Friday I presented at the Iowa Orthopaedic Society Spring Educational Meeting. Most of the orthopedic surgeons present are interested in making sure their fragility fracture patients are treated for osteoporosis, but were unsure how to do that.
Boniva is the pill for treatment and prevention of Osteoporosis advertized by Sally Field. It is taken monthly on an empty stomach followed by at least 8 ounces of water. No other food or drink is allowed for at least one hour. Boniva is one of the Bisphosphonates and has all of the potential benefits and risks of that class. The most common problems are heartburn, GERD and esophagus and stomach issues.
When I was in medical school over 40 years ago, we understood that old bones got soft and crumbled. In the spine that crumbling often took years. The vertebrae grew osteophytes and became sclerotic in a vain attempt to stop this totally natural process. We called it Natural Degenerative Kyphosis of Age. More important, there was nothing we could do to stop progressive kyphosis.
I was an orthopedic surgeon for 30 years before I started to treat osteoporosis. I started because most physicians in my area only treated DXA t-scores. I wanted to treat patients.