Does Drinking Fresh Milk Help with Osteoporosis and Joint Health? - Orthopedics

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Does drinking fresh milk help with bone health?


Recently, I visited an orthopedic doctor because I felt a strange sensation in my knee (a slight discomfort while walking).
After an X-ray, the doctor informed me that I have mild osteoporosis.
I am considering drinking fresh milk to supplement my calcium intake; however, I read online that the protein in milk may actually accelerate bone loss, although there are also claims that appropriate intake can aid in calcium absorption.
Which of these statements is correct? What is considered an appropriate intake? Additionally, the doctor mentioned that the cartilage in my knee is somewhat worn down.
What should I eat to help repair the cartilage? I apologize for having multiple questions.

Gu Zhi Shu Song Nan, 30~39 year old female. Ask Date: 2018/10/16

Dr. Ye Qingnian reply Orthopedics


A 34-year-old male is unlikely to have osteoporosis unless there are other metabolic or endocrine disorders involved.
Some people believe that milk is not a good source of calcium, but most still consider it an excellent calcium supplement.
To address cartilage wear, it is advisable to minimize activities such as climbing mountains and walking up stairs.
Additionally, performing leg raises to strengthen the quadriceps can help alleviate patellar chondromalacia and prevent arthritis.

Reply Date: 2018/10/16

More Info


Drinking fresh milk can indeed play a role in managing osteoporosis and supporting joint health, but it is essential to understand the nuances involved. Osteoporosis is a condition characterized by weakened bones, making them more susceptible to fractures. Calcium is a critical mineral for bone health, and milk is a well-known source of calcium. However, the relationship between milk consumption and bone health is complex and often debated.


Calcium and Bone Health
Calcium is vital for maintaining bone density and strength. The recommended daily intake of calcium for adults is about 1,000 mg, which can be achieved through various dietary sources, including dairy products like milk, yogurt, and cheese, as well as non-dairy sources such as leafy greens, nuts, and fortified foods. Drinking 1 to 2 cups of milk daily can help meet this requirement, but it is crucial not to overconsume, as excessive protein intake from milk and other sources may lead to increased calcium excretion through urine, potentially undermining bone health.


The Role of Protein
The concern that protein, particularly from dairy, may accelerate bone loss stems from the idea that high protein intake can lead to increased acid load in the body, which some believe may cause calcium to be leached from bones to neutralize this acidity. However, research has shown that adequate protein intake is essential for bone health, especially in older adults. It helps in maintaining muscle mass, which is crucial for supporting bones and preventing falls. Therefore, moderate consumption of milk can be beneficial, but it should be balanced with other dietary components.


Joint Health and Cartilage Repair
Regarding your knee joint health and the thinning of cartilage, it is essential to focus on a diet that supports joint health. While milk can provide calcium and protein, which are beneficial for overall bone health, specific nutrients are particularly important for cartilage repair and joint function:
1. Omega-3 Fatty Acids: Found in fatty fish (like salmon), flaxseeds, and walnuts, omega-3s have anti-inflammatory properties that can help reduce joint pain and stiffness.

2. Vitamin D: This vitamin is crucial for calcium absorption and bone health. It can be obtained from sunlight exposure, fatty fish, fortified foods, and supplements if necessary.

3. Glucosamine and Chondroitin: These supplements are often recommended for joint health and may help in maintaining cartilage integrity.

4. Antioxidants: Vitamins C and E, found in fruits and vegetables, can help combat oxidative stress in joints.

5. Hydration: Staying well-hydrated is essential for maintaining the viscosity of synovial fluid, which lubricates joints.


Recommendations
For your specific situation, it would be wise to incorporate a balanced diet rich in calcium, protein, omega-3 fatty acids, vitamins, and antioxidants. Drinking fresh milk can be part of this diet, but it should not be the sole source of calcium. Aim for 1 to 2 servings of dairy per day, complemented by other calcium-rich foods.

Additionally, consider engaging in low-impact exercises that strengthen the muscles around your knees without putting excessive strain on your joints. Activities like swimming, cycling, and resistance training can be beneficial.

Lastly, if you have concerns about osteoporosis or joint health, it is advisable to consult with a healthcare professional or a registered dietitian who can provide personalized recommendations based on your health status and dietary preferences. Regular check-ups and possibly a bone density test may also be warranted to monitor your bone health.

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