Archive for the ‘Bone Health’ Category

How Hard Is It To Manage Bone Density?

November 23, 2014 @ 7:57 pm
posted by Dr Ginther

Wrong Question!  What you should be managing is Fracture Risk.  If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming majority of people.

85% of the women who Fracture have a DXA score of “osteopenia” or even “normal”.  Keeping their bone density at “only osteopenia” does them no favor.  So how can you manage Fracture Risk?

Fractures are NOT FUN.  Not something you want to repeat.  Any fracture is a Bone Attack.  It is a warning that you probably have Bone Health issues that can be improved.  Get a Complete Bone Health Evaluation and work to prevent a second fracture.  Most people can succeed in preventing that second fracture.

I see many individuals who have had a first fracture.  Often the DXA, BMD, and T-score are not that bad.  I even see many who have good DXA test scores.  But they still fractured with relatively minor trauma.  They proved that they have increased Fracture Risk.  Why?

The American Society of Clinical Oncology received bad news about Breast Cancer Patients this week.  A study of women with breast cancer, being treated with Aromatase Inhibitors (AI), was presented at the 2014 Breast Cancer Symposium.  AI is a great treatment for breast cancer, however…

AI is known to decrease bone strength and to increase Fracture Risk.  How many of these patients  were evaluated for their bone health?  Only 54%.  How many got a repeat evaluation to check to be sure that their bone health was not deteriorating?  Only 46%.

Of those tested, 43% had a DXA T-score in the “osteopenia” range.  In this situation, FRAX is needed to calculate Fracture Risk.  41% of this group met guidelines for treatment with medication to prevent bone loss and Fractures.  Of those who should have been treated, only 23% were.

Running Sports = Better Bones For Life

September 2, 2014 @ 8:52 pm
posted by Dr Ginther

Running your butt off several days weekly, as a child, is good for your bones.  And the benefits last a lifetime!

We already knew that vigorous running sports can produce a peak bone mass and bone size at least 50% better than couch potatoes’.  Now a study, in the Scandinavian Journal of Medicine and Science in Sports, of elderly individuals has shown that these traits persist long after retirement from sports.  Fracture rates and Fracture Risk are also lower in former athletes.