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Doctor insights on: Osteoporosis Survey

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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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Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol 30 with dexona 1 mg, biopsy needed ?

Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol  30 with dexona 1 mg, biopsy needed  ?

Perhaps: Discuss your situation with your primary doctor or the one who ordered those tests. If you are feeling uncomfortable, it may be good to get a second opinion from an oncologist (a cancer specialist). Do not wait. Time can make a difference in how you do. ...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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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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Can DEXA scan detect osteomalacia?

Can DEXA scan detect osteomalacia?

Osteomalacia: No. A Dexa detects osteoporosis, or decreased amount of bone matrix. Osteomalacia is an abnormal type of bone, soft bones, abnormal building process. You can have both osteoporosis/malacia, so dexa is still done in the workup to measure the amount of bone. Vit D deficiency, GI disorders that cause malabsorption, kidney disease, liver disease, certain drugs... all are part of the differential. ...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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Metabolic bone disease v. Osteoporosis, what's the difference?

Metabolic bone disease v. Osteoporosis, what's the difference?

Same thing: Osteoporosis is a metabolic bone disease. There are many other metabolic bone diseases. Metabolic bone disease is a catagory of disease. ...Read more

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Does a bone density xray also show fractures ?

Does a bone density xray also show fractures ?

DEXA: I do not believe so. A conventional x-ray will show fractures. Dexa scan is meant only for osteoporosis screening and follow-up. ...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 strontium ranelate and strontium citrate recognised, beneficial treatments for severe osteoporosis?

Are strontium ranelate and strontium citrate recognised, beneficial treatments for severe osteoporosis?

Not approved: These two therapies are under investigation, but have not yet been approved in the us. ...Read more

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Does osteopenia cause fractures in infants?

Does osteopenia cause fractures in infants?

Inadequate reserves : And increased loss .Deficiencies in calcium and phosphate and disturbed balance between them are frequently encountered, and may lead to significant impairment of bone deposition. Osteopenia of prematurity – also known as neonatal rickets, rickets of prematurity or neonatal metabolic bone disease – is a common and important concern in neonatology. ...Read more

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2 distal femur stress fx in 7 months. Ortho dx. Docs at a loss for causes. Any ideas? Bone density normal. Normal labs except vit. D

Any ovary issue?: Although it's uncommon to have menopause at your current age, have you had any ovarian surgery? Low vitamin d can decrease the amount of calcium being absorbed. It is the building block for bones. How low is your vitamin d level? ...Read more

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All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?

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

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Do Underweight Patients have Low Bone Density ?

Do Underweight Patients have Low Bone Density ?

Bone density: depends upon other factors than weight, including sex, race,genetics, nutrition, calcium intake, exercise, medical disorders and many other factors. ...Read more

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What causes severe bone loss in young adults? Was diagnosed with osteoporosis after several compression fractures

What causes severe bone loss in young adults? Was diagnosed with osteoporosis after several compression fractures

Many things: Hi. There are many things (and I mean MANY), genetic and acquired, that can cause osteoporosis and fracture in young people. You need a good endocrinologist. I know Lynn Kohlmeier, an endo in Spokane who's very good with metabolic bone disease. I suggest you see her, and bring all labs and data you have on your case. If a diagnosis is established, there may be things that can help bone health. ...Read more

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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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How should vitamin d deficiency increase the risk of bone fracture?

How should vitamin d deficiency increase the risk of bone fracture?

Vit D nec for bones: Vitamin d and calcium are the necessary for bone health and the lack of either can contribute to osteoporosis. ...Read more