Atlas Osteopathy

6 June 2011

Epilepsy, anti-epileptic drugs and bone health

Long-term anti-epileptic medication can reduce vitamin D and weaken bone, increasing the risk of osteoporosis, osteomalacia and fractures. What to watch for and where osteopathy fits.

Epilepsy is defined as a tendency to have recurrent seizures caused by a sudden burst of excess electrical activity in the brain. This causes a temporary disruption in normal messaging between brain cells, with messages halting or becoming mixed up. Because the brain is responsible for all bodily function, the seizure experience varies widely depending on where in the brain the activity begins and how rapidly it spreads. This is why there are so many recognised seizure types.

Treatment

Epilepsy is usually treated with anti-epileptic drugs. These act on the brain to prevent seizures occurring, and are often successful. Where drugs have little or no effect, other techniques such as vagus nerve stimulation can be considered.

Why bone health matters

Long-term anti-epileptic drug use can reduce vitamin D levels in the body, leading to bone diseases such as osteoporosis and osteomalacia. Osteoporosis causes bones to become fragile and reduces bone density, increasing fracture risk. Osteomalacia softens the bones, causing muscle weakness and bone pain.

People with epilepsy have a higher than average risk of broken bones, with several compounding factors:

Where osteopathy fits

Osteopathy can play a supportive role in the management of epilepsy. A Russian study reported positive effects in 91.7% of participants following techniques including decompression of the spheno-basilar symphysis, membranous techniques and venous sinus techniques. If you suffer from epilepsy, osteoporosis or osteomalacia, or are unsure whether osteopathy can help, please get in touch.

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