Doctor insights on:
How Does Osteoporosis Affect The Bone Matrix
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
Many things: Osteoporosis can be the result of low calcium, low Vitamin D, decreased bone production, increased bone turnover, disuse of a limb due to injury or pain, or other medical conditions such as hypothyroidism or kidney disease. Therefore, it is important to have osteoporosis evaluated with a physical and blood work so that the correct treatment can occur and prevent fractures. ...Read more
What are the reasons that would stop bone medications from working in relation to halting rapid osteoporosis?
Absorption: The most common cause for bone antiresorptive medications to not work is that they are not being taken correctly, and not being absorbed into the blood stream. This is especially true for bisphosphonates. One also needs to look for a secondary cause of osteoporosis such as hyperparathyroidism, hyperthyroid, steroid effects, other meds. ...Read more
Does osteoporosis target only the damaged areas of bone or does it build up in the good areas too and cause too much bone?
Affects everywhere: Osteoporosis is loss of skeletal bone. Although we typically measure changes in the spine, hip, and sometimes wrist, it is a process that effects every bone in the body. There are two major types of bone: trabecular (bone on the inside) and cortical (bone on the outside). The spine has mostly trabecular bone, the hip has both, and the wrist mostly cortical. ...Read more
Multiple: N-telopeptide in urine is an older one. It is measured on the second voided urine specimen of the day and so is a little complicated to get. C-telopeptide is a newer one that is measured in blood-can be collected anytime so is used more often. If treatment is good, these markers will be low (they are measures of bone turnover). Your 25 hydroxy vitamin d level should also be above 30. ...Read moreSee 1 more doctor answer
Fractures may occur.: Osteoporosis produces no symptoms until fractures occur. This often occurs because of trauma, particularly hip fractures caused by falling. Vertebrae can collapse without trauma in people with severe osteoporosis. Numerous medicines are available for the prevention of bone loss and reduce the risk of fractures. ...Read more
DEXA and blood: The gold standard for osteoporosis is DEXA scanning. Other options for evaluating severe osteoporosis are blood tests which can measure bone breakdown, as well as MRI scanning which can show thinning of the bones... But DEXA is still the gold standard. ...Read moreSee 2 more doctor answers
I broke my tibia bone in half three months after I founnd I have osteoporosis. Should it still hurt after 1 1/2 years?
Possible nonunion: The tibia is notorious for not healing. It's possible that it never healed and you've developed a nonunion, for several different reasons. I'd make an appointment with an orthopedic surgeon to evaluate why you're still having pain in your tibia. ...Read moreSee 2 more doctor answers
What are our bones made of? And when you have osteoporosis what part of the bone is gone? How do u replenish what's gone?
Diagnosed with osteoporosis @ 28! Can my bones be replenished and it reversed or is the damage permanent? What can I do? I'm way too young!
Unfortunately no: There is no cure for osteoporosis and no cure for paget's disease of the bone. Osteoporosis is part of the aging process, wear and tear- no we have not found any fountain of youth yet. Medication is available to help osteoporosis and paget's disease of the bone- that is intended to help relief bony pain, and for other indication- ie. Abnormal blood test etc. Please discuss w/ your md in detail. ...Read more
Only partly: The DEXA scan gives the bone mineral density at the hips, spine and forearm. These scores can predict osteoporosis: 't-score' of less than -2.5 is considered osteoporosis. However, many people suffer osteoporosis fractures despite having better bone densities. So, we also use other factors: age, ethnicity, size, family history, prior fractures, smoking, alcohol, other conditions to predict risks. ...Read moreSee 1 more doctor answer
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