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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
1,549 doctors shared insights

Osteoporosis (Definition)

Currently it is better to think of osteoporosis as a condition where the bone is weakened, and can be managed or treated rather than cured. This is usually performed by dietary modifications, ingestion of supplemental calcium, vitamin d and a class of agents notice the bisphosphonates. These are usually delivered via oral or intramuscular injection on a weekly or monthly ...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?

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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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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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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