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Doctor insights on: Osteoporosis In The Spine

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Dr. PHILIP WALLER
1,580 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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Symptoms of arthritis in the spine?

Symptoms of arthritis in the spine?

Stiffness and pain: Stiffness and pain in the back suggest arthritis. X-ray may reveal the cause. ...Read more

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In the bone densitometry is reported that I have osteopenia in the ap spine(l1-l4) and osteoporosis in the left femur(neck). Does i need treatment?

In the bone densitometry is reported that I have osteopenia in the ap spine(l1-l4) and osteoporosis in the left femur(neck). Does i need treatment?

Depends...: It depends on how significant the osteopenia is for your age group... Many caucasian females who have passed menopause are @ risk for osteopenia ( highest risk) and resultant osteopenia fractures of the hip, distal radius, lumbar spine, etc.See your pcp or ob-gyn for evaluation and possible treatment . Best of luck.! ...Read more

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What is degenerative change in the lower. Lumbar spine On both hips?

What is degenerative change in the lower. Lumbar spine On both hips?

Wear and tear: It simply means 'wear and tear.' Over time, our back, our hips and other areas in our bodies develop changes of arthritis from use; particularly those areas, since they bear our weight. Nothing to be really worried about; part of growing older. One thought; if you're overweight, losing weight can help reduce some of that stress on the joints. ...Read more

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Who is the foremost specialist in the world on nonscoliotic congenital abnormalties of the spine in shape or extra vertebrae?

Who is the foremost specialist in the world on nonscoliotic congenital abnormalties of the spine in shape or extra vertebrae?

Depends on who you : Ask but a fellowship trained , board certified orthopedic spine surgeon will fit your needs in terms of evaluating and treating a spinal deformity. In your area, you can start with your own doctor for a referral or at the nearest university medical center. ...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?

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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Can degeneration and/or bone spurs in the cervical spine adversely effect the thyroid gland?

Can degeneration and/or bone spurs in the cervical spine adversely effect the thyroid gland?

No: The degeneration of the cervical spine (neck skeleton) should have no effect on the thyroid gland. The gland is separated from the spine by the trachea (windpipe) and esophagus (swallowing tube that transports food from mouth to stomach). ...Read more

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What happens to the neck bones in cervical spondylosis?

What happens to the neck bones in cervical spondylosis?

Osteophytes: The vertebrae of the the spinal column become irregularly thickened and may have irregular projections. These irregularities cause narrowing of the spinal canal and impinge on the spinal cord leading to neurological deficits. ...Read more

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Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?

Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?

Fairly common: Description for imaging by age 30 relating more to age relatd degenerative changes particularly at the lower two disc spaces ascwell as involving the small joints or articular processes of the back with two facet joints found at each disc level. This can be further affcted if one smokes ;/or obese. Genetics also play a role while ther is mixed data as to other possible environmental causes. ...Read more

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"Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?"

"Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?"

Varies : Increased sclerosis on the articular processes throughout the spine is another way to say you have diffuse arthritic changes in you spine. The end plate irregularity is harder to say without seeing the film, it can also represent a change seen in arthritis, but can also represent a fracture or even be seen in an infection of the vertebrae. You should see your doctor to go through it with you. ...Read more

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Is degenerative changes in the neck the same as degenerative disc deases?

Is degenerative changes in the neck the same as degenerative disc deases?

Possibly: Degenerative disc disease is essentially aging or wearing out of the discs. Degenerative changes can also affect the spine (bones itself) and aging/wearing out changes can also occur in the joints of the neck. Xrays can help separate out where the degenerative changes are ...Read more

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What is involved in fusion sugery in the talus in the heel?

What is involved in fusion sugery in the talus in the heel?

Fusing stuff!: This procedure(or technically called triple arthrodesis) involves exactly what you posted; an operation that involves fusing the bones together to provide stability and repair to the damaged joint(foot). ...Read more

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"Facet enlargement in the lower lumbar spine and multilevel degen disc narrowing.There is foraminal stenosis, greatest on the r side @ L4-L5" Meaning?

"Facet enlargement in the lower lumbar spine and multilevel degen disc narrowing.There is foraminal stenosis, greatest on the r side @ L4-L5" Meaning?

These findings are: all part of the spectrum of degenerative arthritis. The facets are small joints between the posterior parts of successive vertebral bodies. Foraminal stenosis means that the opening(foramen) that the nerve root exits the spinal canal through is narrowed, usually by degenerative disease, and may be pinching the nerve root, in your case the right L4 nerve root exiting the L4-L5 foramen. ...Read more

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Why is a fracture of the spinal cord at the cervical region worse than one in the thoracic region?

Arms : Because a injury to the cervical spinal cord would risk loss of respiration and cause paralysis of the arms and legs. A thoracic cord injury would only cause paralysis of the legs. Obviously still catastrophic. ...Read more

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The healing process in elderly women with fractured back from ostyoporosis?

The healing process in elderly women with fractured back  from ostyoporosis?

6-8 weeks: Usually heals fine in 6-8 weeks. If remains symptomatic can consider kyphoplasty procedure. ...Read more

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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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I have a sharp pain in my thigh. I have been diagnosed with osteoporosis of lumber spine. What is the treatment?

I have a sharp pain in my thigh. I have been diagnosed with osteoporosis of lumber spine. What is the treatment?

Need more evaluation: Osteoporosis of the spine will not cause the thigh pain. Meds known as bisphosphonates can help the osteoporosis but you should ask your doctor why osteoporosis is present in someone only 40 years of age. See an orthopedist or rheumatologist. ...Read more

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My mother has been suffering from neck pains which comes and goes and causes discomfort she also has osteoporosis in her spine is this related?

Neck pain in elder: Osteoporosis is not painful. Fractures related to it are, however. Neck pain is more likely arthritic. If mom has kyphosis (stooped back) then this could aggravate neck pain by causing her to hyperextend her neck. If tyelnol, rest, heat/ice don't suffice, it may be worthwhile to see a doctor. Physical therapy would be the most likely treatment if nothing else is wrong. ...Read more

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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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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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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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Have lengthily spinal fusion, now told osteoporosis, some hardware moving. Spine surgeon wants me on forteo, am concerned, next fusion to base c/spin?

I understand: i understand your concern. Forteo is a good drugs but not without possible serious side effects. Would your doctor consider a biphosphonate? ...Read more

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Diagnosed with severe osteoporosis of hip and spine. Md is ordering reclast (zoledronic acid) injection. Is there a homeopathic treatment for osteoporosis? Looking for, homeopathic md in my area glastonbury, ct.

Diagnosed with severe osteoporosis of hip and spine. Md is ordering reclast (zoledronic acid) injection. Is there a homeopathic treatment for osteoporosis? Looking for, homeopathic md  in my area glastonbury, ct.

Absolutely not: Osteoporosis needs to be treated with medications such as Reclast (zoledronic acid) that will hopefully improve bone density and reduce fracture risk. Every month you wait you lose more bone mass. Your smoking is a major cause of your osteoporosis and you should stop this habit now. ...Read more

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I have been told I have osteoporosis of the hip and spine. Does this also cause severe rib pain around both ribs?

I have been told I have osteoporosis of the hip and spine. Does this also cause severe rib pain around both ribs?

Yes: Osteoporosis is a systemic disease and you do not just have it in your hip and spine. Those locations, and the wrist, have been used for imaging and quantifying the severity of your disease but you have it throughout your body. Ribs can fracture and bruise more easily in osteoporosis and weak bones hurt in general. Osteoporosis is a painful disease and you need to treat it with calcium, vit d, mg. ...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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With an osteoporosis T-score of -3.5 spine at the age of 53, can I expect a normal life? Or am i going to worsen greatly. I am on strontium ranelate

Your T-score: Shows significant bone loss in the spine and increased risk for fractures. Since strontium ranelate is not approved for use in the U.S., very few american doctors have much experience with the drug. Check w/your prescribing physician. ...Read more

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I'm a 31-year-old male with osteoporosis and compression fracture L4 disk spine?

I'm a 31-year-old male with osteoporosis and compression fracture
L4 disk spine?

Unusual : It is very unusual for a 31 year old to have osteoporosis and so a full endocrine workup would be indicated to find the underlying cause.; otherwise you might be at high risk for further fractures. ...Read more

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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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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