Archive for January, 2012
Daily 20 to 30 minutes of standing/walking type exercise helps to prevent fractures. Why? There are many benefits.
The researchers for the New England Journal of Medicine article about DXA counted only those few vertebral (spine) fractures that were recognized as fractures. Most vertebral fractures, especially in older women and in men, are mistaken for muscle pulls or arthritis.
Usually bones in the spine gradually crumble rather than suddenly crunch. These “silent” fractures count the same as (recognized) “clinical” fractures when calculating Future Fracture Risk and planning care. The researchers ignored this very important detail.
The New England Journal of Medicine has just published a study of DXA results. The researchers have interpreted the results as a reason to stop testing women with DXA. The study was only about DXA, and only about a special group of women who are unlike the vast majority of women.
DXA alone is a very poor way to test for “Clinical Osteoporosis” (High Risk of Fracture), especially in the women 67 and older who were the only ones studied. Even worse, the question asked in the study was how quickly the DXA score changed in the few women of that age who still have good DXA scores. That question is not even relevant to Fracture Risk.
First, my Aunt Henrietta Fell Really Hard when she tripped on a throw-rug. Next, her Bifocals tricked her coming in from the porch. Then, she slipped on the Ice that had All Melted Yesterday. Despite taking enough Adora Premium Chocolates Calcium and enough Vitamin D supplements, she added Fragility Fractures of both wrists and a shoulder to her prominant Kyphosis (hump-back) from multiple Vertebral Crunch Fractures.
Enough was enough. She decided to have no more fractures! She started the Anabolic, Forteo (Teriparatide). This is the one medication which primarily stimulates Osteoblast cells and will build new bone matrix. She said: “I guess I can do a shot every day.” But would it work? Unintentionally she put it to the test!