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Radiation Damage to sacrum/sacral insufficiency fractures
Cancer: Managing Symptoms | Last Active: Jan 27 11:02pm | Replies (5)Comment receiving replies
@gently My endocrinologist said forteo is off the table for patients who have been through radiation. I was radiated near tailbone and in pelvic lymph nodes. She recommended prolia injections every 6 months. I am trying non pharmaceutical options first as I am still trying to overcome many longer term chemo and radiation side effects. I am 75 yo-not sure if that makes a difference in Endo recommendations.
Replies to "@gently My endocrinologist said forteo is off the table for patients who have been through radiation...."
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@katme, hi.
I had radiation near the tailbone also in the lymph nodes, and have been on Forteo for almost three years. While Forteo is no longer suspected of causing cancer, if your radiation was very recent, it is true that radiation continues to effect tissue after treatment and is more effective on growing tissue, you might be wise to wait a year before beginning Forteo after radiation.
I had areas of very low bone density in the hip after radiation. I only mention this because those areas represented edema and fat infiltrates not recognized as such on dexa, only recognized as very low bone density. Those areas often resolve on their own, as mine did,
Prolia or Zometa are often used to prevent metastasis that our nodes have given warning to the possibility of. You might ask for Zometa in lieu of Prolia, if the prospect of Prolia is daunting.
Bless your choice.