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Posts Tagged ‘Fracture’

I was told last week about the mother of an acquaintance in Chicago.  His mother has had Vertebral Fractures again and again and again.  After each fracture she has been told that nothing can be done to prevent another vertebral fracture.  She is turning into a pretzel as her spine crumbles.

After 2 vertebral fractures, she is odds on favorite to fracture another vertebra within the year.  She is also unlikely to respond well to an antiresorptive such as Fosamax, Actonel, Boniva, Reclast, Prolia or their generics because of her severe osteoporosis.  Game over?  Not at all.

Multiple vertebral fractures make her an ideal candidate for an anabolic medication.  Forteo (2002), Tymlos (2017), and Evenity (2019) all can salvage her bone health and increase her bone matrix by 20% or more.  I recommended she see someone up to date in the options available.  There are several in Chicago.  And several here in Iowa.

She needs a Complete Bone Health Evaluation and anabolic treatment.  Of course that includes enough absorbable calcium, enough Vitamin D3, and other nutrition.  Anabolic medications specifically require enough protein to work because they build new bone matrix, which is collagen, which is protein.

You don’t have to fracture again and again.  We can help.

Jay Ginther, MD

Start with a Complete Bone Health Evaluation

June 24, 2020 @ 6:57 am
posted by Dr Ginther

You just tripped and suffered a minor fracture?  You just started menopause or male low “T”?  You are now on Medicare?  Are you concerned about your bone health?  If not, you should be.  At least concerned enough to check it out.

Don’t just get a DXA.  DXA alone misses 85% of Fracture Risk, especially in older individuals.  You should get a Complete Bone Health Evaluation to catch any problems early.  “Take Control Naturally” with enough calcium, Vitamin D, protein, and exercises every day.

What is a Complete Bone Health Evaluation?

DXA read by an ISCD Certified Clinical Densitometrist is a start.  ISCD certification assures proper reading.

Vertebral Fracture Assessment (VFA) identifies vertebrae which have collapsed, up to 80% of which are not recognized.  (I missed mine.)

FRAX calculates Fracture Risk far more accurately than DXA and Bone Mineral Density alone.

Blood tests include CBC and CMP routinely done for annual check-ups.  We add monohydroxy Vitamin D, PTH, TSH and phosphorous.

History and physical examination focused on bone health and 20-30 minutes consultation solely about bone health, fracture prevention, osteoporosis prevention, or osteoporosis treatment.

A Complete Bone Health Evaluation allows many of our patients to Take Control Naturally with proper nutrition and exercise alone.

Jay Ginther, MD

Care About Dad on Father’s Day

June 21, 2020 @ 6:37 am
posted by Dr Ginther

Fathers Day is a time to remember your Dad.  Those young enough and fortunate enough to have a living Dad today should take time to connect and honor him, even if the best available is waving through a window or using Zoom.  Even if he is gone, take time to remember the good times and what he got right.  Repeat those yourself.

Wish your Dad a fulfilling and healthy life.  Avoid unnecessary problems, like fractures.  One in four men over 50 will have osteoporosis and unnecessary fractures unless they are treated for their osteoporosis.  Most fractures are a major inconvenience.  The majority of hip fractures in men over 70 result in complications leading to death or nursing home.

Detect osteoporosis early to start treatment to prevent fractures.  In many cases the only treatment necessary is improved nutrition and lifestyle.

Start with a Complete Bone Health Evaluation.  That includes DXA/VFA, blood tests, focused history and physical, and focused consultation.

We find major and minor nutritional issues.  We help Dad correct them with enough calcium, vitamin D3, protein, other vitamins and minerals.

Improved lifestyle can improve diabetes, high blood pressure, strength, balance, and overall enjoyment of life.

Really care for your Dad by helping him to a happier, healthier life.  Help him Take Control of his future.

Jay Ginther, MD

NOF Tip for 20 May – Vertebral Fractures

May 20, 2020 @ 7:00 am
posted by Dr Ginther

Vertebral Compression Fractures are often not recognized as anything more than a seriously pulled muscle.  I personally made that mistake 30+ years ago.  Only when I was tested on our new DXA machine which made Vertebral Fracture Assessment (VFA) easy to obtain, did I recognize that I had actually suffered a 30% compression fracture.  Oops.

We do VFA on every patient we evaluate.  VFA added to DXA improves accuracy in assessing bone health.  I have published the largest single center, single provider study of 1259 patients comparing DXA alone to DXA + VFA in Endocrine Practice 2017:23:1375-8.  We use our DXA machine because it is quick and easy.  Lateral Spine X-rays also work.

NOF has an excellent summary of VFA and vertebral fractures at https://cdn.nof.org/wp-content/uploads/2017/04/Vertebral-Fractures-BONE-BASICS.pdf

If you are losing height or are developing a humped back (kyphosis) or simply want a more complete evaluation, ask for a VFA along with your DXA.  Know more, do more to prevent more Vertebral Compression Fractures.

Jay Ginther, MD