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Doctor insights on: T Score Z Score Osteoporosis

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What is the lowest osteoporosis T-score on the DXA scan.?

What is the lowest osteoporosis T-score on the DXA scan.?

< -2.5 requires tx: What is important is that a t-score < -2.5 is considered significant, and requires treatment. ...Read more

Dr. PHILIP WALLER
1,579 Doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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I know the T-score for osteoporosis is -2.5 but what is the lowest level recorded does it go to -7 or more I am worried incase mine gets any worse.

I know the T-score for osteoporosis is -2.5 but what is the lowest level recorded does it go to -7 or more I am worried incase mine gets any worse.

Osteoporosis: The t-score is not a measurement of actual bone density. It is a statistical comparison of how your bone density compares to normal females. The DEXA scan will measure actual bone density and this can be tracked if necessary. ...Read more

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What would cause a spinal T-score of -6.0 in a 28 yr old female? I'm really scared of my osteoporosis diagnoses! Help

What would cause a spinal T-score of -6.0 in a 28 yr old female? I'm really scared of my osteoporosis diagnoses! Help

Very low LS T-score: A lumbar spine T-score of -6.0 is extremely low, but is difficult to interpret before menopause because the scoring system was designed for postmenopausal women. Young women with a family history of osteoporosis and/or with anorexia nervosa can have T-scores this low. Fortunately, peak (highest) bone mass is not reached until your early 30s, so your bone density can improve with weight gain. ...Read more

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My mom is 61 years. T-score - 2, 7. What drugs should be used for osteoporosis?

Many 2 choose..: ..from. The proper 1 depends on many factors. Including family history, history of prior fractures, and age is always a factor in the decision making. All have pros & cons, so C an internist who specializes in treating osteoporosis/osteopenia.Hosteopenia. Have a discussion of Rx choices & make Ur decision on hes/her recommendations. ...Read more

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With an osteoporosis T-score of -3.5 spine at the age of 53, can I expect a normal life? Or am I going to worsen greatly. I am on strontium ranelate

With an osteoporosis T-score of -3.5 spine at the age of 53, can I expect a normal life? Or am I going to worsen greatly. I am on strontium ranelate

Your T-score: Shows significant bone loss in the spine and increased risk for fractures. Since strontium ranelate is not approved for use in the U.S., very few american doctors have much experience with the drug. Check w/your prescribing physician. ...Read more

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All osteoporosis blood and urine work up from endocrinologist normal any other ideas on what would cause T-score of -6 in a 28 yr old female?

All osteoporosis blood and urine work up from endocrinologist normal any other ideas on what would cause T-score of -6 in a 28 yr old female?

T-score at -6!: That is an extremely high T-score for any person, independent of age.
Are you sure that the T-score was correct as reported?
If so, please immediately see an Orthopedist. He/she will be stunned by the result and will carefully look at the data. There is almost certainly an error somewhere.

If the bone density data is indeed correct you must very quickly see an Endocrinologist.

Let me know result ...Read more

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Male 30, osteoporosis. T- score at left femur neck is -2.5 with BMD at 0.747 g/cm2. Can it be cured? On cal, vit d3 and Ibandronic acid medication.

Male 30, osteoporosis. T- score at left femur neck is -2.5 with BMD at 0.747 g/cm2. Can it be cured? On cal, vit d3 and Ibandronic acid medication.

Wow: That is quite unusually bad. Congenital bone problems (familial ricketts) or liver or kidney disease, abnormality of minerals abnormal hormones (hyperparathyroidism) or other secondary cause would be reasonable to look into. In which case, yes, could be cured. ...Read more

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Endocrinologist ordered all blood and urine testing for osteoporosis and all normal! Cant seem to find a reason for a T-score of -6! Only 28 plz help!

Endocrinologist ordered all blood and urine testing for osteoporosis and all normal! Cant seem to find a reason for a T-score of -6! Only 28 plz help!

T-score -6: The first thing I would want to know was why this 28 year old woman needed a bone density test. What medical issues does she have?

A T-score of -6.0 is unusual to put it mildly.
At which site was this T-score?
What were the other T-scores?

Would you mind sending me more details at
"dansjake@gmail. Com"
or call me at 313-402-6803

Michael Kleerekoper ...Read more

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I have osteoporosis (T-score 3.5). My physical therapist advices me to lift heavy weights (20 kg) while bending forward and on my trunk, am I at risk?

I have osteoporosis (T-score 3.5). My physical therapist advices me to lift heavy weights (20 kg) while bending forward and on my trunk, am I at risk?

Osteoporosis: Exercise program for osteoporosis should be extension based and avoidance of weighted flexion exercises is advised. Flexion exercises put you at risk for compression fracture. Should emphasize neutral spine and extension based exercises. ...Read more

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What is a significant change in t/z scores for osteoporosis? My spine is -8.6% worse... Is that a lot for 1 year? Femurs change are -0.007% and -0.5%.

What is a significant change in t/z scores for osteoporosis? My spine is -8.6% worse... Is that a lot for 1 year? Femurs change are -0.007% and -0.5%.

High variability: A significant problem with DEXA scans is the variability both between different machines and within the same center. The reported variability using the same machine on two different days is about 4%. If one tries to compare two different machines (and operators), the variability can be as high as 10-15%. It looks like your spine may be worse, but the femur is unchanged. ...Read more

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I have osteoporosis and a copy of the X-ray and report. What's a z-score?

I have osteoporosis and a copy of the X-ray and report. What's a z-score?

Your age group: The z score compares you to someone your age. T score compares you to a 25yo. If your z score is lower than a -1.5, you are at risk for secondary caues of bone loss such as thyroid dis. ...Read more

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My hydroxyproline is 93 which is twice the value it should be. I have severe osteoporosis. What does this score mean exactly, thank you?

Bone loss.: An elevated hydroxyproline can indicate bone loss unless there is extensive skin disease. A medication which prevents bone loss should correct the abnormality and reduce the risk of fractures. Adequate calcium and vitamin d would also be helpful. ...Read more

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Is it really possible to go from t-3.7 severe osteoporosis score to t-2.3 osteopenia in the spine in 7 months by taking strontium ranelate?

Is it really possible to go from t-3.7 severe osteoporosis score to t-2.3 osteopenia in the spine in 7 months by taking strontium ranelate?

See below: It has been said. That strontium can increase bone density test, but this may appear more impressive than it really is because strontium in bone can affect bone density interpretation. Radiologist needs to be informed if you are taking strontium. ...Read more

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I have a low bone density score but no fractures or symptoms and I don't want to take any of the recommended osteoporosis drugs. What else can I do?

I have a low bone density score but no fractures or symptoms and I don't want to take any of the recommended osteoporosis drugs. What else can I do?

See below: Regular weight bearing exercise helps a lot, make sure you have enough calcium and vitamin d supplements (depensing on your kidney functions), I have tried using strontium for my pts with fair results. I have to say though that this doesn't replace traditional treatment of osteoporosis. Hope this helps. ...Read more

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Is a T-score of -3.7 osteo in the spine almost at the end of the score chart, and how dangerous is it? It was at -2.5 two years before ooph & meds?

Fracture: With a t-score that low, you are at great risk for fracture of your spine and perhaps other bones. You should see a specialist in mineral metabolism. You should receive treatment for your bone loss. ...Read more

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My t-score is low. What are the things I should do or shouldn't do?

My t-score is low. What are the things I should do or shouldn't do?

Weight bearing.: Not sure why T-score measured at such young age. Makes me wonder if you have some predisposition to low t score. If so, risk factors should be identified and treated specifically. If this was measured just because, treatment should be regular wt bearing exercise plus a good diet with calcium approx 600 mg twice a day and vit d approx 800 mg daily. Repeat bmd in a few yrs to eval efficacy. ...Read more

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In simple terms, what is a t-score? Nothing to add but it's making me.

In simple terms, what is a t-score? Nothing to add but it's making me.

This: This is the way we describe how your bone density compares with average people your age and sex. Anything less than -2.5 is considered the disease osteoporosis. Scores between -1.0 and -2.5 is osteopenia. There are treatment options in both categories. The most important thing you can do for your bone health is to stay active. ...Read more

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My T score was -2.3 (41 years old, female). Is this serious? What does it mean?

My T score was -2.3 (41 years old, female). Is this serious? What does it mean?

Osteoporosis: If this was a bone scan or DEXA scan that indicates you have osteoporosis. I would discuss with your doctor as to how to mitigate or improve this. ...Read more

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With a T-score of minus 3.5 in spine is there any hope for recovery, and to what extent, and what is the normal care for someone in my position?

Needs evaluation: A T-score of -3.5 in your age group is very low. You should have evaluation to see if there is a secondary cause for bone loss (other than menopause). You will need treatment with calcium and vitamin d, and likely should be on an antiresorptive medication to prevent further bone loss. ...Read more

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Does Alendronate and Prolia produce the same results? I want to choose just taking only one and my t-score is -2.7.

Essentially: There are no good "head to head" trials of the meds so I can not say for sure one does not do slightly better than the other, but the avail studies do not show this. They do work very diff though and some individuals may respond better to one than the other. However, the choice of which to use often has to do with other factors. For example GERD & Barret's Esoph may sway you one way cost another. ...Read more

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I had a DEXA scan today & it showed a -1.1 on the T score card at my lower spine. I was advised this very mild osteopenia. Shud I be concerned?

I had a DEXA scan today & it showed a -1.1 on the T score card at my lower spine. I was advised this very mild osteopenia. Shud I be concerned?

No: No, I would not be overly concerned. It would be good to do things that help maintain bone mass including weight bearing exercise, adequate calcium and vitamin d intake, avoid smoking, and probably a fu study in about 5 years would be standard recommendations. ...Read more

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What is the lowest T-score on the osteo scoring chart? Can the whole skeleton just crumble? I am terrified with my scores and am being left too long.

What is the lowest T-score on the osteo scoring chart? Can the whole skeleton just crumble? I am terrified with my scores and am being left too long.

Family practice: What is your t score. Your dr can interpret the level for you. If you have a bone density lower than 3.5. You may be a candidate for injections to rebuild bone. Other wise oral medication to maintain existing bone is usually done. ...Read more

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I'm 66, had a dexascan & there was an 8 pt drop in spine from +3.7 t-score on previous test 3 yrs ago. Hip was good. How bad is this? I'm terrified!

I'm 66, had a dexascan & there was an 8 pt drop in spine from +3.7 t-score on previous test 3 yrs ago. Hip was good. How bad is this? I'm terrified!

Terrified?: Its wonderful you found out about this before a fracture there are many effective treatments endocrinologist can help diagnose cause of osteoporosis and guide treatment think about fall prevention don't engage in high energy high risk activities concentrate on avoiding future fractures spine wrists hips. Sacrum avoid falls no ice did you have relative that came to be bent? ...Read more

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I'm confused by the bone density t score?

I'm confused by the bone density t score?

Relates to max dense: T score compares patient to age/sex/race matched individuals at age 32 (or so)-peak bone density. Relates to statistcs, bell shaped curve. Nl is (-)1 standard deviation and better (top 80+%). Low bone mass (osteopenia) (-)1.0- (-) 2.5 std dev (about #5-20 in a classof 100); osteoporosis (-)2.5 or more (bottom of the class). These vary with age, sex, race. Z score compares pt to same age, sex, race. ...Read more

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T score for hip went from -3.5 to -4.7 over an 8 year period. Is this to be expected?

No: No it is not to be expected. The bone density is getting worse. Whatever you are doing is not working and you need more extensive work up and different treatment. ...Read more

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How serious is a -1.3 t-score for spine? Can bone be regenerated with exercise and diet at age 66?

How serious is a -1.3 t-score for spine? Can bone be regenerated with exercise and diet at age 66?

Not horrible but it: It is not normal. Need to check for any secondary reasons for bone loss like hypothyroid dx, smoking, steroid use, etc. Check vit. D level & make sure good calcium intake along with vit d intake as well as with good nutrition & weight bearing exercise to build bone mass at any age! ...Read more

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Spinal t-score of =5.2 just diagnosed. With proper exercise, diet, & medication is it possible to return to ostopenia level or better?

Spinal t-score of =5.2 just diagnosed. With proper exercise, diet, & medication is it possible to return to ostopenia level or better?

Significant: A T-score of -5.2 is fairly severe osteoporosis. It can be improved, but, if possible, please work with a physician who specializes and/or has plenty of experience with this process. Depending on your state of health otherwise, you'll probably want to do a combination of proper nutrition, exercise and medication. ...Read more