Posts Tagged ‘Bone Health’

Several patients have called us in panic because their friends told them that HyperParathyroidism means Surgery.  We reassured them that Surgery is almost never needed in HyperParathyroidism.  But we do need to treat it to preserve or restore Bone Health.

Our clinic sees a new case of HyperParathyroidism almost daily.  Only one or two a year actually need surgery.  How do we cure all the others?  Calcium and Vitamin D3 are the key, as long as you take enough.

Most of what we see is Secondary HyperParathyroidism.  That is the Parathyroid glands doing their job.  Their job is to keep sufficient Calcium in the blood.  They steal it from the bones if not enough is absorbed in diet and supplements.  Too low a Vitamin D level prevents Calcium absorption.

Sometimes secondary hyperparathyroidism goes on for so long that the glands “reset their thermostat too high”.  This is Tertiary HyperParathyroidism and is successfully treated with Calcium, Vitamin D3, Protein, and Multiple Vitamins & Minerals over many months.

Primary Hyperparathyroidism is that rare case where a parathyroid gland goes out of control.  It becomes a tumor (not a cancer) putting out too much PTH hormone and steals calcium from bone until it is removed.

Read more about HyperParathyroidism in blogs from last year by clicking on the links.

HyperParathyroidism?  Take Control Naturally with proper nutrition.

Jay Ginther, MD

Spring – The Most Dangerous Season

March 22, 2015 @ 9:12 pm
posted by Dr Ginther

Spring is here.  The birds are singing.  Soon flowers will be blooming.  All the world is coming to life.  And more hips will be breaking.

32% of all hip fractures (nearly 1/3) occur in Spring!  Nearly 1/3 of hip fractures over 70 are in men.  And nearly 1/3 of those men die within months from medical complications initiated by their hip fractures.  Dangerous!

What can we do to avoid those fractures?  Decrease Fracture Risk!  How?  Do the following:

It is March;  this is Iowa;  almost 90% of persons not on major doses of Vitamin D3 are low.  (By late September that falls to less than 60% that are low.)  Remember that if you have a low Vitamin D level, you cannot absorb enough of the Calcium you consume in food and/or supplements.  Take extra Vitamin D3.

Remember that while Calcium Citrate is always absorbable, Calcium Carbonate often is not.  Remember that you need enough Magnesium to absorb Calcium.  A Senior Multiple Vitamins & Minerals has enough Magnesium for those of us over age 50, and lots of other good stuff too.

Protein is a big deal, especially over age 60, when our protein needs actually increase.  80% of bone and 90% of muscle are protein.  Regular exercises, including Balance Exercises, are necessary to Prevent Falls.

If you do not already know the quality (as well as density) of your bones, get a Complete Bone Health Evaluation.  Identify your opportunities for improvement.

Take Control Naturally with proper nutrition and exercises.

Jay Ginther, MD

ISCD 2015

March 3, 2015 @ 7:37 pm
posted by Dr Ginther

Driving to Chicago in February was cold and snowing.  But it was hot indoors at the ISCD (International Society for Clinical Densitometry) Annual Meeting and Position Development Conference (PDC).

While no new technologies were introduced, the PDC evaluated the scientific studies of several recent innovations.  Most are best done in research centers.  One recent innovation could make it to clinical centers.  Trabecular Bone Score (TBS) is a software addition to DXA that adds information about the quality of bone by re-analyzing the L1, L2, L3 vertebrae.

We have discussed how adding Vertebral Fracture Assessment (VFA) to a DXA Bone Mineral Density (BMD) improves Fracture Risk calculation.   TBS has the same potential.  The main issues blocking TBS are software cost, added time, and the fact that all insurances (including Medicare) currently do not pay for it.

We also attended presentations about patient treatment issues.  Fracture Prevention is much more than just checking a T-score with DXA.  National experts shared their knowledge of medical issues that can strongly influence Bone Health and Fracture Risk.  More about these sessions next time.

You can Take Control of your Future with action to decrease your fracture risk.

Jay Ginther, MD


Not Just DXA – Fracture Risk !!

February 22, 2015 @ 9:39 pm
posted by Dr Ginther

DXA is very good at determining Bone Mineral Density (BMD), provided you look at the images and over-read the computer.  DXA alone is less good at predicting Fracture Risk.  But, Fractures are what we want to avoid.

At the International Society for Clinical Densitometry (ISCD) meeting this week, we will discuss the other modalities, which supplement DXA to obtain greater accuracy.  Vertebral Fracture Assessment (VFA) helps evaluate bone quality.  FRAX was specifically designed to predict Fracture Risk.  QCT (Quantitative Computerized Tomography) has been added in recent years as an alternative to DXA.

ISCD will discuss adding  TBS (Trabecular Bone Score), Hip Structural Analysis, Hip Axis Length, and uses of Central CT.  We are constantly pushing toward our goal – Prevent Fractures.

Preventing Fractures is not just DXA.  Get a Complete Bone Health Evaluation.

Take Control of your future.  Check your bone health.

Jay Ginther, MD