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Interesting! I just used the Frax link above to calculate my risk. It doesn’t ask for spine T-score. Mine is bad! But using my hip score, even with checking the glucocorticoid box (I took some prednisone last year) my risk was only about 5% fracture.
I want to get a spine X-ray to make sure I’ve had no silent compression fractures. I’m doing regular osteoporosis exercises now including resistance bands and will add weights when my body is ready. I’m trying to eat right, but my diet has always been pretty good and I was taking all the suggested supplements prior to my most recent Dexa. I’m working on reducing stress which is the hardest risk to control. I’m hoping I can stay fracture free without the scary meds.
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My mom had lupus and lymphoma and was on prednisone for years followed by chemo. She ended up with OP and broke her femur and her hip. I have seen 3 doctors and each one has told me not to compare myself to my mother because of her significant history with disease and medication.
Under these circumstances, when I use the fracture risk calculator, should I answer yes or no to the question about a parent fracturing a hip? It makes a big difference when I do the risk assessment on my own body (major: 12% vs 19% and hip fracture 2.4% vs 3.8%).
My hip is -3.5 and everything else is osteopenic. No fractures.
Thanks.
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I watched a YouTube video last night - Marc Wein, MD, PhD an endocrinologist from Harvard, and he said that, unfortunately, the lowest score regardless of where it is, can impact the whole skeletal structure. I was surprised by that - my situation is similar to yours but my risk is greater.