Posts Tagged ‘Fracture Risk’

Bisphosphonates accumulate in your bone.  When OsteoClasts gobble up your bone, bisphosphonates are released into the Osteoclasts and disable or kill the Osteoclasts.  This is great news when the problem is Osteoclasts Gone Wild.  Bisphosphonates preserve bone by slowing down bone resorption.  However, after a few months, bone formation by OsteoBlasts also slows down, resulting in slow bone turnover.

Moderate and balanced bone turnover is good.  You repair microcracks in your bone when OsteoClasts resorb the bone around them and OsteoBlasts fill in the void with new bone matrix.  A mix of new and old bone is far stronger than all old bone.  Some OsteoClast activity is necessary to heal fractures, especially incomplete (stress) fractures.  That is where long term bisphosphonates can be too much of a good thing.

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

 

 

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.