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Doctor insights on: Pediatric Osteoporosis

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Dr. Jay Park Dr. Park
1 doctor agreed:
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Best treatment for idiopathic pediatric osteoporosis?

Dr. Jay Park Dr. Park
1 doctor agreed:
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. Hirenkumar Italia
64 doctors shared insights

Osteoporosis (Definition)

Currently it is better to think of osteoporosis as a condition where the bone is weakened, and 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 ...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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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?

Leg weakness: Your question is complex because there are many possible reasons for leg weakness, from sites in the brain to cervical cord to thoracic cord, to cauda equina, to peripheral nerve or neuromuscular problems. My first suggestion would be to see a neurologist who can evaluate more broadly first and work up and then direct or refer to an appropriate surgeon. ...Read more

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A physician who treats bones and bone diseases? 

A physician who treats bones and bone diseases? 

Orthopedic surgeon: Orthopedic surgeons specialize in the skeletal system. They can treat both acquired diseases and trauma to the bones. ...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. Jay Park Dr. Park
1 doctor agreed:
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Best treatment for idiopathic pediatric osteoporosis?

Dr. Jay Park Dr. Park
1 doctor agreed:

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

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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

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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

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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

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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

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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

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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

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What are the symptoms of osteoporosis?

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

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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

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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

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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

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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

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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

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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

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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

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Is prolia best for osteoporosis?

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

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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

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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

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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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Is there a treatment for osteoporosis?

Is there a treatment for osteoporosis?

Yes: There are many medications to treat osteoporosis from nasal spray to pills (once/day, once/week, once/month) to injections (daily, every 3 months, every 6 months and yearly). Please talk to your doctor about the most appropriate treatment for you. Regardless of what you choose, it's important to maintain norrmal calcium and vitamin d level. Supplememt if necessary. ...Read more

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What is the treatment of osteoporosis?

Several options: First is weight bearing exercise, such as walking and/or using light weights, to stress and therefore build bones. Calcium and vitamin d supplements are recommended. Numerous medication options are available, including oral and parenteral bisphosphonates, anabolic agents, nasal calcitonin, etc. Drug holidays have been recommended for patients on bisphosphonates - talk to your physician. ...Read more

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What are the effects of osteoporosis on muscles?

Maybe muscle spasm: Patients with osteoporosis who have fractures of the vertebrae may have chronic muscle spasm surrounding the fracture area due to the abnormal structure of the bones. ...Read more

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Could chiropractic adjustments be unsafe if I have osteoporosis?

Could chiropractic adjustments be unsafe if I have osteoporosis?

First you are 21: is unlikely especially in a male to have osteoporosis , physicians do not believe diseases are corrected by adjustments , lacks verifiable scientific data but physical therapy component may help you for back pains.Yes in proven osteoporosis unsafe to manipulate spine , but you have to find from your provider who is performing . ...Read more

Dr. Chad Rudnick
3,226 doctors shared insights

Pediatrics (Definition)

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


Dr. PHILIP WALLER
1,586 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more