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Doctor insights on: T Score Z Score Osteoporosis

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Dr. Scott Shapiro Dr. Shapiro
Anti-Aging Medicine
31 years in practice
Texas Tech University Paul L. Foster School of Medicine
1

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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.

Dr. PHILIP WALLER
1,576 Doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


Dr. Amy Levine Dr. Levine
Radiology
19 years in practice
University of Toledo College of Medicine
2

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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.

Dr. Margaret Gourlay Dr. Gourlay
Family Medicine
19 years in practice
Rush Medical College
3

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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.

Dr. Peter Ihle Dr. Ihle
Orthopedic Surgery
50 years in practice
University of Wisconsin School of Medicine and Public Health
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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.

Dr. David Sneid Dr. Sneid
Internal Medicine - Endocrinology
37 years in practice
Washington University School of Medicine
5

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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.

Dr. Michael Kleerekoper Dr. Kleerekoper
Internal Medicine - Endocrinology
47 years in practice
University of Sydney Faculty of Medicine
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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

Dr. Matt Wachsman Dr. Wachsman
Internal Medicine
32 years in practice
7

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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.

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Dr. Michael Kleerekoper Dr. Kleerekoper
Internal Medicine - Endocrinology
47 years in practice
University of Sydney Faculty of Medicine
8

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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

Dr. Jimmy Bowen Dr. Bowen
Physical & Rehabilitation Medicine
30 years in practice
University of Alabama School of Medicine
9

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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.

Dr. Jovita Anyanwu Dr. Anyanwu
Internal Medicine
26 years in practice
Lyceum Northwestern, Dr. Francisco Q. Duque Medical Foundation
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Dr. Alan Feldman Dr. Feldman
Internal Medicine - Endocrinology
37 years in practice
Pennsylvania State University College of Medicine
12

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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.

Dr. Robert Cabry Dr. Cabry
Sports Medicine
26 years in practice
Jefferson Medical College of Thomas Jefferson University
13

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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.

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Dr. Frederick Singer Dr. Singer
Internal Medicine - Endocrinology
54 years in practice
UC San Francisco School of Medicine
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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.

Dr. Anna Flor Salcedo Dr. Salcedo
Internal Medicine
19 years in practice
University of Santo Tomas Faculty of Medicine and Surgery
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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.

Dr. Anna Flor Salcedo Dr. Salcedo
Internal Medicine
19 years in practice
University of Santo Tomas Faculty of Medicine and Surgery
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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.

Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
17
Dr. Michael Bolesta Dr. Bolesta
Orthopedic Surgery
36 years in practice
University of Missouri-Columbia School of Medicine
18

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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.

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Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
19

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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.

Dr. Steven Seres Dr. Seres
Internal Medicine
17 years in practice
Jefferson Medical College of Thomas Jefferson University
20

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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.

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