Top
40
Doctor insights on: Pediatric Osteoporosis

Share
1

1
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
3,176 doctors shared insights

Pediatrics (Definition)

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


2

2
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

See 1 more doctor answer
3

3
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

See 3 more doctor answers
5

5
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

8

8
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

9

9
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

See 3 more doctor answers
11

11
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

12

12
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

13

13
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

See 1 more doctor answer
14

14
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

15

15
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

16

16
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

17

17
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

See 1 more doctor answer
18

18
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

See 1 more doctor answer
19

19
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

20

20
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

See 1 more doctor answer
21

21
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

22

22
What is a good treatment for idiopathic pediatric osteoporosis?

What is a good treatment for idiopathic pediatric osteoporosis?

Ask diagnosing MD : This is not a common diagnosis and i suspect it was made with the help of a specialist. In the process of going over the diagnosis they should have provided you with a treatment plan. If they did not or you do not recall the details i would contact them. It will have to be followed with appropriate lab tests and imaging so you will likely be seeing them in the future. ...Read more

23

23
I turn 17 next month and have severe idiopathic juvenile osteoporosis. I have been taking idrophos and calcium after a femur fracture 2 years back. I have lost height due to vertebral compression. Can the height loss be reversed or corrected in any way?

I turn 17 next month and have severe idiopathic juvenile osteoporosis. I have been taking idrophos and calcium after a femur fracture 2 years back. I have lost height due to vertebral compression. 
Can the height loss be reversed or corrected in any way?

Problems: I am sorry to hear of your issues. At your age height loss might be correctable but you had best hurry to an orthopedic surgeon. If the surgeon has already told you that improvement on your back is unlikely, please get one more opinion. Keep me posted please. ...Read more

24

24
Can osteoporosis be treated?

Can osteoporosis be treated?

Osteoporosis treat: Osteoporosis can be treated. At your age it would be unusual to go right to a prescription unless it was severe, you already had fractures, or other medical conditions you might have. For most people your age, a good diet and exercise will go a long way towards good bone health. ...Read more

See 2 more doctor answers
25

25
How is osteoporosis diagnosed?

How is osteoporosis diagnosed?

Bone density testing: The best test is a bone density test (known as a dxa scan). This painless test measures the density of your bones. Your doctor uses this test to predict the risk of bone fracture in the future. Sometimes a spine or hip xray can show fractures of your spine/vertebra which can indicate undiagnosed osteoporosis but usually the first test is the dxa scan. ...Read more

See 2 more doctor answers
26

26
Is having osteoporosis serious?

Is having osteoporosis serious?

Yes: Osteoporosis increases the risk of fractures which can lead to chronic back pain, hip fractures are also very serious and have increased morbidity and mortality. In other words people don't do well after hip fracture and may never fully recover. ...Read more

See 1 more doctor answer
27

27
What is osteoporosis? Who gets it?

Osteoporosis.: Osteoporosis is demineralization (loss of calcium) of the bone. It comes in two types, osteopenia which is the condition of weakening bone which precedes osteoporosis. Risk factors include menopause, immobility, chronic steroid use, hyperparathyroidism, etc. ...Read more

See 1 more doctor answer
28

28
What are some signs of osteoporosis?

What are some signs of osteoporosis?

Bone fragility: Easy fractures of bone under minimal or normal conditions. Repeated fractures, stress fractures, spinal compression fractures, etc. Loss of height due to spinal compression fractures. Back pain, developing back hump. ...Read more

29

29
What are the symptoms of osteoporosis?

None: Most patients have no symptoms associated with bone loss until a fracture occurs. It is important to obtain a dexa or bone density scan to measure bone density and see if osteoporosis or bone loss is occurring. ...Read more

30

30
What organs are affected by osteoporosis?

What organs are affected by osteoporosis?

Bone: Osteoporosis affects the strength of the bone, and can predispose patients to develop fractures. In severe cases, spinal deformities can develop which can ultimately also affect the heart, lungs, and GI tract. ...Read more

31

31
What increases my chances of osteoporosis?

What increases my chances of osteoporosis?

DIet, no exercise &: An unhealthy diet is the biggest risk for osteoporosis. Sugar, sodas, excessive meat/protein, coffee, alcohol & smoking all acidify your body & leach calcium from bones. Lack of regular exercise & deficiencies of vit d & k also increase risk, as can malabsorption. See http://doctorklaper.Com/answers05.Html & http://www.Drdach.Com/wst_page6.Html. ...Read more

See 1 more doctor answer
32

32
What is the layman's term for osteoporosis?

What is the layman's term for osteoporosis?

Brittle Bones: Osteoporosis results in "weakening" of the bones often leading to fractures. For this reason it is often described as "brittle bone " disease. ...Read more

See 1 more doctor answer
33

33
What is the biological cause of osteoporosis?

What is the biological cause of osteoporosis?

Metabolic disease : Osteoporosis is a metabolic disease caused by lack of sunshine, poor quality diets (filled with junk food), lack of exercise, hormonal imbalances, immune system imbalances. ...Read more

34

34
What are the grades or categories of osteoporosis?

What are the grades or categories of osteoporosis?

See below: According to the world health organization. Normal bone is based on standard deviations of bone loss as compared to normal bone. The more negative the number the more bone loss. Normal 0 to -1 standard deviations, osteopenia is -1 to -2.5 standard deviations, and anything more negative then -2.5 standard deviations is osteoporosis. ...Read more

35

35
Is osteoporosis curable?

Is osteoporosis curable?

Osteoporosis: Currently it is better to think of osteoporosis as a condition that can be managed or treated rather than cured. This is usually performed by dietary modifications, ingestion of supplemental calcium, vitamin d and a class of agents notice the bisphosphonates. These are usually delivered via oral or intramuscular injection on a weekly or monthly or even yearly basis. ...Read more

See 1 more doctor answer
36

36
Is osteoporosis curable?

Yes and no: Osteoporosis is a disease affect certain people more than others, osteoporosis is preventable for many people, curable in some. ...Read more

See 1 more doctor answer
37

37
Is prolia best for osteoporosis?

Maybe: Prolia represents a new category of osteoporosis treatment that is effective and has convenient twice yearly dosing. It appears much more effective than the bisphosphonates and rivals Forteo with much more convenience. It is expensive if not covered by your insurance. Whether it is best for you or not depends on many factors which would require more information about a specific patient. ...Read more

See 1 more doctor answer
38

38
What is osteopoikilosis (not osteoporosis)?

Osteopoikilosis: Osteopoikilosis is a benign, autosomal dominant sclerosing dysplasia of bone characterized by the presence of numerous bone islands in the skeleton. Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses like bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine. ...Read more

39

39
Is there a surgical procedure for osteoporosis?

Is there a surgical procedure for osteoporosis?

There is no surgery : For osteoporosis, but there are surgery for its complication two surgical treatments, vertebroplasty and kyphoplasty, may relieve pain from spinal compression fractures resulting from osteoporosis. In these procedures, a surgeon injects bone cement through a needle into the crushed spinal bones (vertebrae). If you experience a hip fracture because of osteoporosis, you will need surgery to fix it. ...Read more

40

40
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

See 1 more doctor answer
Dr. PHILIP WALLER
1,580 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more