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Dr. Taher Mahmud Featured in Clinical Dentistry Magazine

We are pleased to announce that Dr. Taher Mahmud, co-founder of the London Osteoporosis Clinic, has been featured in the January 2024 issue of Clinical Dentistry magazine. In his article, Dr. Mahmud delves into the complexities of osteonecrosis of the jaw (ONJ), discussing the risk factors, medical conditions leading to ONJ, and the role of medications, particularly bisphosphonates, in its development.

Dr. Mahmud highlights the importance of understanding the risk factors associated with ONJ, especially for patients undergoing dental procedures or cancer treatments with intravenous bisphosphonates. He explains how these medications, while effective in managing osteoporosis and other conditions, may disrupt the bone’s natural healing processes, potentially leading to ONJ.

Key Points from the Article:

  • Invasive Dental Procedures: Dental extractions or implant placements can increase the risk of ONJ, particularly in patients on bisphosphonate therapy.
  • Bisphosphonate Medications: Drugs like alendronate (Fosamax), risedronate (Actonel and Atelvia), and others are linked to an elevated risk of ONJ due to their effects on bone healing and infection susceptibility.
  • Cancer Treatment: Higher doses of bisphosphonates for cancer patients significantly raise ONJ risk.
  • Age and Medical Conditions: Older individuals and those with conditions like diabetes are more susceptible to ONJ.

Dr. Mahmud’s insights provide valuable information for both healthcare providers and patients, emphasizing the need for careful evaluation and management of bisphosphonate use in patients undergoing invasive dental procedures.

 

Clinical Dentistry magazine pic

Recognizing Signs and Symptoms of ONJ

Early recognition of osteonecrosis of the jaw (ONJ) is crucial for effective management. Key signs and symptoms include:

  • Persistent Pain: Constant pain in the jaw or mouth.
  • Soft Tissue Swelling: Swelling around the affected area.
  • Drainage: Oozing from the site of ONJ, indicating infection or tissue breakdown.
  • Exposed Jawbone: Jawbone exposure due to inadequate gum coverage.
  • Bad Breath: Often linked to infection or tissue degradation.
  • Loose Teeth: Teeth may feel unstable due to jawbone compromise.
  • Signs of Infection: Redness, swelling, or pus on the gums.

Common Treatments for ONJ

Treatment typically involves conservative approaches:

  • Oral Rinses: Antiseptic rinses for hygiene and infection control.
  • Antibiotics: To manage or prevent infections.
  • Oral Analgesics: For pain relief.
  • Surgery: Generally avoided due to compromised bone healing.

The Role of a Rheumatologist

Rheumatologists are vital in managing ONJ risk, especially for patients on osteoporosis drugs or with underlying conditions. They provide specialized care and risk mitigation strategies.

Conclusion

Osteoporosis drugs, particularly bisphosphonates, significantly contribute to ONJ risk. Understanding and managing these risks are essential for optimal patient care and well-being.

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Q: Should I worry about my bones? A fall can result in an unexpected fragility fracture of the wrist or hip due to undiagnosed osteoporosis (brittle bones). 
Dr Taher Mahmud, a consultant rheumatologist at the London Osteoporosis Clinic, says anyone over 50 should talk to their GP about a DEXA (bone density) scan, especially if they have a family history of fractures.  A DEXA scan can determinethe extent of bone-density loss and guideYou can start immediately by doing the GOF/SticksandStones Bone Strength Test.

There are various resources at eOsteo.org, too.

As seen in the Daily Express

"Transforming My Osteoporosis Journey: A GP's Personal Triumph Over Symptoms"

Helen Leigh worked as an NHS GP until severe, chronic pain forced her into bed rest.

By DIANA BUNTAJOVA
PUBLISHED: 11:16, Mon, Nov 13, 2023 | UPDATED: 13:35, Tue, Nov 13, 2023

Helen Leigh’s journey reflects a challenging experience with joint hypermobility and osteoporosis. Here’s a summary of her story:

Helen Leigh first noticed issues during her pregnancy at 31, experiencing back pain that had intermittently troubled her for a decade. However, it was only at 42, after a skiing injury, that her health began to deteriorate rapidly. The pain in her knees made exercise impossible, leading to overall weakness in her body over the next three years.

As a doctor herself, Helen sought answers from around 12 specialists, but her symptoms persisted and worsened. She developed shoulder and neck pain, terrible headaches, migraines, and back pain, rendering her unable to work. Eventually, she became dependent on a wheelchair.

After several years of searching, Helen received a diagnosis of joint hypermobility. Although not severe enough for extreme flexibility like doing splits, essential joints lacked stability due to loose ligaments, exacerbated by three years of inactivity.

Unfortunately, immobility led to osteoporosis, a condition diagnosed in her early 50s. Fearful of fractures, Helen sought treatment from Dr. Taher Mahmud, who prescribed Teriparatide, a drug not typically offered on the NHS for less severe cases. The treatment involved a combination of medication, a healthy diet, and exposure to sunlight.

Over the following year, Helen experienced significant improvement. She became less dependent on the wheelchair, and her bone density readings increased remarkably. Dr. Mahmud emphasized the importance of lifestyle modifications, dietary changes, and exercises to halt bone loss and potentially increase bone density.

Helen expressed gratitude for the treatment, stating that it has made a substantial difference in her life. She can now enjoy spending time with friends and family, engaging in hobbies and crafts, thereby improving her overall quality of life.

As seen in the Daily Express

Osteoporosis cure? Woman reveals THIS treatment has REVERSED her symptoms

OSTEOPOROSIS is a condition which causes the bones to decrease in density – which puts people at greater risk of bone fractures and falls.

By OLIVIA LERCHE
PUBLISHED: 14:29, Tue, Sep 5, 2017 | UPDATED: 14:37, Tue, Sep 5, 2017

Osteoporosis reversed: Height loss is a symptom of the condition

Although a fracture is the first sign of osteoporosis, some older people develop the characteristic stooped – bent forward –  posture, which can cause people to lose height.Height is lost as the bone crumbles and vertebrae collapses, and the chest and abdomen capacity decreases, sometimes resulting in difficulty breathing as the ribs end up touching the pelvic bone. When the bones in the spine have fractured, it can be difficult to support the weight of the body. However, now a London-based clinic has revealed that a treatment programme can reverse some of the height lost through the common age-related bone disorder. The London Osteoporosis Clinic uses a combination of drug-therapy, non-drug treatments and lifestyle approaches to help patients.
Osteoporosis reversed: Anne Torry has hailed the treatment

Anne Torry, a 75-year-old bookkeeper, said her height increased by 3cm following treatment at the clinic.“Unbeknownst to me, I actually managed to fracture two discs in my back getting out of the car in a hurry one day; after dealing with the discomfort and niggling pain for a while, my GP organised an x-ray which showed the fractures,” said Anne.“It came as somewhat of a surprise, particularly when my GP suggested that I may have osteoporosis.“I waited patiently for the results, not for a minute thinking that they would be positive.“I was again taken aback when I was told that the fractures were due to osteoporosis and that I would benefit from undergoing treatment.”Anne is among a number of patients at London Osteoporosis Clinic whose treatment programme included the parathyroid hormone Teriparatide, one of the only drugs that can not onlyslow down the progression of osteoporosis, but also help to grow new bone. Anne’s bone density is showing an improvement of over 10 per cent per year since starting treatment.

Symptoms of debilitating bone disease osteoporosis explained

My GP referred me to the London Osteoporosis Clinic, and I met with Dr Taher Mahmud,” she said. “From the outset, he reassured me and was certain that he could help me.“Even so, when I discovered that I had regained the three centimetres in height that I’d lost to osteoporosis, I was amazed. It was the last thing I was expecting.“My day to day life has improved through the treatment programme, and I am now able to live a reasonably comfortable life, managing jobs that may before have been a little more difficult.“The biggest surprise, however, was definitely the increase in my height!”Following a consultation with Dr Mahmud, a diagnosis will be made by examining the results of a bone density (DEXA) scan. Depending on the stage and severity of osteoporosis, a treatment plan will be put in place, which can range from advice on lifestyle, such as giving up smoking and diet to several drug options, including an 18 to 24 month course of daily injections, prescribed to stimulate cells that create new bone, increasing bone density and replace height lost through the deterioration of bone.
Osteoporosis reversed: Height loss is a symptom of the condition
The clinic was co-founded by Dr Taher Mahmud whose mother had osteoporosis. Dr Mahmud co-founded London Osteoporosis Clinic with former General Medical Council president, Sir Graeme Catto.“Initially we thought that Anne’s increase in height was an anomaly; we didn’t expect it to be a regular occurrence in our patients,” said Dr Mahmud.“However, in the last week alone, I have seen three further patients who have gained between one and three centimetres in height over the course of one to six months.“My vision was to create a clinic that deals with osteoporosis holistically, and that intervenes early with regards to diagnosis and treatment of this potentially debilitating condition.”Dr Mahmud said more than 8 million osteoporotic fractures occur worldwide- which equates to one every three seconds.“It is not a well-known fact that osteoporosis can be reversed, bone density can be increased, height can be restored and life can go on.”

Pathways to Health: Building Stronger Bones

Preventing Osteoporosis with Dr. Taher Mahmud

The silent progression of osteoporosis can be halted. Dr. Taher Mahmud of the London Osteoporosis Clinic emphasizes early action. The LOC BoneRevive Programme he advocates not only promises improved bone density by ten percent each year but also freedom from ongoing treatment costs. This proactive approach aligns with a healthier, more resilient future.

Quick Health Tip: Cold Showers for Enhanced Vitality
A surprising health hack: cold showers can increase brown fat, the body’s energy powerhouse, aiding in longevity. This easy lifestyle tweak is a refreshing step toward sustaining long-term well-being.

As we navigate health challenges, integrating medical guidance with simple lifestyle changes can lead to substantial benefits for our overall health.

Strengthening Bones: Insight from Dr. Taher Mahmud

Featured in ‘Osteoporosis: The Silent Issue
Dr. Taher Mahmud of the London Osteoporosis Clinic is spotlighted in an insightful piece on bone health, underscoring the often-overlooked condition of osteoporosis. His expertise, featured in the informative magazine article, stresses early intervention to prevent the condition’s progression and the serious fractures it can cause.

Preventative Measures Are Key
With strategic lifestyle changes and a focus on nutrition, Dr. Mahmud champions a preemptive strike against osteoporosis. The London Osteoporosis Clinic serves as a pivotal ally in this cause, providing patients with the knowledge and care needed to ensure stronger bones for a healthier tomorrow.

Highlighted in the publication, Dr. Mahmud’s approach to battling osteoporosis is a testament to the clinic’s commitment to advancing bone health and patient education.

Free DEXA Scans: London Osteoporosis Clinic’s Initiative

Promoting Early Detection
Dr. Taher Mahmud‘s London Osteoporosis Clinic offers FREE DEXA scans through Nuffield Health to spot osteoporosis early. Emphasizing prevention, the clinic advocates for nutrition, exercise, and lifestyle awareness in maintaining bone health.

Accessible Expertise
Featured in ‘Osteoporosis: The Silent Issue’, the clinic makes expert care widely available, aiming to reduce the impact of this silent condition.

Education is Key in Osteoporosis Awareness

Essential Awareness and Action
Dr. Taher Mahmud from the London Osteoporosis Clinic stresses the importance of osteoporosis education. With only 25% of the UK population aware of their condition, the need for increased awareness and early detection is critical.

Streamlining Care and Treatment
The clinic’s initiative promotes comprehensive care, advocating for better patient education and the use of social media to reach wider audiences. The goal is clear: to better manage osteoporosis and significantly reduce the risk of fractures.

A Multifaceted Effort for Health
Endorsed by Dr. Mahmud, the London Osteoporosis Clinic‘s approach is to combine expert care with public and clinician education, striving for a future where osteoporosis is no longer a silent threat.

The Battle Against Bone Loss: Dr. Taher Mahmud's Crusade

Dr. Taher Mahmud: A Leader in Osteoporosis Care

Dr. Taher Mahmud, co-founder of the London Osteoporosis Clinic (LOC), stands out in the fight against osteoporosis. With a focus on innovation and holistic care, he leads the LOC to advance treatments and awareness of this silent condition.

A Surge in Osteoporosis Awareness

Thanks to efforts by the LOC and experts like Dr. Mahmud, awareness of osteoporosis is on the rise. The clinic’s advocacy is instrumental in shedding light on the condition, signaling a positive shift toward better bone health.

The LOC’s Mission and Hope

The London Osteoporosis Clinic campaigns against the tide of osteoporosis-related fractures. Their mission? To unite various stakeholders in a collaborative effort to address and manage osteoporosis, ultimately aiming for a future where reversing the disease is a reality. Dr. Mahmud‘s work at the LOC embodies the promise of stronger bones for all.

Leading Osteoporosis Care: Dr. Mahmud & LOC

Expertise Meets Compassion

At London Osteoporosis Clinic, Dr. Taher Mahmud and team offer top-tier care, championing innovative treatments for osteoporosis.

Vision & Impact

With a vision to end osteoporosis suffering, LOC donates to their foundation for every patient seen, embodying their mission of collaborative care.

Easy Access

Patients enjoy direct access to LOC’s services, ensuring swift and effective treatment without the need for GP referrals.

Trusted By Patients

Endorsed by those they’ve helped, like Mr. Khatri, LOC is recognized for significantly improving joint health and quality of life.

Prevent Bone Fractures with LOC

Combatting Osteoporosis

Osteoporosis impacts millions, increasing fracture risks. The London Osteoporosis Clinic (LOC) is dedicated to early diagnosis, treatment, and prevention, tackling osteoporosis head-on.

Special Offer

LOC is offering complimentary DEXA scans to new patients, aiding in the early detection and management of bone health.

Join the Fight Against Fractures

Are you over 50 or concerned about osteoporosis? Visit LOC for a comprehensive assessment and to join the movement towards better bone health.

Dispelling Myths: Ibuprofen & COVID-19

In times of uncertainty, misconceptions can lead to unexpected behaviors. Recently, concerns over ibuprofen exacerbating COVID-19 symptoms have led some patients to unconventional remedies, such as using industrial lubricant WD-40 for joint pain. Fiona MacRae reports on the critical issue that has arisen from mixed messages during the pandemic.

Arthritis sufferers, in particular, have felt the brunt of confusion, with some avoiding ibuprofen due to fears—unfounded as pharmacists warn—of worsening their condition if contracted with the coronavirus. As professionals clarify, this NSAID, commonly used for its anti-inflammatory properties, does not increase the risks associated with COVID-19 as previously speculated.

Stay Informed, Stay Safe

As we navigate through the maze of health information, it is vital to rely on trusted medical advice and avoid unverified treatments. Ibuprofen remains a staple in managing pain and inflammation for many, and as always, consult your healthcare provider for guidance on medication during these challenging times.

Innovative Pain Management: Dr. Houssien's Approach

Revolutionizing Therapy

Dr. Dhiya Houssien is transforming pain management by integrating Low Level Laser Acupuncture (LLLT) with traditional methods, offering patients significant relief with minimal complications.

Global Expertise

With a diverse educational background and positions in prestigious institutions worldwide, Dr. Houssien has cultivated unique methods that draw patients globally.

Accomplished Academic

Dr. Houssien’s contributions to rheumatology extend beyond the clinic to impactful research, publications, and educational efforts across various media platforms.

His commitment to offering efficient, non-invasive pain relief has reduced treatment times, exemplifying his patient-centric ethos and innovative spirit in rheumatology.