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Doctor insights on: Pediatric Osteoporosis

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Best treatment for idiopathic pediatric osteoporosis?

Best treatment for idiopathic pediatric osteoporosis?

Heterogenous conditi: General recommendations are: adequate vitamin d intake (400-800 iu daily); calcium intake (not less than 1200 mg daily); and weight bearing excercise. Treatment should be guided by endocrinologist/metabolic diseases specialist. ...Read more

Dr. Chad Rudnick
3,169 doctors shared insights

Pediatrics (Definition)

Pediatrics is the branch of medicine that concerns ...Read more


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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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Whats difference in approach by pediatric neurosurgery, pediatric oncology, pediatric general surgery?

Whats difference in approach by pediatric neurosurgery, pediatric oncology, pediatric general surgery?

DifferentSpecialties: Each of the doctors mentioned underwent separate residencies focused on their areas of interest. While there may be overlap in particular diseases treated, they would work together to provide optimal care. For example, a pediatric surgeon may be responsible for the surgical removal of a tumor and the oncologist would be responsible for coordinating chemotherapy. ...Read more

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Could pediatric neuro-sarcoidosis cause pituitary dwarfism (hyposomatotropism) in children ?

Could pediatric neuro-sarcoidosis cause pituitary dwarfism (hyposomatotropism) in children ?

It could be a cause: Causes of hypopituitarism can directly affect the pituitary gland or indirectly through the hypothalamus, which in turn affects the pituitary gland. Causes of hypopituitarism, of which there are many, includes sarcoidosis - a rare inflammation of the lymph nodes and other tissues throughout the body. ...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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What is pediatric neurology doctor and pediatric oncologist?

What  is pediatric neurology doctor and pediatric oncologist?

Interesting!: I'm wondering about the reason for your question. The one place they will commonly overlap is in treatment of childhood brain tumors. Both pediatric neurologists and pediatric oncologists become pediatric neuro-oncologists, doctors who specialize in brain tumor treatment. And in my experience, they both do an excellent job of it! ...Read more

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Dr happy with alendronate 70mg & ca -d supplement for severe osteopenia (t-2.3) in spine. Would strontium citrate supplement be helpful too?

Dr happy with alendronate 70mg & ca -d supplement for severe osteopenia (t-2.3) in spine.  Would strontium citrate supplement be helpful too?

Strontium: To my knowledge strontium (ranelate not citrate) is not an approved osteoporosis drug in the usa. Alendronate is a good and safe drug. What matters is how you take it - with water not food - and how long you have been taking it. Standard procedure is to check your t-score every 2 years and many of us recommend stopping therapy if consecutive results show no change. ...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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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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What problems have to do with vitamin d deficiency other than rickets, osteoporosis and osteomalacia?

What problems have to do with vitamin d deficiency other than rickets, osteoporosis and osteomalacia?

Malabsorption: Certain malabsorption syndromes can lead to this. Also certain areas in the world who lack essential vitamins. Also people who do not eat a healthy diet. All adults should take 1000 international units of vitamin d daily. Hope this answers your question. ...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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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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A physician who treats bones and bone diseases? 

A physician who treats bones and bone diseases? 

Endocrinologists: Pediatric and adult endocrinologists are trained to care for patients with metabolic bone disease. Rheumatologists also treat bone diseases. ...Read more

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Have myasthenia gravis, severe osteoporosis.Scared of "another med" to treat osteo and it NOT flare/worsen MG!! Reclast, (zoledronic acid) Proliva, Forteo?try shot 1st?

Have myasthenia gravis, severe osteoporosis.Scared of "another med" to treat osteo and it NOT flare/worsen MG!! Reclast, (zoledronic acid) Proliva, Forteo?try shot 1st?

Osteoporosis : unfortunately there's no easy answer. We are lucky to have many options for osteoporosis and each drug comes with risks and benefits. Your medial history, labs, x-Rays & DEXA have to be factored in before individualizing your treatments. Please discuss with your doctors. Best wishes. ...Read more

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Developmental hip dysplasia. Any follow-up needed after age 2 years?

Developmental hip dysplasia.  Any follow-up needed after age 2 years?

Yes: Developmental hip dysplasia occurs in approximately 0.4 % of births. Result of treatment depend on early diagnosis and treatment institution. Between birth & 6 months of age we use the pavlik harness, between 6 months & 1 yr of age following general anesthesia and reduction a spica cast is used. After age 1 surgery may be needed followed by a spica cast. Follow up is needed. ...Read more

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Dr. PHILIP WALLER
1,579 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more