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Doctor insights on: Doctors Handle Osteoporosis

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Dear, doctor what's new in the treatment of osteoporosis? Thanks

Dear, doctor what's new in the treatment of osteoporosis? Thanks

Prolia: Well, new is a relative term. Prolia is the latest fda approved drug for the treatment of osteoporosis but its been available for over 2 years now. It is the first and only drug of this type to be used for osteoporosis. It was originally used (and still is) for certain cancers. ...Read more

Dr. PHILIP WALLER
1,572 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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What type of doctor typically treats osteoporosis?

What type of doctor typically treats osteoporosis?

Many: Start first with your primary care physician. He/she is the one who knows you best. If necessary, she/he will refer you to the appropriate specialist (endo, gyn, rheumatologists, orthopedic, women health...). It's very important to try to find the cause of the osteoporosis rather than just jump directly to treatment. ...Read more

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My doctor thinks I might have osteoporosis. Wants more info to confirm, but I am worried. What exactly is it?

My doctor thinks I might have osteoporosis. Wants more info to confirm, but I am worried. What exactly is it?

Dexa scan: Osteoporosis is very common in both women and men as we get older. Women tend to start losing bone earlier then men particularly at menopause. A DEXA scan is the test for bone loss. It is a simple xray test that is not painful and takes minutes. Some labs may be ordered such as a clacium and vitamin d levels. The most important risk to osteoporosis is bone fractures but many drugs are available. ...Read more

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If severe osteoporosis which is secondary was left untreated, what is the worse that can happen? And why would a doctor not treat it?

If severe osteoporosis which is secondary was left untreated, what is the worse that can happen? And why would a doctor not treat it?

Fractures: The worst that could happen is a hip fracture which can be very difficult to heal and limits mobility greatly or compression fractures of the spine which leads to chronic pain. It is difficult to say which it was not treated. You should discuss with your dr. And consider seeing a specialist like an endocrinologist to discuss treatment and risk/benefits of treatment. ...Read more

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Can a doctor tell if I have mild osteoporosis from a normal x-ray?

Can a doctor tell if I have mild osteoporosis from a normal x-ray?

Yes but too late?: Plain xrays will show bone loss when at least 30% of bone has been lost so a normal xray does not mean bone loss is not occurring. A dexa or bone density is a much better test to see if bone loss is occurring. It will show early bone loss much sooner then a plan xray. ...Read more

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My doc has prescribed actonel (risedronate) for osteoporosis. I can't decide whether to take it or not. What is your suggestion?

My doc has prescribed actonel (risedronate) for osteoporosis. I can't decide whether to take it or not.  What is your suggestion?

It depend on your : Risk factors, if your risk is high it worth it if is not i will try other modalties, some of the side effects include nausea, abdominal pain, difficulty swallowing, and the risk of an inflamed esophagus or esophageal ulcers. Injected forms of bisphosphonates don't cause stomach upset. And it may be easier to schedule a quarterly or yearly injection ...Read more

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Anyway for the doctor to tell from exam and age or do I need a special test for osteoporosis?

DEXA: The best test for osteoporosis is a dexa or bone density scan. It is a simple and non painful test. It should be done similar to the timing of mammograms so early bone loss can be found and potentially treated before osteoporosis even occurs. ...Read more

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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

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I've a hard/visible lump on the side/back of my rib cage. I've osteoporosis. Injured area 3 months ago. Intermittent pain. Any ideas? Will see doc.

I've a hard/visible lump on the side/back of my rib cage. I've osteoporosis. Injured area 3 months ago. Intermittent pain. Any ideas? Will see doc.

Possible fracture: Yes a fracture with bony deformity must be ruled out or investigated. X-Ray studies even an MRI to check for soft tissue pathology maybe considered. ...Read more

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How can I at age 64 increase my ability to stand straight, run straight, and sit straight without my back hurting. To the surprise of my physician, i was diagnosed with osteoporosis at age 40. Ever since then, i've taken medication to build bone; dependin

How can I at age 64 increase my ability to stand straight, run straight, and sit straight without my back hurting. To the surprise of my physician, i was diagnosed with osteoporosis at age 40. Ever since then, i've taken medication to build bone; dependin

You : You may want to consider a personal trainer who is experienced with your age group to advise you on a strengthening program, even weight lifting. Yoga can also be very helpful for posture and strengthening. Be sure to get professional advice though so that you don't incur an injury. ...Read more

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Postmenop aldronate weekly 2 yrs and osteoporosis getting worse only in hips. Why would doctor prescripe 24 hr urine test and blood work?

Secondary causes: Hi. Your doc is being thorough, knowing that there are many causes of bone loss other than just postmenopausal osteoporosis. She/he is looking for conditions that may have specific treatments that could help prevent further bone loss. I would do the same thing. And practice fall-prevention if at all possible. The hip fracture is the granddaddy of bad fractures. Good luck! ...Read more

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Besides calcium vit d and Fosamax (alendronate) what can be done for my osteoporosis? Im only 28 and my doc said its advanced i have spinal fractures! Im scared

Besides calcium vit d and Fosamax (alendronate) what can be done for my osteoporosis? Im only 28 and my doc said its advanced i have spinal fractures! Im scared

Osteoporosis: For osteoporosis, it's weight bearing exercise, calcium and vitamin D3 supplementation, keep your weight down. Medications when necessary would include Fosamax, Actonel or Boniva (ibandronate). You'd need bone density tests every two to three years after you reach the menopause and treat more aggressively with medications dependent on the results. You're young to have this. Why? Investigated? ...Read more

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I can feel tingling in my shin bones, my doctor thinks this is rubbish, I am on strontium ranelate and have severe osteoporosis.

I can feel tingling in my shin bones, my doctor thinks this is rubbish, I am on strontium ranelate and have severe osteoporosis.

Shin splints: Common to have irritation along the border of the tibia and muscle that can cause tingling usually from increased activity. Nerve injuries can also result in nerve injuries. ...Read more