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What would you do? Medication.
Osteoporosis & Bone Health | Last Active: May 21 9:55am | Replies (232)Comment receiving replies
From what I've gathered, past fracture(s) matter and/or a family history of fracture matters quite a bit. What's your 10 yr frax score for major osteoporotic fracture as well as hip fracture? When they are at or greater than 20%(major) or 10%(hip) respectively, it's time to seriously consider pharmaceuticals, mostly likely with an anabolic first. Some other conditions such as inflammatory diseases, chronic cortical steroid usage etc. are also taken into consideration. Generally t score of femoral neck is the one that's more indicative for potential future fracture. Majority of the fractures are results of a fall, so fall prevention is number one priority for osteoporosis patients. This might mean some of us have to give up activities that involve high impact and/or make us prone to fall 🙁
Replies to "From what I've gathered, past fracture(s) matter and/or a family history of fracture matters quite a..."
Thank you! Had not heard to focus on femoral neck! That means I have even more of a problem. Yes, after L2 fracture, I’ve given up many activities that could cause a fall, it’s frustrating, but I’m
Thankful for the activities I can do-water therapy, including lots of muscle strengthening exercises and traction in the pool that has provided lots of pain relief, and increasing weight bearing exercises on land and resistance training, no heavy weights.
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No kidding on the high impact and prone-to-fall activities. I gave up snow skiing this year because of it. To be honest, I'm feeling a big afraid to do anything at all, but have to get over that.
Here are my scores:
LUMBAR SPINE:
T-score = -2.4
Z-score = -0.5
FEMORAL NECK:
T-score = -2.2
Z-score = -0.5
TOTAL HIP:
T-score = -3.5
Z-score = -2.1
FRAX-WHO Fracture Risk Assessment Tool: Treatment is recommended for
patients with a FRAX score (risk calculation) of greater than 20% risk
for major osteoporotic fracture and greater than 3% risk for hip
fracture.
This patient's 10-year probability of fracture calculated by FRAX is:
Major Osteoporotic: 18%
Hip Fracture: 3.5%
Thank you for responding.