Archive for the ‘Osteoporosis’ Category

Choose your parents well.  Their genetics mix to form your genetics.  Your genetics play a large role in determining your potential strengths and weaknesses.  However, what you do with your potential is up to you.

We all wish we could be something we are not, and never can be.  That is completely natural, but not helpful.  You have to play the hand you were dealt.  You have to take control of your future, and you can.

If your parents had great bones, you probably will too – as long as you take care of them with Calcium, Vitamin D, Protein, Exercises, Balance, and Avoid Smoking.

If your parents crumbled into kyphosis (humpback) or broke a hip, due to osteoporosis, you better get working on what you can control as early as possible.  You will probably need medications eventually, but starting on natural treatments early enough can delay that need for years.

If you Take Control Naturally of what you can control early enough, you can achieve many years of fracture free life.  That’s as good as it gets.

Jay Ginther, MD

True in the 1960’s – even more true today.  We expect to live into our 80’ and 90’s.  We expect to enjoy those extra years.  We can, with a little planning and action NOW.

If YOU don’t take care of your body, where ARE you going to live?  That is the real question.  Women start to rapidly lose bone at Menopause.  This is totally natural and used to be unavoidable.  Without action on your part, you could develop Clinical Osteoporosis and Fractures and wind up in a nursing home.  You can avoid these complications of natural aging.

Cedar Valley Bone Health Institute of Iowa offers a Complete Bone Health Evaluation.  DXA, VFA, specific blood tests not usually done in annual check-ups, full history, an examination and full consultation usually take 30 minutes focused on bone health alone.  We can Prevent Osteoporosis if we start early enough.  Prevention is far better than treatment, and ideally should start decades before menopause.

You must be prepared to Take Control of those issues you can control:  Calcium, Vitamin D, Protein, Vitamins & Minerals, and Exercises for Balance, Strengthening and Posture.  Everyone should do these Natural measures for best results, whether taking Osteoporosis Medications or not.  For younger persons and for some individuals over 50, they are enough all by themselves.

More next time about how YOU can Take Control of your future.

Jay Ginther, MD

Adding VFA to DXA

January 9, 2017 @ 12:14 pm
posted by Dr Ginther

I have let the regular posts to the blog lapse for quite some time, while working on other issues.

I have been reviewing my first-time Vertebral Fracture Assessment (VFA) patients.  My latest research project included 1259 patients over 3 1/2 years.  I analyzed the patients by FRAX, height loss, age, and fragility fractures as well.  Nothing duplicated the findings by VFA.

I found that DXA alone missed many patients who have Clinical Osteoporosis if VFA (lateral spine) is taken into account.  I have presented this at ISCD and ASBMR.  Putting it into proper format to submit for publication took much more time than I anticipated.

This project is finished until I start the next sub-analysis.

I hope to get back to adding to the blog regularly.

Jay Ginther, MD

Recent studies have shown that the order in which we use osteoporosis medications matters.  Traditionally most docs have used Antirsorptives first to preserve bone.  All osteoporosis medications except one are Antiresorptives.  Only when that failed, would they consider the Anabolic medication, Forteo, to build new bone.

As a practicing orthopedic surgeon, I started treating osteoporosis in the worst of my fracture patients.  It was obvious that they needed to build bone first since there was very little bone to preserve.  Therefore, I usually started with the Anabolic, Forteo.  Once I had built up the bone, I preserved that improved bone with an Antiresorptive osteoporosis medication.

As the National and International Osteoporosis Foundations, (NOF and IOF)  are now focusing on preventing second fractures, many more practioners are treating patients with one or more fractures.  They are facing the dillema of how to prevent fractures in bone that is not good enough.  None of the Antiresorptives work as well in patients with multiple fractures as they do in patients who have not yet fractured.

This year studies have shown that using Forteo after an Antiresorptive usually results in Forteo taking several months to overcome the previous slowing of bone turnover,  Therefore, 2 years of Forteo results in less improvement when used AFTER the Antiresorptives tested, than we normally see in a patient who uses Forteo first.

At NOF and IOF this year speakers suggested that we change our approach.  They suggested using an Anabolic first, and an Antiresorptive second should be the standard sequence for best results.

Would you rather only trying to preserve your bones after they have proven insufficient in multiple fractures?  Or would you want to improve your bone first, and then prserve that improved bone matrix and improving BMD?

Do everything you can to improve and preserve your Bone Health.

Jay Ginther, MD