Archive for the ‘Fracture’ Category

You Don’t Have To Fall To Break A Hip

December 4, 2014 @ 7:29 pm
posted by Dr Ginther

Sometimes a person breaks a hip first, then they fall.  This happens a lot more often than we realize.  When the break is just below the ball of the hip, the fracture may have come before the fall.  Moreover, that Fragility Fracture may have gradually developed over days or weeks.

How is it possible that a person does not realize that the hip is gradually crumbling?  We call it a Stress Fracture when a crack gradually developes.  Small cracks gradually getting bigger are usually not recognized until they are completely across the bone and it breaks, causing the patient to fall.  Why?

The aching pain of a stress fracture is often too gradual to distinguish from arthritis pain until the break is complete and the whole bone collapses.  The best way to see this process is to watch a video of the I-35W bridge collapsing in Minneapolis on 1st August 2007.  http://search.yahoo.com/search?ei=utf-8&fr=aaplw&p=i35w+collapse   Tiny cracks slowly developed in the steel until one day……..THUD!

How can you detect who is at high Hip Fracture Risk?  A very low DXA T-score, especially in the spine, is a good indication.  But DXA often fails if the spine is already crumbling or has arthritis.  A better indication is Vertebral Fracture Assessment (VFA).  Looking at the spine from the side, Vertebral Compression Deformities can indicate crumbling spongy bone in the spine before the spongy bone in the hip also crumbles.

Know where you stand.  Get a Complete Bone Health Evaluation.  Take Control of your future.

Jay Ginther, MD

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?

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