Posts Tagged ‘BMD’

“Baby-Boomers” Should Check Their Bones

June 6, 2014 @ 6:26 am
posted by Dr Ginther

A patient had no idea why her doc sent her to me for a Complete Bone Health Evaluation.  As a “baby-boomer”, she lives by the motto: “You are only as old as you choose to be.”  And she chooses to remain young.  If only it were possible…..

“I can’t have Osteoporosis.  I used to drink milk.  I am active and I plan to stay active!!!  So I just can’t have Osteoporosis!”  Unfortunately, she does have Osteoporosis by BMD on her DXA, by the multiple Vertebral Fractures on VFA, and by FRAX.  Still, there are simple steps to rescue her Bone Health before she Fractures.

Sometimes We Need Medications

May 30, 2014 @ 5:23 pm
posted by Dr Ginther

Patients who have already fractured may need osteoporosis medications.  Adding fractures to a low BMD or T-score on DXA makes the Clinical Osteoporosis more severe and increases Fracture Risk.  This is true of vertebral fractures detected on VFA, as well as clinically obvious fractures, like hip or wrist or shoulder.

Fracture Risk is the big deal.  Fractures are what we want to avoid.  Having suffered one fracture makes a Second Fracture 3 to 5 times as likely as the first.  Bummer.  Calcium, Vitamin D, Protein, Multivits and Exercise alone often cannot overcome those odds.  Real bummer.  Adding a medication often can avoid the Second Fracture.

Increased Fracture Risk = Osteoporosis

May 17, 2014 @ 8:22 pm
posted by Dr Ginther

Fracture Risk is the elephant in the room.  Fractures can keep you from doing what you want for weeks or months.  Fractures can put you in a Nursing Home, sometimes forever.  Complications of fractures can kill you.  Fractures are what you want to avoid if at all possible.

Increased Fracture Risk was defined as Clinical Osteoporosis by NIH in 2000.  We may still think of Osteoporosis as a T-score of -2.5 on DXA.  This is inaccurate.  Fracture Risk increases with age and other factors at any given T-score.  Over 80% of the persons who fracture have a T-score better than -2.5 !!!  Accurately calculating your true Fracture Risk requires a Complete Bone Health Evaluation.

“Bisphosphonate Holiday” 2014

March 8, 2014 @ 8:56 pm
posted by Dr Ginther

“You are entering a Data-Free Zone”   That was unfortunately the messasge at the joint meeting of the International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) last month.  We simply do not have data from a study involving tens of thousands of patients.  We do know some things that are helpful.

Bisphosphonates build up in bone over time.  After about 5 years of Bisphosphonate therapy, you should have enough medication in your bones to last for additional years.  How many years?  That depends.  Different individuals lose Bisphosphonates from their bones at different rates.  Different Bisphosphonates tend to stay in bone longer or shorter than others.  We call the time you are able to stop taking medication for a while (because you have enough in your bones already) “Bisphosphonate Holiday”.