

I also suggest Dr. Cannell’s site and recommendations for vitamin D that are top notch www.vitamindcouncil.org.
Dr. Lee’s book What Your Doctor May Not Tell You About Menopause http://www.johnleemd.com and
Dr. Holick has a great website and book called The UV Advantage. Worth a look http://www.uvadvantage.org
Gillian Sanson has a great book called The Myth of Osteoporosis. She presents some compelling reasons to pay less attention to DEXA scores and move to a healthier lifestyle. http://www.gilliansanson.com/

If you have further questions or if you want to join our osteoporosis support group please feel free to email me at bebonestrong@sequoiahealth.com.

Woody McMahon

Hi April:
Group meditation is a tricky thing. When in the meditative state we are more susceptible to other people's thoughts. Sitting in a group can make it very easy for other people's thoughts to become your thoughts. I prefer personally and recommend professionally meditation alone and at home or other quiet place.

Woody

Thanks Woody,
I agree. Maybe that is why I feel more comfortable Meditating in my home, or on my property (live on 9 ac, and a 1/4 mile of river) where its quite, peaceful, and nobody else is around me :-)

Take Care,
April

Hi Stychie,
Welcome..

Your young, and having Osteoporosis, has your Dr. checked to find out how your Thyroid is, how your Vitimin D-3 levals are, and your Calcium, Magnuesium etc. and all are?? those might be the cause for your Osteoporosis !

Has your Dr. talked to you about taking Vitimins, and some type of resistant exercises, going to a Physical Therapist?

I found going for Physical Therapy (P.T.) has made a big differents in the way I feel,. She showed me now to exercise, how to lift light weights, how to move my body. Build my inner core.
Also do not twist at the waist, or bend stright down etc. Walking is very good .

I'm not a Dr. but from what you said about your Numbness, it does not sound like Osteoporosis, but a pinched nerve problem!!
I think Woody said that also, and he certainly knows more then I do..

I know how it feels when you get your test results, and they say you have Osteoporosis.
I compressed a disc in my back, and then my Dr. sent me for a DEXA scan.
I have to say, I was depressed, and thinking , I can't do what use to do . You can, but be careful and you might do it a bit different.
I was told by my Dr. that my bones where like a 80 yr old, and I should start taking right away, Forteo, or Reclast. I did not do that, and I have had 4 accidents since then, and have not broken anything, Thank goodness. My two Drs. said to get a cleaning person in my house , as I should not be doing the heavy cleaning!
My mistake was, I stopped doing everything, but keep clean my house, and cooking.Our Holidays are coming up soon. I'm learning to ask my husband, and Grandkids for some help now, with the heavy vacuuming, and getting down and cleaning my baseboards etc.
Also my husband helps me change the linens on our bed now lol...Although my Hubby said, why don't you hire a cleaning lady . I should, but I just do most of it my self my way!.

There are many sites here you can click into , and find what others are doing for there Osteoporosis, and what works for them.

I notice my balance is not so good anymore, since I stopped everything , including Yoga.
One of the Women here mentioned about a "GoFit Core disk, that comes with a video. It helps built your inner core , and helps with balance, which is very important for all of us.
On www.amazon.com, you might want to check it out!
Also the book "The Myth of Osteoporosis.
You can find those all on Amazon, and the price is allot less then buying in the stores.

We also have Sara Meeks here, that is a Wonderful Physical Therapits, who has written a very informative book on Osteoporosis, and how to exercises the right way. Great tips in her book.

Take care, and I hope your feeling better,
April

Stychie I might add, that , Smoking, soda, red meat, sugar, bad fats, are not good for your bones.
But allot of Fresh Colorful Veggies, Fresh fruit, deep Alaskin Salmon, are good for you.

You might want go to www.google.com and put in some question there as to what is good for your bones, and what is not.
You will also find on Google, allot of people advertizing to sell you Stuff!!..Beware..

April

Beware is good advice. I would add asking community members about any products for sale in regard to bone loss before purchase.

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