Doctor insights on:
Genetic or not: Brittle bone disease is an inherited disorder of bone that is called osteogenesis imperfecta. Osteopenia and osteoporosis are disease of the bone where there is decrease density of the bone. This is associated with age, hormonal change, medications, smoking and other issues. Basically the bone cells are out of balance and take away more bone than they replace. ...Read moreSee 1 more doctor answer
Are strontium ranelate and strontium citrate recognised, beneficial treatments for severe osteoporosis?
Not approved: These two therapies are under investigation, but have not yet been approved in the us. ...Read more
Why are individuals who have severe physical disabilities (non weight bearing) more prone to osteoporosis or osteopenia?
If don't use it ....: Lack of force applied to bone over time causes loss of mass and strength: simular to muscle. ...Read more
Are glucosamine & chondroitin supplements effective for elderly people who suffers from spinal stenosis? And for runners?
Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read moreSee 1 more doctor answer
Not usually a proble: Generally, people with this condition carry out normal lives with regards to daily activities. ...Read more
Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more
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
Assess and adapt: Anyone entering a long-term care situation has individual preferences and needs ( food, activities, interests, etc). Which must be assessed on admission. What physical capabilities and limitations does s/he have -- and what's been meaningful to him/her before? What adaptations can the unit make so that s/he can participate and have emotional needs met? Staff must consider all these things. ...Read more
Nortriptyline: Nortriptyline which is a tricyclic antidepressant has been shown to be helpful for depression in those with parkinson's disease. Also paroxetine has some evidence for treating depression in parkinson's. In general antidepressants that work on norepinephrine and Dopamine seem to help more. Antidepressants that affect serotonin can worsen movement symptoms common in pd such as restless legs. ...Read moreSee 2 more doctor answers
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
Unlikely: Cerefolin is more like a vitamin so it is unlikely to cause confusion. When one has dementia, confusion can come and go. That being said, if there is an increase in confusion shortly after taking it and this doesn't happen at other times and continues to happen with use perhaps there is something specific about the person and the formulation that doesn't agree. ...Read moreSee 1 more doctor answer
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