Archive for June, 2014
Every Fourth Man Over 50 Will Fracture Without Treatment
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
Every Other Woman Over 50 Will Fracture Without Treatment
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
Atypical Fracture of the Femur (AFF) And OsteoNecrosis of the Jaw (ONJ) Are Rare
Atypical Fracture of the Femur (AFF) and OsteoNecrosis of the Jaw (ONJ) are rare complications of Untreated Osteoporosis. They also occcur rarely in patients treated with long term Antiresorptives including: Fosamax, Boniva, Actonel, Allendronate, Ibandronate, Atelvia, Reclast, and Prolia, at a higher, but still very low, rate. Neither has been reported in Evista. Forteo is commonly used as a treatment for AFF and ONJ.
AFF and ONJ are rare even in patients treated for Osteoporosis with Antiresorptive medications. Rates are estimated at between 1 in 1,000 and 1 in 10,000. Let’s label AFF (X), ONJ (Z), and patients with neither (O). Here is a graphic representation, if the worst case estimate is correct:
OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOXOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOZOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO
These are very rare problems, even in patients on Antiresorptive Osteoporosis Medications for over 5 years. Fractures from Osteoporosis in patients Not taking Medications are much more common. See the Graphics for women and men.
Jay Ginther, MD
“Baby-Boomers” Should Check Their Bones
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.