Osteoporosis diagnosis What to do?
Posted , 7 users are following.
Ive just been diagnosed with osteoporosis. Im not sure the exact numbers but my gp wants me to start with a biphosphonate drug. A little background...Im 56 and have had 2 fall in 2 years. First one, fell on ice and fractured vertebrae at T12 and broke both wrists. Last one, last fall my ankle went off curb covered with leaves and I broke my elbow and my foot, thus a dexascan was ordered. I have done alot of research on the biphosphonates and I dont want to take them. I have alot of dental work that needs to be done and I know that could affect healing. Six years ago when I was diagnosed with osteopenia I was put on Boniva. I took it for 3 months and started having problems with my jaw. Dr told me to stop and my jaw actually locked up and I had to have a surgical procedure on it. I am relatively healthy, 5'9" 165 and I would like to ramp up my weight bearing exercise, along with healthy eating and supplements. Am I naive to think I can improve my bone health naturally without taking what seems to me poison. Thoughts please
Vickie
1 like, 35 replies
Anhaga vickie47755
Posted
It would be helpful for you to know your exact t-score because then at least you will know where you stand. I had a lot of trouble finding out what mine were, but eventually I did, and having been told by my doctor I had osteoporoasis and the score actually showed low bone mass (osteopenia) I was much relieved.
It sounds to me as though use of osteoporosis drugs are contraindicated in your case. The good news is that there are lots of things you can do to help improve bone density. I will private message you my account of my own "osteoporosis journey".
I hope it will give you some ideas and inspiration.
vickie47755 Anhaga
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kathleen65757 vickie47755
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Anhaga vickie47755
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kathleen65757 vickie47755
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Although I have not broken any bones my tscores are bad especially the back which is -4.3. I baulked at taking the drugs which I do not regret.
You must find out your tscores and so far you have only had osteopenia which does not warrant any meds. Read everything on here which will give you a lot of information.
Take your time making your decision until you are happy with it.
All the best.
Paty05 kathleen65757
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Hi Kathleen, I noticed you said your score was -4.3 is this your t score? Mine was -3.6. Had a scan do to a fracture. After reading all the side effects of meds. I'm not taking them. I have been taking calcium for years and vitamin D. I started doing some exercises, taking vitamin K and other supplements. Like to know if you can share more information on bone health. I'm glad I found this forum.
kathleen65757 Paty05
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our cows graze here in Aus.
We are eating a lot of vegetables, salad ones for lunch and five or more different ones for dinner.
michele_48562 vickie47755
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I was only diagnosed last week with a poor -4.6 lumbar spine on scan. I'm 60 always been under 9 stone. I was given alendronic acid but haven't taken it and want to do it naturally too. Found this forum reassuring. Have started to take k2, calcium and d3 and hope to exercise and eat healthier. Although probably won't know for some time if it's working
Juno-Irl-Dub vickie47755
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Hi Vickie, Just to add another opinion here.
Firstly, like Kathleen and Anhaga mentioned, you should push to find out your exact Dexa scan t-scores as they are on the scan report which would have been sent to your doctor. Next, as this is where I differ from my 2 friends here, my reading is as follows:
You are youthful 56 and relatively healthy. BUT 6 years ago (age 50) you were diagnosed with osteopenia, and your condition has not remained stable - you have broken 2 vertebrae, 2 wrists, an elbow and a foot - all in the past 24 months.
I think that first of all you require careful evaluation as to the cause of your OP and, I think most doctors would think that with these bone breaks that you need treatment. Of course vitamins, diet, and exercise etc. can only do good but, in my opinion, may not be adequate alone to prevent further fractures. Talk to your doctor again, tell him your concerns about taking bisphosphonates and remind him of your problems with Boniva. There are other medications.
Above all don't panic about all this - you could have been diagnosed with many conditions which are much worse. OP is treatable, there is lots you can do to help yourself and life can be great again.
Kind regards, J
Anhaga Juno-Irl-Dub
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Good points. Although so far there aren't any "safe" OP meds, unfortunately. On the other hand I understand that by limiting their use to only two years one can minimize risk of serious side effects and gain most of whatever benefit they are designed to offer.
Juno-Irl-Dub Anhaga
Posted
Hi there, unfortunately I don't believe that there are actually any " safe" medications, period. But risks are relative. For me anyway, exercising carefully, eating really well, taking various vitamins and supplements and perhaps increasing my bone density a little but still continuing to fracture is not good. . .
Your idea of 2-year only use of bisphosphonates is a good one - but may not be suitable for Vickie, given her past experience.
Perhaps discovering and then (hopefully) correcting the cause of her OP may go some way to solve the problem?? But meds. may still be needed.
J
Anhaga Juno-Irl-Dub
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I personally would rather crumbleinto dust than risk the meds - I hope I haven't come across as supporting their use? I just try not to be too dogmatic in my statement - do have a tendency to sound that way so maybe I've bent over backwards a little too far here!
Juno-Irl-Dub Anhaga
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No you're not dogmatic Anhaga and your opinions and experience are just as important as anyone elses. I hope I'm not either. But, re. the OP meds., (as you know) I'm the other half of your argument - I believe that with significant OP, when the risk of fracture is greater than the risk of drug side-effects, the choice is obvious. I know I may well be in the minnority but I just thought that Vickie might like another view. . .
Kind regards, and you sound in great form. J
michele_48562 Juno-Irl-Dub
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Juno-Irl-Dub michele_48562
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Thank you Michele, it couldn't do any harm anyway . .. J
kathleen65757 Juno-Irl-Dub
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The interesting thing about all the drugs not just for osteoporosis is that some are more necessary than others. I do take some for diabetes and crohns for a start but I baulked at the ones for osteoporosis.
Swallowing was a deterrent for me. Teeth was another consideration.
Osteoporosis is not my biggest concern as you suggested there are worse things.
My sister has tried a few of the drugs with awful consequences.
I am glad you are happy with your choice and I always love to hear from you.
Be well.
kathleen65757 Anhaga
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Anhaga kathleen65757
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Anhaga kathleen65757
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I agree that sometimes there's no choice but to take a medication despite its reputation! I had self diagnosed polymyalgia months before a doctor did, but when I saw the treatment was with steroids I dismissed the idea, thinking I couldn't possibly have anything needing such serious medication. Believe me, the day a doctor gave me a prescription for prednisone I stopped at the pharmacy on my way home, and took it the moment I got in the door. Side effects be damned!
Juno-Irl-Dub kathleen65757
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Lovely to hear from you too Kathleen. However, I'm not sure I inform anyone really as I just talk about my own situation and, because of it, my views are somewhat different to yours and Anhaga's.. . But maybe not that different. For those just within the OP t-score range, with no fractures I think Anhaga's approach should be given a try. But for those with moderate OP (with fractures) or severe OP t'-scores (even without fractures) the Big Decision must be seriously considered. And, of course, there are those who will 'consider' and decide not to be treated with meds. That's fine also.
See, in my old age maybe I'm becoming more flexible !!!
Kind regards, J
michele_48562 Juno-Irl-Dub
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I watched a you tube video by Dr goodman, he's really quite convincing. I got some magnesium today so will take it with the k2, calcium and vitamin d. Also joined a walking group. Perhaps people think I'm foolish not to take the meds and I am fearful of another fracture but I really want to give it a go
kathleen65757 Juno-Irl-Dub
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