Archive for the ‘Bone Health’ Category
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.
Mothers give a lot to their children – even their bones! That is a hidden sacrifice, and a great gift. That is why it is important to maximize your Bone Health before becoming pregnant. During pregnancy and nursing, the baby comes first.
Pregnant and nursing Moms literally eat for two. The baby gets first priority for Calcium, Protein, Vitamins and Minerals. If the mother does not eat enough for both, she suffers. If the mother is already deficient, both suffer.
The Second Fracture can be prevented. How? Realize that your first fracture is a “Bone Attack” – a warning to start working on your Bone Health.
The National Osteoporosis Foundation (NOF) 2014 meeting focused on identifying first fractures and preventing second fractures. Someone who has fractured once is 2 to 5 times as likely to fracture (again) than a person who has not fractured. If DXA and T-score are in “normal” or “osteopenia” range, we have to look deeper. A Complete Bone Health Evaluation is often needed to find the issues that can be corrected.
Tomorrow I am at the 2014 National Osteoporosis Foundation meeting. Actually the name “National Prevent Fractures Organization” would better explain our goals. We don’t care about Osteoporosis as much as we care about Preventing Fractures.
DXA and T-score test results of “osteoporosis” only identify about 15% of the persons who will fracture. How can we identify those persons with “osteopenia” who will fracture? We use FRAX and Vertebral Fracture Assessment (VFA). My Poster # 18 tomorrow and Friday documents how adding VFA to DXA identifies additional persons at high risk for Fractures.