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Osteoporosis

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What is Osteoporosis ?

Its an skeletal disorder characterized by compromised bone strength that predisposes to an elevated risk of bone fracture. Bone strength reflects an integration of bone density and bone quality.

What are the symptoms of Osteoporosis or low bone mass ?

There are no symptoms of low bone mass or from bone loss. Even if fractures of the vertebral spine are present due to osteoporosis or low bone mass, symptoms can be variables or even no symptoms at all.

How is Osteoporosis or low bone mass diagnosed ?

There are multiple bone densitometry devices (DXA scan) that can measure specific skeletal sites.  They are classified as  A) Central devices, which are capable of measuring the bone mineral density in the spine (vertebral column) and the hip and B) Peripheral devices that are capable of measuring the wrist, heel, finger etc.

When measuring  bone density and mineral content in the spine, the area of interest is the lumbar spine L1 through L4 and for the hip we look at the total hip and femoral neck ( bones in the leg and hip region). A score of negative 2.5 or less is considered Osteoporosis ( T score -<2.5 )

Low bone mass or Osteopenia is diagnosed when there is a T score higher than negative 2.5 but lower than negative 1.0.

In addition, osteoporosis can be diagnosed clinically by history of fragility fractures ( is defined as a fracture resulting from the force of a fall from a standing height or less or a bone that breaks under conditions that would not cause a normal bone to break ) and physical examination.

 What are clinical risk factors for low bone density or Osteoporosis ?

checkmark2512Loss of height

checkmark2512Low Body weight

checkmark2512Advanced age

checkmark2512Menopause

checkmark2512Smoking

checkmark2512Alcohol intake

checkmark2512Inflammatory medical conditions

checkmark2512Prior fragility fractures

checkmark2512Family history of osteoporosis

checkmark2512Malabsorption conditions

checkmark2512Certain medications

Who should be tested or screened for osteoporosis ?

checkmark2512Women age 65 and older.

checkmark2512Postmenopausal women under 65 with risk factors.

checkmark2512Adults with fragility fracture.

checkmark2512Adults taking medications associated with low bone mass.

checkmark2512Perimenopausal patients with risk factors associated with low bone mass such as low body weight, prior fragility fractures or certain medications.

checkmark2512Anyone being treated to monitor treatment effect.

What are the pharmacologic treatment recommendations for Osteoporosis or low bone mass  ?

checkmark2512Initiate therapy in those with hip and vertebral fractures.

checkmark2512Initiate therapy in those with T score < 2.5 at the hip region, total hip or vertebral column at the lumbar spine.

checkmark2512Initiate treatment if a 10 year probability of hip fractures is high or a 10 year major osteoporosis related fracture is elevated.

 

How can Texas Menopause help ? 

In addition to using conventional treatment for osteoporosis and osteopenia , we use aggressive nutritional therapies including dietary supplementation to help you reverse the effects of aging on bone. We will teach you what dietary factors affects positively or negatively your skeletal system. Also learn how some environmental factors impaired bone formation that could lead to bone fractures. We will offer an individualized approach for the management of low bone mass and osteoporosis that includes nutritional evaluation, counseling, fitness and flexibility assesment and necessary radiological follow up studies.

 

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