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
Yes: The bone scan shows areas of active bone deposition as "hot". Osteopenia won't be diagnosed as this denotes loss of bone density. Degenerative disc disease and osteoarthritis may not be demonstrated if they are insufficient to cause a bone response (healing or what is medically called an osteoblastic response). ...Read more
Osteopoikilosis: Osteopoikilosis is a benign, autosomal dominant sclerosing dysplasia of bone characterized by the presence of numerous bone islands in the skeleton. Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses like bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine. ...Read more
No: Tamoxifen is a selective estrogen receptor modulator (serm) that is used to treat/prevent breast cancer. Evista (raloxifene) is also a serm and it is used to treat/prevent osteoporosis (it also reduces the risk of invasive breast cancer in at risk women). Tamoxifen does not cause osteopenia or osteoporosis. Tamoxifen has been shown to preserve bone. ...Read moreSee 1 more doctor answer
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
Genes, hormones: Bone density is determined initially by inherited genes, If a parent has low bone density there is a 50% chance each child may also. In women estrogen deficiency causes bone loss. In men testosterone deficiency causes bone loss. Vitamin D deficiency results in poor absorption of calcium and causes bone loss and/or poorly mineralized bone. Steroids, excess alcohol and cigarettes also. ...Read more
All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?
If you statement is-: -true, it should be obvious on an MR. In this case I would check 2 be sure that there was not a mixup in identification of whose images are whose. Be sure that they are your images. ...Read more
Spine & hips mostly: With osteoporosis, most any bone might be affected, but mostly fractures tend to occur in the spine and upper leg bones (hips). If you are a woman 65 years or older, or have other risk factors like being thin, check with your primary health provider to see about being screened for osteoporosis. A good source for proven prevention tips is an iphone app called my health checklist 2012. ...Read more
Acto-no: In my experience the patented drudeveloped to improve the bine density scan have not proven to prevent bone fractires. In fact, the black box warning states that these drugs cause brittle bone and increases risk of fracture. The ultimate goal in medicine is to get clinical outcomes while doing no harm. Bio identical hormone replacement has been proven to both produce bone & and stop bone loss. ...Read more
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
No: The risk of osteoporosis is fracture. There is loss of bone density, impairment of bone integrity and strength. Loss of structural support and thus risk of fracture. People with both osteoporosis and osteopenia can fracture, but those with osteoporosis have a great risk since their bones are weaker. The joint pain would occur depending on the location of the fracture in a joint. ...Read moreSee 1 more doctor answer
Unlikely: Hi. Alendronate and other antiresorptive osteoporosis drugs have been associated with a very low but real risk of atypical femur fracture (subtrochanteric fracture in the shaft made of cortical bone). The risk is very low, and a cause and effect relationship is not absolutely established. But yes, the risk appears to be there. Remember all the fractures bisphosphonates PREVENT also, however! ...Read more
The broken ones hurt: Osteogenesis imperfecta patients have weakened, brittle bones. The bones break easily and broken bones are painful. A patient appearing in pain should be checked for a new fracture. A person with o.I. Without fractures, probably does not have bone pain, unless he has some areas of small-scale bone damage from over-movement, stress, or pressure. O.I. Specialists can better evaluate such a patient. ...Read moreSee 2 more doctor answers