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Doctor insights on: Exercises For Osteoporosis Of The Spine

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Can untreated severe secondary osteoporosis of the spine, without fracture cause death? And how?

Can untreated severe secondary osteoporosis of the spine, without fracture cause death? And how?

OP mortality: 859000 medicare patients at least 65 included in this review. 4 year survival after fracture 50% without surgery (kyphoplasty or vetebroplasty). With surgery, 24-44% lower mortality over 4 years. Secondary causes of death more likely. Only 28% in one study died as a direct result of fracture. Lung, stroke, etc more likely. Journal of bone and mineral research, vol. 26, no. 7, july 2011. ...Read more

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Dr. PHILIP WALLER
1,573 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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Bone density test shows osteoporosis of the spine & hip, hip:-3.03, spine:-3.58 what is the recommended treatment?

Bone density test shows osteoporosis of the spine & hip, hip:-3.03, spine:-3.58 what is the recommended treatment?

Osteoporosis: Sir you have osteoporosis and it may be a bad case. You should discuss this with your doctor at once and obtain medical treatment. Exercise, calcium, and vitamin d are going to be insufficient. You will likely need a bisphosphonate like alendronate, pamidronate, or zoledronic acid. ...Read more

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Is the spine deformation from osteoporosis reversible?

Is the spine deformation from osteoporosis reversible?

Not naturally: The increase bedding or widows hump caused from osteoporosis is not naturally reversible. With acute fractures of the thoracic spine, at times a kyphoplasty may be performed to inject bone cement into to collapsed vertebra to build it back up, but long standing multi-level changes are not. ...Read more

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Does everyone with osteoporosis in the spine get a dowagers hump?

Does everyone with osteoporosis in the spine get a dowagers hump?

No: There are many factors that influence the way osteoporosis presents. The severity of the bone loss, the location, the condition of ancillary support structures, therapies that are being used, activity type and level, genetics, other medical conditions - to name a few. How the hump appears is quite variable and not particularly predictable. It can be observed in both men and women. ...Read more

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What is a significant change in t/z scores for osteoporosis? My spine is -8.6% worse... Is that a lot for 1 year? Femurs change are -0.007% and -0.5%.

What is a significant change in t/z scores for osteoporosis? My spine is -8.6% worse... Is that a lot for 1 year? Femurs change are -0.007% and -0.5%.

High variability: A significant problem with dexa scans is the variability both between different machines and within the same center. The reported variability using the same machine on two different days is about 4%. If one tries to compare two different machines (and operators), the variability can be as high as 10-15%. It looks like your spine may be worse, but the femur is unchanged. ...Read more

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I have osteoporosis of the lower spine I have bad reaction to actonal I excersice daily what else can I do?

I have osteoporosis of the lower spine I have bad reaction to actonal I excersice daily what else can I do?

OTHER OPTIONS: There are other options for osteoporosis besides drugs like actonel. You must continue to exercise! you must continue calcium and vitamin d and have one of your physicians check a vitamin d level to make sure you dont need high dose vitamin d. Drugs such as Evista and Miacalcin are other treatment options. We have a new drug taken twice a year by injection called Prolia that is not like actonel. ...Read more

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I was told I have severe osteoporosis but it was a mistake, spine is -2.3 should I continue taking strontum r ? I only have one kidney and am worried.

Osteopenia: It sounds like you have osteopenia. Unless you have had a previous fracture, at your age, it is unlikely that you would have a frax score to support using a drug for treating your bones. Are you referring to strontium ranelate? This is available in europe not the us. Strontium supplements in the us are not the same and have no data to support that they are effective for osteoporosis. ...Read more

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What is the best osteoporosis treatment for 85 age lady with collapsing spine?

What is the best osteoporosis treatment for 85 age lady with collapsing spine?

Varies: First, be sure you are getting enough calcium and vitamin d because no treatment will work if you do not have enough of these. After that, it depends on your general health and if you have ever received any treatment in the past. If you already have a 'collapsing spine', you would be best to see a specialist who is an endocrinologist or rheumatologist that treats osteoporosis for an expert opinion. ...Read more

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I believe i can feel my severe osteoporosis in my spine, my doctor says you cannot feel osteoporosis, which is true?

Doctor: You don't feel osteoporosis. Most people don't even know they have it until diagnosed or a fracture develops. Bone pain is due to many other things but not osteoporosis. ...Read more

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I have severe osteoporosis minus 3.7 in two parts of spine. Now I have plantar fasilitis, is there a connection and what is the treatment?

I have severe osteoporosis minus 3.7 in two parts of spine. Now I have plantar fasilitis, is there a connection and what is the treatment?

Could be...: Plantar fascitis if the pains occur mainly in the heel area and even possibly the arch. It could also be generalized arthritis and a number of other possibilities. Take the insoles out of your shoes and replace them with ones that have more arch support. The one i recommend most is the spenco polysorb cross-trainer insole. There is no known direct connection to osteoporosis. ...Read more

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Is it really possible to go from t-3.7 severe osteoporosis score to t-2.3 osteopenia in the spine in 7 months by taking strontium ranelate?

Is it really possible to go from t-3.7 severe osteoporosis  score to t-2.3 osteopenia in the spine  in 7 months by taking strontium ranelate?

See below: It has been said. That strontium can increase bone density test, but this may appear more impressive than it really is because strontium in bone can affect bone density interpretation. Radiologist needs to be informed if you are taking strontium. ...Read more

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With an osteoporosis T-score of -3.5 spine at the age of 53, can I expect a normal life? Or am i going to worsen greatly. I am on strontium ranelate

Your T-score: Shows significant bone loss in the spine and increased risk for fractures. Since strontium ranelate is not approved for use in the U.S., very few american doctors have much experience with the drug. Check w/your prescribing physician. ...Read more

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I am a 30 year old male with osteoporosis my back is fused with three spine l5-l4-l3 and I have two rods in my back can I workout my lower back?

I am a 30 year old male with osteoporosis my back is fused with three spine l5-l4-l3 and I have two rods in my back can I workout my lower back?

Not advised: You can but there is no need resistance training of a surgically stiffened and altered spine that has been contrived not to move y the plan of surgery was to stiffen your spine and protect your nerves more risk than benifit my opinion if you had your knee fused would you go to the gym to build your quad? For your back i recommend swimming pilates only if you have to do something low impact. ...Read more

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How fast can the cervical spine collapse if osteoporosis?

How fast can the cervical spine collapse if osteoporosis?

Not fast: Although the spine can suffer vertebral fractures from osteoporosis, cervical spine fragility fractures are very uncommon. You are more likely to suffer fractures of the lower thoracic or upper lumber spine. ...Read more

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How do c-spine fractures affect people with osteoporosis?

How do c-spine fractures affect people with osteoporosis?

Osteoporosis: The reduction in calcium with osteoporosis increases the risk for fractures in all parts of the spine. Osteoporosis also increases the complexity of surgical repair by requiring the inclusion of more levels to spread the load and may also require cement to augment the pedicle screws. Healing time for the fracture or surgical fusion can also be much longer. ...Read more

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I have a sharp pain in my thigh. I have been diagnosed with osteoporosis of lumber spine. What is the treatment?

Need more evaluation: Osteoporosis of the spine will not cause the thigh pain. Meds known as bisphosphonates can help the osteoporosis but you should ask your doctor why osteoporosis is present in someone only 40 years of age. See an orthopedist or rheumatologist. ...Read more

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I have been told I have osteoporosis of the hip and spine. Does this also cause severe rib pain around both ribs?

I have been told I have osteoporosis of the hip and spine. Does this also cause severe rib pain around both ribs?

Yes: Osteoporosis is a systemic disease and you do not just have it in your hip and spine. Those locations, and the wrist, have been used for imaging and quantifying the severity of your disease but you have it throughout your body. Ribs can fracture and bruise more easily in osteoporosis and weak bones hurt in general. Osteoporosis is a painful disease and you need to treat it with calcium, vit d, mg. ...Read more

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