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Archive for June, 2014

24% of men over 50 will suffer a fracture due to Clinical Osteoporosis.  More than 3/4 of them will have a DXA score of “osteopenia” or “normal”.  DXA is not the whole story.

This is a graphic of those lucky men who will not fracture (O), and those men who will fracture (X) without treatment for their bone health:

OOOXOOOOXOOOXOXOOXOOOOOXOOOXOOXXOOOXOOOOXOOO  OXOOOOXOOOXOOOOXOOOXOXOOOXOOOOXOOOXOOOXOOOOX  OOXOOOXOOOOXOOOXOOOOXOOOXOOOOXOOOXOOOOXOOOXO  XOOOXOOOOXOOOXOOOOOXOOOXOOXOOOOXOOOXOOOOXOOX  OOOXOOOOXOOXOOOXOOOXOOOOXOOOXOOOXOOOOOXOOXOO  XOOOXOOXOOOOXOOOXOOOOXOOOOXOOOXOOOXOOXOOOXOO  OXOOOXOOOXOOOXOOOXOOXOOOXOOOXOOOXOOOXOOOXOOO  OOOXXOOOXOOOXOOXOOOOOXOOOOXOOXOOOOXXOOOXOOOO  OXOOOXOOOOXOOOXOOOXOOOOXOOOOXOOOXOOOOXXOOOOX  XOOOXOOXOOOXOOOOXOOOXOOOOXOOOXOOOXOOOXOOOXOO  OXOOOXOOOXOOOXOOOXOOOXOOOXOOOOXOOOXOXOOOOOOX  OOXOOOXOOOXOXOOOXOOOXOOOXOOOXOOOXOOOXOOOXOOO  OXOOOXOOOXOOOXOOOXOOXOOXOOOOXOOOOOXOOOXOOOXO  OOXOOOOXOOOXOOOXOOOXOOXOOOXOOOXOXOOOXOOOXOOO  XOOOXOOOXOOOXOOOOXOOOXOOOXOOOXOOOXOOOXOOOOOX  OOOXOOOXOOOXOOOXOOOXOOOXOOOXOOOXOOOXOOOXOOXO  OXOOXOOOOXOOOXOOOXOOOXOOOXOOOXOOOXOOOOXOOOOX  OOOXOOOOXOOXOOXOOOXOOOOXOOOXOOOOXOOOXOOOOXOO  XOOOOXOOOXOOOXOOOXOOOXOOOXOOOXOOOOOXOOOXOOOX   XOOOOOXOOOOXOOOXXOOOXOOXOOOXOOOXOOOOOXOOOXOO  OXOOXOOOOXOOOOXOOOXOOXOOOOXOOOXOOOXOOOXXOOOO  OOXOOOXOOOXOOOXOOOOXOOOXOOOOXOOOXOOOXOOOXOXO  XOOOOXOOOXOOOXOOOXOOOOXOOOOXOOOOOXOXOOOXOOOO  OOXXOOOXOOOXOOOOOXOOOXOOOXOOXOOOXOOOOOXOOOOX          XOOOOXOOXOOOXOOOOOOX

Fractures are not fun!  This could be You.  We can prevent over 2/3 of those fractures with treatment.  Get a Complete Bone Health Evaluation to know your Fracture Risk.

Then Take Action to Prevent Fractures!

Jay Ginther, MD

50% of women over age 50 will suffer a fracture due to Clinical Osteoporosis.  More than 3/4 of them will have a DXA score of “osteopenia”.  DXA is not the whole story.

This is a graphic of those lucky women who will not fracture (O), and those women who will suffer a fracture (X) without treatment for their bone health:

OOXXOXOOOXXXOOXXOXOOOXXXOOXXOXOOXXOXOOOXXXOX  OOOXXXOXOOXXOXOOXXOOOXXXOOXXOXOXOOOXXXOXOOXX  OOOXXXOXOXOOXXOOXXOOXXOOOXXXOXOXOOOXXXOXOXOO  OXXXOOXXOOXXOOXXOOOXXXOXOXOXOXOOOXXXOOXXOOOX  XXOXOXOOOXXXOXOXOOXXOOXXOOOXXXOXOOXXOOXXOXOX  OXOOXXOOOXXXOOXXOOXXOOXXOXOXOOXXOOXXOOOXXXOO  OXXXOOXXOOXXOXOXOXOXOOOXXXOOOXXXOXOXOXOXOOOX XXOOOXXXOOXXOOXXOOXXOOOXXXOOOXXXOXOXOOXXOOXX   OXOOOXXXOOOXXXOOXXOXOXOOXXOXOXOOXXOOOXXXOXOX   OOXXOXOOXXOXOOXXOXOOOXXXOOOOXXXXOXOXOOXXOOXX  OXOOOOXXXXOOXXOOOXXXOXOXOOOXXXOOOXXXOXOXOOOX  XXOOOOXXXXOXOXOOOOXXXXOXOXOOOOXXXXOOOXXXOXOX  OOXXOOXXOOXXOXOOOXXXOOOXXXOXOXOOOXXXOOXXOOOO  XXXXOXOXOOOOXXXXOXOXOOOXXXOOOOXXXXOOXXOOXXOO  XXOOXXOOOXXXOOOOXXXXOOXXOOXXOXOXOOOOXXXXOXOO  OOXXXXOXOOXXOOXXOOOOXXXXOXOOOOXXXXOOXXOOXXOO  OXXXOOOXXXOOXXOXOXOXOOOOXXXXOXOOXXOOXXOOOOXX  XXOOOXXXOXOXOOXXOOXXOXOXOOOOXXXXOOXXOOXXOOOX  XXOXOXOOOOXXXXOOOXXXOOXXOOXXOOXXOOXXOOXXOOXX   OOXXOXOXOOOOXXXXOOXXOOOOXXXXOOXXOOOOXXXXOOOX  XXOOOXXXOXOXOOXXOOXXOOOOXXXXOOOXXXOXOOOXXXOO  XXOOOOXXXXOOOOXXXXOXOXOOXXOOXXOOOOOXXXXXOOXX   OOXXOOOXXXOOOXXXOOOOXX XXOXOXOOXXOOOXXXOOXX

That is scary!  We can prevent over 2/3 of those fractures with treatment.  Get a Complete Bone Health Evaluation to know your Fracture Risk.

Then Take Action to Prevent Fractures!

Jay Ginther, MD

 

 

Atypical Fracture of the Femur (AFF) and OsteoNecrosis of the Jaw (ONJ) are rare complications of Untreated Osteoporosis.  They also occcur rarely in patients treated with long term Antiresorptives including: Fosamax, Boniva, Actonel, Allendronate, Ibandronate, Atelvia, Reclast, and Prolia, at a higher, but still very low, rate.  Neither has been reported in Evista.  Forteo is commonly used as a treatment for AFF and ONJ.

AFF and ONJ are rare even in patients treated for Osteoporosis with Antiresorptive medications.  Rates are estimated at between 1 in 1,000 and 1 in 10,000.  Let’s label AFF (X),  ONJ (Z), and patients with neither (O).  Here is a graphic representation, if the worst case estimate is correct:

OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOXOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOZOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

These are very rare problems, even in patients on Antiresorptive Osteoporosis Medications for over 5 years.  Fractures from Osteoporosis in patients Not taking Medications are much more common.  See the Graphics for women and men.

Jay Ginther, MD

“Baby-Boomers” Should Check Their Bones

June 6, 2014 @ 6:26 am
posted by Dr Ginther

A patient had no idea why her doc sent her to me for a Complete Bone Health Evaluation.  As a “baby-boomer”, she lives by the motto: “You are only as old as you choose to be.”  And she chooses to remain young.  If only it were possible…..

“I can’t have Osteoporosis.  I used to drink milk.  I am active and I plan to stay active!!!  So I just can’t have Osteoporosis!”  Unfortunately, she does have Osteoporosis by BMD on her DXA, by the multiple Vertebral Fractures on VFA, and by FRAX.  Still, there are simple steps to rescue her Bone Health before she Fractures.