Archive for the ‘Osteoporosis’ Category
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
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
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
We previously discussed Drive Thru Injections of Prolia and Evenity. If requested, our staff will give your scheduled injection while you remain in your car in our parking lot.
We wear masks and we ask our patients to do the same. You must answer the required questions before proceeding. We have hand sanitizer at the front desk and in each room. We sanitize surfaces and pens between patients.
If you see our receptionist with her mask off while talking on the phone, please stand back. Unfortunately, masks and telephones do not play well together.
We sanitize our DXA machine between patients. We can often safely put off repeat DXA/VFA patients for 6 months or even a year if they are well established and have been stable with no changes in treatment.
New DXA/VFA patients and those with changes in medical regimens should have their studies done as scheduled. Outpatient blood tests are slower than before because of social distancing, masks, and sanitizing surfaces between patients.
Consultations and lab follow-ups can be done by telemedicine for most insurances in Iowa. However, each insurance company has its own (changing) rules and limits on how long they will pay for telemedicine. Computer sites which are approved for telemedicine charge for use. You need a computer or cell phone compatible with the approved site.
We are all waiting for a vaccine. But, for many persons, a hip fracture carries a higher risk of death than Covid-19. Pay attention to your bone health. Avoid a hip fracture.
Jay Ginther, MD