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Doctor insights on: Osteoporosis Orthopedists

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Osteopenia, osteoporosis or brittle bone disease--differences?

Osteopenia, osteoporosis or brittle bone disease--differences?

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 more

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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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Can a radionuclide bone scan miss degenerative disc disease, osteoarthritis and osteopenia?

Can a radionuclide bone scan miss degenerative disc disease, osteoarthritis and osteopenia?

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

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What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness? Physiatrist , orthopod, neurosurgeon? Xrays best?

What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness?  Physiatrist , orthopod, neurosurgeon?  Xrays best?

See below: Harrington rods surgically implanted usually for severe scoliosis. This is a major surgery and is usually determined by an orthopedic spine specialist. ...Read more

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How are Fosamax (alendronate) and femur fractures related?

How are Fosamax (alendronate) and femur fractures related?

2 answers: In patients who are truly at high risk for a hip fracture, Fosamax (alendronate) will decrease the risk of a fracture by 50%. However, in about 1 person in 1000-5000 there will be an increased risk because the medication is too strong. The current recommendation by many experts is to not use this type of medication for prevention unless you are high risk for a fracture. ...Read more

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How do c-spine fractures affect people with osteoporosis?

How do c-spine fractures affect people with osteoporosis?

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

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Who performs a sacroiliac joint fusion surgery?

Who performs a sacroiliac joint fusion surgery?

No one should!: For what reason? I can't think of one in todays world. ...Read more

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Where does osteoporosis cause bone fractures?

Where does osteoporosis cause bone fractures?

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

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Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?

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

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How are SI joint fusions performed?

How are SI joint fusions performed?

When indicated,: after failure of conservative management. An experienced spinal surgeon can perform this for you. But most sacroiliac joint dysfunction responds nicely to the appropriate conservative management, only very few of them will need surgery. It is done in a manner requiring about 2-3 cm incision, with fluoroscopy, and about 3 stabilizing implants. With bonegraft placed in joint for best results. ...Read more

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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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Who (orthopedic surgeons or podiatrist) does vascularized bone grafts for osteonecrosis of the talus-in denver, chicago, st. Louis or kansas areas?

Who (orthopedic surgeons or podiatrist) does vascularized bone grafts for osteonecrosis of the talus-in denver, chicago, st. Louis or kansas areas?

Ankle Specialist: I would check with the medical schools in each of the cities. Chicago and st. Louis have multiple medical schools. In the orthopedic department look for the doctor listed as foot and ankle. This at least means that he or she is fellowship trained ...Read more

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Do only certain orthopedic surgeons specialize in joint surgery?

Do only certain orthopedic surgeons specialize in joint surgery?

Joint surgery: You will need to pick an orthopedic surgeon. This is a common procedure for most orthopedists. There are some surgeons who specialize in joint replacements and have extra training in the procedures. ...Read more

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How are vertebral compression fractures diagnosed?

How are vertebral compression fractures diagnosed?

Yes: Mri scan is the most accurate test. Pain over the fracture site is the most useful physical finding. ...Read more

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Knee pain when stand/walk. Osteophytes at bilateral tibial spines. Patellofemoral joint spaces reduced. Early osteoarthritis. Need surgery to treat?

Knee pain when stand/walk. Osteophytes at bilateral tibial spines. Patellofemoral joint spaces reduced. Early osteoarthritis. Need surgery to treat?

Not necessarily: Medications, physical therapy, bracing, and even injection therapy are ways to treat early arthritis of the knee without surgery. Consider being seen to discuss which options might be best for you. ...Read more

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Hypermobile, poor healing, broken bones from cycle accidents. Need tests for brittle bone disease?

Hypermobile, poor healing, broken bones from cycle accidents. Need tests for brittle bone disease?

Collagen issue: Sounds more like a collagen issue. Unfortunately there not a treatment for poor collagen like there is for osteo-porosis. Still worth getting bone density, electrolytes, and hormones checked. (thyroid, para thyroid). ...Read more

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Are avulsion fractures similar to stress fractures?

Are avulsion fractures similar to stress fractures?

No: Avulsion fractures are when a section of bone is torn away from the main body of bone and still connected to the tendon. ...Read more