Archive for the ‘Bone Health’ Category

Not Just DXA – Fracture Risk !!

February 22, 2015 @ 9:39 pm
posted by Dr Ginther

DXA is very good at determining Bone Mineral Density (BMD), provided you look at the images and over-read the computer.  DXA alone is less good at predicting Fracture Risk.  But, Fractures are what we want to avoid.

At the International Society for Clinical Densitometry (ISCD) meeting this week, we will discuss the other modalities, which supplement DXA to obtain greater accuracy.  Vertebral Fracture Assessment (VFA) helps evaluate bone quality.  FRAX was specifically designed to predict Fracture Risk.  QCT (Quantitative Computerized Tomography) has been added in recent years as an alternative to DXA.

ISCD will discuss adding  TBS (Trabecular Bone Score), Hip Structural Analysis, Hip Axis Length, and uses of Central CT.  We are constantly pushing toward our goal – Prevent Fractures.

Preventing Fractures is not just DXA.  Get a Complete Bone Health Evaluation.

Take Control of your future.  Check your bone health.

Jay Ginther, MD

Fractures Get No Respect

February 19, 2015 @ 10:04 pm
posted by Dr Ginther

Fractures get no respect.  20% of women and over 30% of men over 65 die within 6 months of a Hip Fracture.  But nobody is worried about hip fractures!

Hip Fracture is never mentioned on the death certificate.  The complications of the hip fracture get all the credit.  Pneumonia, pulmonary embolis (blood clots), worsening heart failure, kidney failure or even septicemia (infection in the blood stream) from bed sores might make the list, but not the initial event, the hip fracture.

Nearly 80% of Vertebral Fractures are mistaken for pulled muscles or arthritis in the back.  Yet vertebral collapse fractures are a strong indicator of death within the year in men and women.  Again, pneumonia, heart failure, respiratory failure (shortness of breath), malnutrition from inability to eat enough get the blame.  The vertebral fractures and resulting kyphosis (humpback) never get credit for the misery and death they cause.

More women die each year from complications of fractures than from breast cancer or stroke or heart attack.  Nobody seems to care, because the fracture itself is never blamed for the complications it causes.

If we identified the original fracture starting the rapid decline, we would be more concerned with bone health and fracture risk.  As it is we ignore fracture risk at our peril, especially as we get older like me (60’s).

Respect Fracture Risk.  Take Control of your future.

Jay Ginther, MD

Not Me !!!

January 31, 2015 @ 11:22 pm
posted by Dr Ginther

I often hear: “I do not have osteoporosis, but my friend…”  How are you certain that you do not have a bone health issue that could be improved upon?  By the simple belief of “not me !!!”  This I understand all too well after doing the same.

In bone health, the first sign of trouble is often a fracture, possibly a hip fracture, with a 20-30% chance of death.  This is not good.  In heart health, a rhythm problem, can lead to “V fib”, which often leads to death within minutes, unless you get to a defibrillator.  Also not good.

I now have a new 2-lead pacemaker with defibrilator.  I was completely unaware that my heart had become a ticking time bomb.  I was lucky to have a routine annual heart check-up scheduled.  Otherwise, my first warning could have been “V fib” with sudden death.  Really not good.

Once I realized I had a problem, I moved quickly to the solution – pacemeker defibrillator.  I wasted no time.  Now I am able to do all the things I want to – travel, grandchildren, etc.

You do not need to be as clueless as I was.  Take Control of your health. Check on your risks for diabetes, high blood pressure, heart disease, and bone health.  Then take action to correct problems.  Get a Complete Bone Health Evaluation as well as evaluation of the rest of your body.

Jay Ginther, MD

Choose Your Parents Carefully

January 6, 2015 @ 6:06 pm
posted by Dr Ginther

My father was born 4 January and my mother 5 January.  I pause to remember them at this time each year.

Your “choice of parents” is the key to many medical conditions.  You inherit many tendencies for better or worse.  I can trace my medical problems to parents and grandparents.  I can also trace some of my best traits to those same parents and grandparents.

Inherited tendencies are a big deal.  However, you have to play the hand you are dealt.  How you play that hand can mitigate or exacerbate many problems.

Get a check-up to identify issues while they can still be modified.  Specifically mention medical problems your parents, and other relatives have had.  Be proactive.  In the case of bone health, get a Complete Bone Health Evaluation.

Take Control of your future by evaluation and preventive action.

Jay Ginther, MD