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Doctor insights on: Osteoporosis Family Physicians

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How can I at age 64 increase my ability to stand straight, run straight, and sit straight without my back hurting. To the surprise of my physician, i was diagnosed with osteoporosis at age 40. Ever since then, i've taken medication to build bone; dependin

How can I at age 64 increase my ability to stand straight, run straight, and sit straight without my back hurting. To the surprise of my physician, i was diagnosed with osteoporosis at age 40. Ever since then, i've taken medication to build bone; dependin

You : You may want to consider a personal trainer who is experienced with your age group to advise you on a strengthening program, even weight lifting. Yoga can also be very helpful for posture and strengthening. Be sure to get professional advice though so that you don't incur an injury.

Dr. PHILIP WALLER
1,574 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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Can a doctor tell if I have mild osteoporosis from a normal x-ray?

Can a doctor tell if I have mild osteoporosis from a normal x-ray?

Yes but too late?: Plain xrays will show bone loss when at least 30% of bone has been lost so a normal xray does not mean bone loss is not occurring. A dexa or bone density is a much better test to see if bone loss is occurring. It will show early bone loss much sooner then a plan xray.

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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?

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.

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Dear, doctor what's new in the treatment of osteoporosis? Thanks

Dear, doctor what's new in the treatment of osteoporosis? Thanks

Prolia: Well, new is a relative term. Prolia is the latest fda approved drug for the treatment of osteoporosis but its been available for over 2 years now. It is the first and only drug of this type to be used for osteoporosis. It was originally used (and still is) for certain cancers.

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What type of doctor typically treats osteoporosis?

What type of doctor typically treats osteoporosis?

Many: Start first with your primary care physician. He/she is the one who knows you best. If necessary, she/he will refer you to the appropriate specialist (endo, gyn, rheumatologists, orthopedic, women health...). It's very important to try to find the cause of the osteoporosis rather than just jump directly to treatment.

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My doctor thinks I might have osteoporosis. Wants more info to confirm, but I am worried. What exactly is it?

My doctor thinks I might have osteoporosis. Wants more info to confirm, but I am worried. What exactly is it?

Dexa scan: Osteoporosis is very common in both women and men as we get older. Women tend to start losing bone earlier then men particularly at menopause. A DEXA scan is the test for bone loss. It is a simple xray test that is not painful and takes minutes. Some labs may be ordered such as a clacium and vitamin d levels. The most important risk to osteoporosis is bone fractures but many drugs are available.

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If severe osteoporosis which is secondary was left untreated, what is the worse that can happen? And why would a doctor not treat it?

If severe osteoporosis which is secondary was left untreated, what is the worse that can happen? And why would a doctor not treat it?

Fractures: The worst that could happen is a hip fracture which can be very difficult to heal and limits mobility greatly or compression fractures of the spine which leads to chronic pain. It is difficult to say which it was not treated. You should discuss with your dr. And consider seeing a specialist like an endocrinologist to discuss treatment and risk/benefits of treatment.

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Anyway for the doctor to tell from exam and age or do I need a special test for osteoporosis?

DEXA: The best test for osteoporosis is a dexa or bone density scan. It is a simple and non painful test. It should be done similar to the timing of mammograms so early bone loss can be found and potentially treated before osteoporosis even occurs.

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Hi doctors, , how elevated level of growth hormone is associated with osteoporosis and arthritis?

Just arthritis: People with acromegaly or excess growth hormone develop enlargement of the tissues that make up the joints, and that can lead to pain and swelling. It does not cause osteoporosis.

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Postmenop aldronate weekly 2 yrs and osteoporosis getting worse only in hips. Why would doctor prescripe 24 hr urine test and blood work?

Secondary causes: Hi. Your doc is being thorough, knowing that there are many causes of bone loss other than just postmenopausal osteoporosis. She/he is looking for conditions that may have specific treatments that could help prevent further bone loss. I would do the same thing. And practice fall-prevention if at all possible. The hip fracture is the granddaddy of bad fractures. Good luck!

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I can feel tingling in my shin bones, my doctor thinks this is rubbish, I am on strontium ranelate and have severe osteoporosis.

I can feel tingling in my shin bones, my doctor thinks this is rubbish, I am on strontium ranelate and have severe osteoporosis.

Shin splints: Common to have irritation along the border of the tibia and muscle that can cause tingling usually from increased activity. Nerve injuries can also result in nerve injuries.

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How common is osteoporosis with long term use of lovenox. I have recurred twice (pe, leg thrombosis) on Coumadin (warfarin) and my doctor has me on lovenox ?

How common is osteoporosis with long term use of lovenox.   I have recurred twice (pe, leg thrombosis) on Coumadin (warfarin) and my doctor has me on lovenox ?

Not common: I have not heard of osteoporosis as a complication from lovenox (enoxaparin). In terms of your blood clots, has your doctor done a work up for a hypercoaguable state? Did he discuss alternative oral anticoagulation with xarelto?

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If given a bilat oopherectomy and aromatose inhibitors for breast cancer would the doctor know that these can cause osteoporosis & what should she do?

If given a bilat oopherectomy and aromatose inhibitors for breast cancer would the doctor know that these can cause osteoporosis & what should she do?

YOU know!: It sounds like you are aware of the risk, so tell your doctor! it is great that you are thinking about this. Yes, you are at risk for losing bone, so you need to know 1. Where you are starting (what your bone density is now) 2. Your vitamin d level, and 3. How much your bone density changes in 1-2 years. Keep up weight-bearing exercise like walking, and keep up the conversation with your doc!

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How safe is tooth extraction for someone with osteoporosis? I've read that it increases the chances of breaking your jaw during the procedure, but by how much? I was diagnosed about two years ago, and my doctor says reclast has helped, but my bones are st

How safe is tooth extraction for someone with osteoporosis? I've read that it increases the chances of breaking your jaw during the procedure, but by how much? I was diagnosed about two years ago, and my doctor says reclast has helped, but my bones are st

Depends: Patients taking bisphosphonates for osteoporosis are at greater risk for osteonecrosis of the jaw from surgical procedures. The injectables or IV meds are most likely to cause problems. The oral meds are not as bad for complications . Your dr. May take you off Reclast (zoledronic acid) for a period of time before the extraction. Please discuss this w your physician and oral surgeon! good luck!

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What exactly do family physicians do?

What exactly do family physicians do?

Some do it all:: Surgery, deliver babies, sports physicals, check ups, and refer to colleagues when matters areabove their level of expertise, knowledge or what they feel safe doing.