Top
40
Doctor insights on: How Does Forteo Better Than Taken Prolia And Fosamax For Bone Strengthening For Surgery For Disk And Nerve Decompression And Very Low Spinal Bone Density

Share
1

1
With a bone density t-score of -2.7, how much improvement can be expected if I take ALENDRONATE 70mg and Prolia for one year? Is Prolia safe?

With a bone density t-score of -2.7, how much improvement can be expected if I take ALENDRONATE 70mg and Prolia for one year? Is Prolia safe?

Osteoporosis: A T score of -2.7 exceeds the lower limit of bone mineral density -2.5 and indicates a diagnosis of osteoporosis. Both Alendronate as a bisphosphonate and Prolia as a RANK ligand inhibitor are effective therapies for osteoporosis. The combination of these two is aggressive therapy and should result in significant increase in bone mineral density within a one year period. ...Read more

Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


3

3
Should I take the new medication forteo? I have been taking actonel, (risedronate) my last bone density test showed I had 10 percent bone loss. I am afraid to take the drug because of the side effects. Is there something else I can take?

Should I take the new medication forteo? I have been taking actonel, (risedronate) my last bone density test showed I had 10 percent bone loss. I am afraid to take the drug because of the side effects. Is there something else I can take?

Actonel (risedronate): Actonel (risedronate) and Forteo are in a class of drugs called bisphonates. These drugs are very valuable in preventing fractures of bone due to progressive loss of bone density called osteoporosis. Yes the drugs have been associated with several significant side effects, but like any drug you need to weigh the benefits against these side effects. Spinal, hip and long bone fractures can have serious life altering effects on ones life, more serious than the side effects, so if you are at risk of fracture, which your bone scan indicates, then use of these drugs are justified. This is a conversation you need to be having with your physician since they know you better than anyone on this board can. They can review the risks and benefits to help you make a decision. ...Read more

5

5
Are you able to have scoliosis surgery, with a bone density score of -3.1? All other health is good.

Are you able to have scoliosis surgery, with a bone density score of -3.1? All other health is good.

Bone density spine: You are at a higher risk of having complications if hardware is to be used. With a low bone density hardware has a harder time holding in the bone. ...Read more

6

6
Bone density test showed I had osteopenia couple of years age. Since test I've had spine surgery with instrumentation. Can I get another test done?

Bone density test showed I had osteopenia couple of years age. Since test I've had spine surgery with instrumentation. Can I get another test done?

Yes: Depends on level of instrumentation on whether your spine will be able to be tested and compared to previous. Hips will still be able to be tested in order to risk stratify you. ...Read more

7

7
What to do if I just had leg surgery, how long is it to build back bone density?

What to do if I just had leg surgery, how long is it to build back bone density?

6 weeks for healing: You had leg surgery. You want to know how long to heal. 6-8 weeks will have the maximum deposit of collagen to the skin or scar. The bone gets tacky in 7 days after surgery but still takes 6-8 weeks to heal. The body continues to remodel over time. Eat well focus on breathing and exercise when you can. Be well. ...Read more

8

8
Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema, family history, paternal taking Forteo to strengthen bones.?? ideas?

Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema, family history, paternal taking Forteo to strengthen bones.?? ideas?

For one: You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for.
If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more

9

9
Is it possible to gain bone mass and strength without using Fosamax (alendronate) when your only 28 & how?! T score of -6 and have 5 spinal compression fractures

Is it possible to gain bone mass and strength without using Fosamax (alendronate) when your only 28 & how?! T score of -6 and have 5 spinal compression fractures

Osteoporosis: You are very young to be having such advanced osteoporosis. There must be an underlying reason for this. I would recommend that you see an endocrinologist to help with your diagnosis and treatment. ...Read more

10

10
Diagnosed w/osteoporosis and spinal fractures high risk for more fractures is there anything I can do to gain bone mass w/out scary meds like fosamax (alendronate)?

Diagnosed w/osteoporosis and spinal fractures high risk for more fractures is there anything I can do to gain bone mass w/out scary meds like fosamax (alendronate)?

Yes.: First of all you need a medical evaluation including blood tests to find out why you have osteoporosis. You may have abnormal hormone levels, severely lacking vitamin D, or other problem which can be corrected.
Medication named Forteo is the only medication currently available which builds new bone, improves bone quality, and helps with bone healing after a fracture.
Fosamax does not. ...Read more

11

11
I just started Forteo, osteoporosis and failed spinal fusion. Is there a greater chance of bone cancer fron PTH and MBPS interaction?

I just started Forteo, osteoporosis and failed spinal fusion. Is there a greater chance of bone cancer fron PTH and MBPS interaction?

Please define MBPS: Hi. I think Forteo is the best thing there is for osteoporosis. However, the patient needs to be adequately assessed before starting it. Patients with primary or secondary hyperparathyroidism should not receive Forteo. Patients with a history of therapeutic radiation involving the skeleton should not be treated. Paget's patient's should not be treated. If you mean MBP, no known interaction. ...Read more

12

12
Adrenal Insuf, NO immunity, MANY med iss. Finished Forteo DON'T want 2 take Reclast/Prolia. Endo mad at me. But, is there anything else?

Adrenal Insuf, NO immunity, MANY med iss. Finished Forteo DON'T want 2 take Reclast/Prolia. Endo mad at me. But, is there anything else?

This is a LOT of: Information. I see that you make many submissions on Health Tap. It is important to remember that we can NOT diagnose or make medical / medication recommendations/ treatment on the general Health Education portion of HealthTap. Health Tap Prime or Concierge can be used for that purpose. ...Read more

13

13
I had a severe allergy to forteo. Doc wants me on prolia for severe metabolic osteoporosis. Is it similar? I don't want to die from injection.

I had a severe allergy to forteo. Doc wants me on prolia for severe metabolic osteoporosis. Is it similar? I don't want to die from injection.

Different: Prolia is different than forteo. The mechanism of action is completely different. Talk to your doctor about your concerns. His/her recommendation is within the standard of care for osteoporosis treatment. ...Read more

14

14
How long after decompression/spinal fusion surgery should nerve pain normally continue?

How long after decompression/spinal fusion surgery should nerve pain normally continue?

It varies: It varies from person to person, perhaps depending on the severity of the pressure, the time the nerve has been compressed, the amount of inflammation, and other variables. Some are blessed with immediate relief. For others, it take take a month or so for the pain to subside. Sometimes anti-inflammatory medicine may help speed the healing, but ask your doctor before taking or if no relief. ...Read more

15

15
What is the definition or description of: nerve decompression surgery?

What is the definition or description of: nerve decompression surgery?

Making space.: A nerve is in a tight space may be irritated or damaged, causing pain and/or loss of function (weakness or sensory changes). Surgical decompression aims to make more space for a nerve; relieve the pressure on it. Usual places where this occurs are across certain joints (wrist, elbow, sometimes knee) & as the nerve exits the spinal canal formed by the bones of the spine - arthritis or disks pinch. ...Read more

16

16
How can you strengthen the skin over your knuckles and increase bone density?

How can you strengthen the skin over your knuckles and increase bone density?

Bone density: You are unlikely to have any bone density study done in your hands/knuckles.
If you are indeed having hand/skin problems please see a Dermatologist. ...Read more

17

17
Is there a way to strengthen the skin over your knuckles and increase bone density?

Is there a way to strengthen the skin over your knuckles and increase bone density?

Bone density: At age 50 you should not have lost much, if any, bone.
Strengthening the skin over your knuckles (how does one do that?) has no effect on your bone density at your age.

Are you male or female?
If female, are you still menstruating? If so, you don't need to worry about your bones unless you have other major problems that could affect your health.

If male there is little need for bone density. ...Read more

18

18
If a individual has Small Bones at the same Height compare to Another Healthy Individual Does it mean he has Low Bone Density?

If a individual has Small Bones at the same Height compare to Another Healthy Individual Does it mean he has Low Bone Density?

Yes, lower at least: Hi. The "bone density" measured with DXA is actually an "areal bone density", meaning it's a mass/area, not a mass/volume (which is a true DENSITY in scientific terms). So the mass drops by the inverse cubed power and the area only drops by inverse squared. Since smaller bones have a smaller area, compared to the average population, the small-boned person will have a lower AREAL bone density. ...Read more

19

19
Depo and low estrogen levels. Can you take the pill as well to increase estrogen levels? Had a bone density scan and it was fine.

Depeds on Goal: First of all, it depends on whether you are taking Depo Provera or lupron. Both can affect bone density and you should be on calcium and vitamin d. Really the answer to your question can be complicated and depends on what you are trying to accomplish by Depo-Provera and why. Some women may need estrogen pills/patches and other may not need anything at all. ...Read more

20

20
What can a 21 year old do about low testosterone. Already have low bone density.?

What can a 21 year old do about low testosterone. Already have low bone density.?

More tests first: I would suggest getting FSH, LH, and Prolactin blood tests first to try to elucidate reason for low T to see what the best treatment would be for you. However at your age testosterone supplements should not be given if you are considering having children because they can irreversibly depress spermatogenesis. ...Read more

21

21
My girlfriend has her period on every 21 days. It's regular. She is 27 with hyperthyroidism&low bone density. Is it normal. What maybe the complications?

My girlfriend has her period on every 21 days. It's regular. She is 27 with hyperthyroidism&low bone density. Is it normal. What maybe the complications?

Normal for her: Each woman has a different menustral cycle and pattern. Some women have short cycles, like 21 cycles. Others have long cycles - 35 cycles. Some women are regular like clockwork. Others are variable every month. Your girlfriend's cycles sound like they are normal for her. There are no complications. ...Read more

22

22
Is it dangerous to have high prolactin levels caused by risperdal? I know it causes low bone density. Can my bones crack? Will taking calcium help this problem? If yes how much calcium? Thank you

Is it dangerous to have high prolactin levels caused by risperdal? I know it causes low bone density. Can my bones crack? Will taking calcium help this problem? If yes how much calcium? Thank you

Mostly yes.: There is a connection between high Prolactin levels and Osteoporosis, or low bone density which puts one at risk for fractures. Calcium can help protect your bones but first, stop the Risperdal if possible. Calcium replacement is therapeutic at 1500 mg. Daily, or depending on your Calcium level. Vit D levels should also be done and Vit. D replacement is done accordingly. ...Read more

23

23
I have low bone density for my chronological age. Can I drink coffee with milk? What about caffeinated sodas but drink milk too to offset the effects?

Diagnosis first.: Before determining how to deal with your nutritional intake it is important to attempt to understand why the bone density is low. Family history of low bone density, various medications, menstrual history and body weight are some of the factors that should be evaluated with your physician. ...Read more

24

24
I have a low bone density score but no fractures or symptoms and I don't want to take any of the recommended osteoporosis drugs. What else can I do?

I have a low bone density score but no fractures or symptoms and I don't want to take any of the recommended osteoporosis drugs. What else can I do?

See below: Regular weight bearing exercise helps a lot, make sure you have enough calcium and vitamin d supplements (depensing on your kidney functions), I have tried using strontium for my pts with fair results. I have to say though that this doesn't replace traditional treatment of osteoporosis. Hope this helps. ...Read more

25

25
Had bone density test that's normal. But have 4 compression fractures in spine. 50% height loss. 2 hat would cause this. Vit d is a bit low?

Had bone density test that's normal. But have 4 compression fractures in spine. 50% height loss. 2 hat would cause this. Vit d is a bit low?

Fractures: Normal bone density with four vertebral fractures does not make sense. The bone is my specialty. Hopefully you have had the proper tests done and treatment started. If not you must do so immediately. There some women, about 15 over the last few years while pregnant or 6 months after birth who also have unexpected fractures. See an endocrinologist and orthopedist. ...Read more

26

26
Does low bone density causes joint pain all joints Rh ANA factor thyroid are normal?

Does low bone density causes joint pain all joints Rh ANA factor thyroid are normal?

Not bone density: Low bone density does not cause any symptoms unless you have a fracture due to osteoporosis, then there is pain. Pain in joints can be from osteoarthritis or other forms of arthritis. See your doctor or a rheumatologist for diagnosis and treatment of joint pain. ...Read more

27

27
I am 18 years old and have been diagnosed with low bone density for my chronological age. What should I do now?? I'm really scared and worried...

See your primary md: You should be evaluated for any metabolic problems labs should done to evaluate vit d an calcium. At good starting plac. E is a diet rich in calcium containing foods like dark green vegs, dairy like Greek yogurt and supplement with vit d ...Read more

29

29
What is the cure of low bone density?

What is the cure of low bone density?

Not all need a cure.: Calcium and vit d help maintain good bones but studies have not shown they reverse osteopenia in most people. Age 50-60 is when most bone density is lost. After age 50 the loss slows down and many women do not need treatment in this age group. There are a number of medicines for women with significant bone loss, osteoporosis. ...Read more

30

30
What can cause low bone density in a child?

What can cause low bone density in a child?

Lots of things: To name a few: chronic disease, chronic corticosteroid and some other drug use, metabolic bone disease, genetic diseases involving bone, poor nutrition, hyperthyroidism, gonadal failure, etc. ...Read more

31

31
Can low bone density cause pain on activity?

Can low bone density cause pain on activity?

Maybe: It can if you have a stress fracture due to overuse. Then it is usually pain in a certain location. General diffuse pain not usualky seen. You are young and should look into why you have low bone density. ...Read more

32

32
Is low bone density indicative of osteoporosis?

Is low bone density indicative of osteoporosis?

Not by itself: A low bone density usually indicates osteoporosis but a small number of people may have osteomalacia, a condition in which there may be a normal amount of bone but it is poorly minerlized. Bllod tests can distinguish the two problems. ...Read more

33

33
What does a "low normal" bone density test mean?

What does a "low normal" bone density test mean?

Very little!: When the world health organization arbitrarily set a level of bone mineral density (bmd) below which a person was said "to have" osteoporosis, the opportunity was immediately seized by interested parties to declare a range better than that density but adjacent to it as "osteopenia". Above that is called "normal" bmd is a continuum! Normal is normal. Low normal means normal. ...Read more

34

34
How do they test for low bone density?

Bone densitometer: An instrument called a bone densitometer is utilizes a very small dose of radiation to measure bone density in the spine, hip and forearm. ...Read more

35

35
Could chiropractic adjustments be unsafe if I have low bone density?

Could chiropractic adjustments be unsafe if I have low bone density?

Possibly!: If your bone density becomes critically low, there is a risk that shearing, rotational or static force on your bones could result in a bone fracture. You must weigh the benefit of the treatment with the possible risk of bone trauma or fracture. ...Read more

36

36
Do Underweight Patients have Low Bone Density?

Do Underweight Patients have Low Bone Density?

Bone density: Depends upon other factors than weight, including sex, race, genetics, nutrition, calcium intake, exercise, medical disorders and many other factors. ...Read more

37

37
Hi dear, my mother aged 56 years had D12 anterior wedge compression 8 months ago and now is completely on bed. Also scans show low bone density and small oestophytes are seen. Kindly suggest às pain is serve?

Hi dear, my mother aged 56 years had D12 anterior wedge compression 8 months ago and now is completely on bed. Also scans show low bone density and small oestophytes are seen. Kindly suggest às pain is serve?

Vertebroplasty: If the pain is from the compressed vertebra, then Vertebroplasty where cement is introduced into the fractured vertebra to stabilize it. It has been very successful in relieving pain. Osteoporosis can be treated with any number of medication. ...Read more

40

40
I am having decompression surgery for chiari type I soon. I am curious whether the pain is similar to spinal tap, or bacterial meningitis?

I am having decompression surgery for chiari type I soon. I am curious whether the pain is similar to spinal tap, or bacterial meningitis?

Surgical Pain: Post-operative pain following a suboccipital decompression for chiari is usually due to mobilization of the suboccipital and paraspinal muscles and can be controlled with analgesics such as narcotics, tylenol (acetaminophen) and nsaids. Meningitic pain can occur from chemical irritation. You should discuss these questions with your surgeon to develop a treatment plan before surgery. ...Read more

Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


Dr. Robert Lang
1,161 Doctors shared insights

Bone Density (Definition)

Bone density (or bone mineral density) is a medical term normally referring to the amount of mineral matter per square centimeter of bones. Bone density (or bmd) is used in clinical medicine as an indirect indicator of ...Read more