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Doctor insights on: Vertebral Osteoporosis

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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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Dr. PHILIP WALLER
1,579 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...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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How are vertebral compression fractures diagnosed?

How are vertebral compression fractures diagnosed?

Yes: Mri scan is the most accurate test. Pain over the fracture site is the most useful physical finding. ...Read more

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Where does osteoporosis cause bone fractures?

Where does osteoporosis cause bone fractures?

Spine & hips mostly: With osteoporosis, most any bone might be affected, but mostly fractures tend to occur in the spine and upper leg bones (hips). If you are a woman 65 years or older, or have other risk factors like being thin, check with your primary health provider to see about being screened for osteoporosis. A good source for proven prevention tips is an iphone app called my health checklist 2012. ...Read more

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All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?

All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?

If you statement is-: -true, it should be obvious on an MR. In this case I would check 2 be sure that there was not a mixup in identification of whose images are whose. Be sure that they are your images. ...Read more

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Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Unfortunately....no: As an osteopathic physician, whose practice includes "manipulative therapy, " it is my opinion that spinal stenosis is not correctable with any form of manipulation or physical medicine. This is unfortunately a surgical condition, and i would professionally recommend a consultation with a neurosurgeon, vs. An orthopedist. Your condition requires more expertise, and your end result will be better. ...Read more

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Is the spine deformation from osteoporosis reversible?

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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Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?

Treatment  42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis  + degeneratIve discs L4 l5?

See ortho spine doc: You may need reconstructive or supportive surgery to prevent nerve damage if you have more than one vertebral body affected by the osteoarthritis. If this is a congenital issue an ortho spine doctor would give you the best advice on how to proceed safely ...Read more

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Please explain.Spinal stenosis and neural foraminal stenosis, inferior cervical spine due to posteriordisc osteophyten complex formation, uncovertebral?

Please explain.Spinal stenosis and neural foraminal stenosis, inferior cervical spine due to posteriordisc osteophyten complex  formation, uncovertebral?

Cervical narrowing: Age appropriate changes of a settling cervical spine causing bone spurs and crowding of nerves in neck may cause arm pain and numbess in fingers small and ring with or without neck pain. ...Read more

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Are vertebral compression fractures common?

Yes: They occur in older patients usually due to osteoporosis. Women are affected 6:1 compared to men. ...Read more

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Are cervical levoscoliosis, arthritis, lumbar degenerative discs and fibromyalgia related?

Are cervical levoscoliosis, arthritis, lumbar degenerative discs and fibromyalgia related?

Can be: ? Whether cervical scoliosis, arthritis & lumbar DDD are related to fibromyalgia, FM. One of the multiple co-factors seemingly co-causal of FM is global muscle atrophy & weakness, leading to widespread myalgia & tender points in spastic muscles repetitively stressed/injured by gravitational forces. Painful skeletal derangements can incite sedentariness with loss of muscle mass/tone. Gravity Rules. ...Read more

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Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?

Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?

So? Forget the MRIs: Your only 27, we don't treat mris, we treat people. It doesn't matter what the studies show because we have to treat you. Certain spinal conditions have a genetic predisposition, but what are your symptoms? What are you doing about it? Find a doctor who wants to make you feel better. ...Read more

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This is my X-ray diagnostic "no focal bone lesion, thoracic vertebral body compression fracture, degenerative bony lipping or disc height loss is see?

This is my X-ray diagnostic "no focal bone lesion, thoracic vertebral body compression fracture, degenerative bony lipping or disc height loss is see?

That is normal: The radiologist when they read a film will often say what they don't see to show that they looked for it. A focal bone lesion is a tumor or fracture. A compression fracture is a fracture from trauma or osteoporosis. Disc loss height and degenerative body spurs are signs of arthritis. So what you quote here is the radiologist saying that they do not see any of that. ...Read more

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Disc space narrowing & endplate spurring @ c4/5.Degen facet changs & uncovertebral joint hypertrophy contrib to neural foraminal narrowing @c3/4&c4/5?

Disc space narrowing & endplate spurring @ c4/5.Degen facet changs & uncovertebral joint hypertrophy contrib to neural foraminal narrowing @c3/4&c4/5?

Degenerative changes: What you are describing are common degenerative changes in your cervical spine. The changes can cause pressure on the nerve roots in your neck and can cause pain weakness and numbness in you neck and shoulder. This can be associated with a radiculopathy. ...Read more

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Minimal t-7 vertebral body anterior wedging? Same as compression fracture?

Minimal t-7 vertebral body anterior wedging? Same as compression fracture?

This is not : The same as a compression fracture. A compression fracture can result in anterior wedging, but not all anterior wedging is compression fracture. If there are up to 3 consecutive vertebral bodies with anterior wedging, then it may represent scheuermann's kyphosis which is a congenital osteodystrophy, that lead to vertebrae appearing wedged. Fracture is less likely given your age. See a specialist. ...Read more

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I'm a 31-year-old male with osteoporosis and compression fracture L4 disk spine?

I'm a 31-year-old male with osteoporosis and compression fracture
L4 disk spine?

Unusual : It is very unusual for a 31 year old to have osteoporosis and so a full endocrine workup would be indicated to find the underlying cause.; otherwise you might be at high risk for further fractures. ...Read more