Comments for Osteoporosis and Bone Health Information | Bone Doc Blog http://bonedocblog.com Information on Osteoporosis, osteoporosis medication and nutrition for better bone heath from a Medical Doctor that specializes in bone health and wellness: Jay Ginther, MD, FAAOS, CCD Fri, 22 Feb 2013 18:55:31 +0000 hourly 1 http://wordpress.org/?v=3.3.2 Comment on Chronic Pain by Geri Singley http://bonedocblog.com/index.php/2013/02/15/p2282/#comment-2436 Geri Singley Fri, 22 Feb 2013 18:55:31 +0000 http://bonedocblog.com/?p=2282#comment-2436 I found this posting very interesting as I suffer from CRPS II as the result of cumulative trauma injuries to my arms. This condition has overtaken my life for the past 11 years and it took me seven to find a physician who actually understood my pain and whom I trust. During the past 11 years I have researched everything I could to help improve my condition on my end as there is only so much medication can do and I hate taking chemicals. I've been following Dr. Weil's anti-inflammatory diet for almost 10 years now and I can honestly say it has helped reduce my pain by at least 50%. As someone who has lived the chronic pain life, I cannot agree with you more that nutrition can play a huge role in pain control. It's not difficult to do, either. It's an easy choice, less pain or food that isn't good for me. I'll turn down that donut every time! I found this posting very interesting as I suffer from CRPS II as the result of cumulative trauma injuries to my arms. This condition has overtaken my life for the past 11 years and it took me seven to find a physician who actually understood my pain and whom I trust.

During the past 11 years I have researched everything I could to help improve my condition on my end as there is only so much medication can do and I hate taking chemicals. I’ve been following Dr. Weil’s anti-inflammatory diet for almost 10 years now and I can honestly say it has helped reduce my pain by at least 50%. As someone who has lived the chronic pain life, I cannot agree with you more that nutrition can play a huge role in pain control. It’s not difficult to do, either. It’s an easy choice, less pain or food that isn’t good for me. I’ll turn down that donut every time!

]]> Comment on Technical Problems AGAIN by L. Upton http://bonedocblog.com/index.php/2013/02/05/p2268/#comment-2408 L. Upton Sat, 09 Feb 2013 14:28:31 +0000 http://bonedocblog.com/?p=2268#comment-2408 My arthritis is almost gone and no pain since I stopped eating gluten almost 1 year ago. I was not expecting this but realized one day that I had no more pain. It also helped my digestion. My arthritis is almost gone and no pain since I stopped eating gluten almost 1 year ago. I was not expecting this but realized one day that I had no more pain. It also helped my digestion.

]]> Comment on Prolia – A Different Antiresorptive by Dr. Ginther http://bonedocblog.com/index.php/2011/02/14/p528/#comment-2407 Dr. Ginther Sat, 29 Dec 2012 18:41:12 +0000 http://bonedocblog.com/?p=528#comment-2407 I am removing identifying info from your question. The good news is that effects of Prolia are fading by 6 months and completely out of the body by 12 months after the last shot. If you were on bisphosphonates earlier, their effects fade much more slowly. Either way, aggressive treatment of the broken tooth and infected socket usually succeeds. Standard recommendation from the national meetings is to be sure the jaw is fully healed before your next dose. This could take 3-6 months. Research reported at the meetings indicates that Forteo can reverse the effects of bisphosphonates within 3 months. A full evaluation by an osteoporosis specialist would be good. Jay Ginther, MD I am removing identifying info from your question.
The good news is that effects of Prolia are fading by 6 months and completely out of the body by 12 months after the last shot. If you were on bisphosphonates earlier, their effects fade much more slowly.
Either way, aggressive treatment of the broken tooth and infected socket usually succeeds.
Standard recommendation from the national meetings is to be sure the jaw is fully healed before your next dose. This could take 3-6 months.
Research reported at the meetings indicates that Forteo can reverse the effects of bisphosphonates within 3 months.
A full evaluation by an osteoporosis specialist would be good.
Jay Ginther, MD

]]> Comment on Forteo by Dr. Ginther http://bonedocblog.com/index.php/2011/02/21/p536/#comment-2406 Dr. Ginther Sat, 29 Dec 2012 18:24:52 +0000 http://bonedocblog.com/?p=536#comment-2406 I am deleting your identifying info before I approve your question -3.4 is low. If you also have vertebral deformities on your VFA or a history of other fractures, you have "severe osteoporosis". I would need the results of a complete eval in order to make an actual recommendation, but several points are relevant. 10 years of Fosamax should have maxed out the benefit of Bisphosphonates. The only non-bisphosphonate pill is Evista Prolia is also not a bisphosphonate, and might be a good option if you need to resume an anti-resorptive. If you have been loosing BMD while on Fosamax, your best bet could be Forteo. We have no evidence that it will cause osteosarcoma in humans. JBMR published a study this month that I will be summarizing soon. Watch for it. Jay Ginther, MD I am deleting your identifying info before I approve your question
-3.4 is low. If you also have vertebral deformities on your VFA or a history of other fractures, you have “severe osteoporosis”. I would need the results of a complete eval in order to make an actual recommendation, but several points are relevant.
10 years of Fosamax should have maxed out the benefit of Bisphosphonates.
The only non-bisphosphonate pill is Evista
Prolia is also not a bisphosphonate, and might be a good option if you need to resume an anti-resorptive.
If you have been loosing BMD while on Fosamax, your best bet could be Forteo. We have no evidence that it will cause osteosarcoma in humans. JBMR published a study this month that I will be summarizing soon. Watch for it.
Jay Ginther, MD

]]> Comment on Prolia – A Different Antiresorptive by Debbie http://bonedocblog.com/index.php/2011/02/14/p528/#comment-2338 Debbie Sun, 16 Dec 2012 21:37:41 +0000 http://bonedocblog.com/?p=528#comment-2338 I have taken Prolia injections for the last year and a half. I am due Jan 9th for my next injection. Three weeks ago I had pain in a jaw tooth that had had a root canal 6 years ago. Went to dentist but since I was on prolia he referred me back to my indo dr. who immediately sent me to a oral surgeon. From all x-rays tooth cracked had to be removed. Oral surgeon had to remove some bone because of Infection there when tooth was extracted. Surgery is healing but have been told that over the next few months the bone "may" come out on the inside of my jaw by the tongue. Worst case. I am not sure if I need to take my next Prolia Injection in Jan. My bone Dr. says there is a chance that it may happen, but we have a month to heal. My questions is would missing the injection help me to not have the jaw bone troubles? I have taken Prolia injections for the last year and a half. I am due Jan 9th for my next injection. Three weeks ago I had pain in a jaw tooth that had had a root canal 6 years ago. Went to dentist but since I was on prolia he referred me back to my indo dr. who immediately sent me to a oral surgeon. From all x-rays tooth cracked had to be removed. Oral surgeon had to remove some bone because of Infection there when tooth was extracted. Surgery is healing but have been told that over the next few months the bone “may” come out on the inside of my jaw by the tongue. Worst case. I am not sure if I need to take my next Prolia Injection in Jan. My bone Dr. says there is a chance that it may happen, but we have a month to heal. My questions is would missing the injection help me to not have the jaw bone troubles?

]]> Comment on Forteo by L P http://bonedocblog.com/index.php/2011/02/21/p536/#comment-2336 L P Sat, 15 Dec 2012 17:39:58 +0000 http://bonedocblog.com/?p=536#comment-2336 My last DEXA showed a negatibe t. score of -3.4 in my lumbar spine. I was on Fosomax for about 10 years and stopped in October of 2011 which is one year & 2 months now without any meds - still trying to figure our my next medication. What do you recommend pill wise because I am afraid of Forteo due to bone cancer. Please advise. Lili My last DEXA showed a negatibe t. score of -3.4 in my lumbar spine. I was on Fosomax for about 10 years and stopped in October of 2011 which is one year & 2 months now without any meds – still trying to figure our my next medication. What do you recommend pill wise because I am afraid of Forteo due to bone cancer. Please advise. Lili

]]> Comment on Forteo by Dr. Ginther http://bonedocblog.com/index.php/2011/02/21/p536/#comment-2084 Dr. Ginther Fri, 16 Nov 2012 03:27:26 +0000 http://bonedocblog.com/?p=536#comment-2084 Several comments. Many relavent blogs on the site already. The spine t-score likely indicates increased density from arthritis, disc disease or other issues. See if you can have the DXA reread by someone following ISCD guidelines. You should get a lateral spine or VFA to add to the mix, as well as the full lab work-up. Only if you have been seriously neglecting Calcium, Vitamin D3, and standing-walking exercises, are these alone likely to make much difference Statistically your father (>50 to 1) probably had cancer which spread to bone rather than cancer starting in bone. We have not seen increased Osteosarcoma (naturally occurs in 1 of every 250,000 adults) in humans. Most of the rats on the placebo also got Osteosarcoma because they do. You need to thoroughly discuss your concerns with your doc. Several comments.
Many relavent blogs on the site already.
The spine t-score likely indicates increased density from arthritis, disc disease or other issues. See if you can have the DXA reread by someone following ISCD guidelines.
You should get a lateral spine or VFA to add to the mix, as well as the full lab work-up.
Only if you have been seriously neglecting Calcium, Vitamin D3, and standing-walking exercises, are these alone likely to make much difference
Statistically your father (>50 to 1) probably had cancer which spread to bone rather than cancer starting in bone.
We have not seen increased Osteosarcoma (naturally occurs in 1 of every 250,000 adults) in humans. Most of the rats on the placebo also got Osteosarcoma because they do.
You need to thoroughly discuss your concerns with your doc.

]]> Comment on Forteo by Linda http://bonedocblog.com/index.php/2011/02/21/p536/#comment-2077 Linda Tue, 13 Nov 2012 20:51:15 +0000 http://bonedocblog.com/?p=536#comment-2077 I am a 56 year old female in good health with no past history of any major diseases or broken bones. My dexa score in my hip just came back at -3.1 and my spine -1.3. My physician want to put me on Forteo which concerns me as my father had bone cancer when he was 65. Is this something that could be addressed through change of diet and an excersize program or is medication inevitable. What do you think?? I am a 56 year old female in good health with no past history of any major diseases or broken bones. My dexa score in my hip just came back at -3.1 and my spine -1.3. My physician want to put me on Forteo which concerns me as my father had bone cancer when he was 65. Is this something that could be addressed through change of diet and an excersize program or is medication inevitable. What do you think??

]]> Comment on Prolia for Men Too – A Few Men by Dr. Ginther http://bonedocblog.com/index.php/2012/07/02/p1806/#comment-1863 Dr. Ginther Wed, 19 Sep 2012 14:05:05 +0000 http://bonedocblog.com/?p=1806#comment-1863 Your doctor needs to find the reason for your bone density loss Low calcium in diet, low Vitamin D level in your blood, smoking, steroid inhalers, alcohol, several diseases all are common reasons for bone loss. Read about the full evaluation in the blog Prolia is approved in the USA for men only if they have prostate cancer and no metastaces. Prolia is an effective antiresorptive, if there are no other reasons for your loss of bone Your doctor needs to find the reason for your bone density loss
Low calcium in diet, low Vitamin D level in your blood, smoking, steroid inhalers, alcohol, several diseases all are common reasons for bone loss.
Read about the full evaluation in the blog
Prolia is approved in the USA for men only if they have prostate cancer and no metastaces.
Prolia is an effective antiresorptive, if there are no other reasons for your loss of bone

]]> Comment on Evista – Get 2 for 1 by Dr. Ginther http://bonedocblog.com/index.php/2011/12/13/p1128/#comment-1862 Dr. Ginther Wed, 19 Sep 2012 13:49:57 +0000 http://bonedocblog.com/?p=1128#comment-1862 Your physician needs to look at the whole picture. DXA is a lot mor than a simple t-score. You need to look at the whole study and compare year to year in BMD at each site. You need to check labs and lateral spine to be sure there are not other issues besides post-menopaussal state. Evista is usually an effective antiresorptive. No medication works without enough Calcium and Vitamin D3. Your physician needs to look at the whole picture.
DXA is a lot mor than a simple t-score. You need to look at the whole study and compare year to year in BMD at each site.
You need to check labs and lateral spine to be sure there are not other issues besides post-menopaussal state.
Evista is usually an effective antiresorptive.
No medication works without enough Calcium and Vitamin D3.

]]>