DKPParticipantMarch 1, 2021 at 12:49 pmPost count: 3
I have Osteoporosis and am afraid to take any of the drugs. I also have a terrible back, spondylolisthesis, facet arthropathy, DDD, spinal stenosis. I know that any or all of these could require surgery. I realize this surgery can be complicated by the loss of bone density. I occasionally have leg pain if I sit too much. I am able to do all my activities.
What is my best course of action?Donald Corenman, MD, DCModeratorMarch 3, 2021 at 7:03 amPost count: 8465
Why are you afraid to take the osteoporosis medications? A hip or wrist fracture can be terrible in the face of osteoporosis.
Dr. CorenmanDKPParticipantMarch 3, 2021 at 10:48 amPost count: 3
I have been concerned about the really bad side effects, jaw necrosis, terrible bone pain and unusual hip fx. I have dental issues and they are very stable for ears now, but I read that if I ever need an extraction in the future I wouldn’t be able to get one.
Probably can’t take fosamax, have GI issues. So which IV do you see better results with? If you were to recommend one drug or another is there one you have found to be better at building bone? I have been waiting for my 2nd covid vax before I do anything but I feel like I am ready to address my bone issues now, I just want to get the med that’s right for me.Donald Corenman, MD, DCModeratorMarch 3, 2021 at 1:35 pmPost count: 8465
Check on Forteo with your physician. It is a calcitonin agonist that is used to build bone.
Dr. CorenmanDKPParticipantMarch 5, 2021 at 9:40 amPost count: 3
Does Fosamax work? I plan to talk to my doctor as I have decided that a spinal fx would be worse than side effects from bisphosphates. Forteo is very expensive so I thought I could try oral meds first and see how I feel. Once I start om meds how often should I het my bone density checked? Due to arthritic changes and facet arthropathy I am not sure how accurate dexa is for my spine. Would Ct QCT be a better indicator of my bone health or is just the wrist dexa adequate when done with spine and hip?
I so appreciate your help. If I ever need spin surgery you are the guy I would come to so your advice is very valuable. By the way I am 68 yr old and live in Summit County, very active so any bone injury would definitely affect me.Donald Corenman, MD, DCModeratorMarch 5, 2021 at 11:42 amPost count: 8465
DEXA for the spine can be inaccurate due to sclerosis (bone deposition) which occurs commonly with spine wear. However, using the hip and wrist in the assessment certainly makes the score more accurate. As far as the correct use of medications, I would not be the one to ask. There are skilled endocrinologists who can advise you.
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