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How bad is a spine T-score of -4 ?

Osteoporosis & Bone Health | Last Active: 3 days ago | Replies (90)

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Hello! Here are my DEXA scan results below with T-score of -4.3 for Lumbar spine. It looks pretty bad for lumbar spine. I am 54 years old. I was in menopause at 46 or 47. I go for Zumba and high intensity workouts. Should I stop that? What is the right course of treatment? This was my first DEXA scan. I fell down while slow ice skating, and got a wrist fracture. That prompted me to go for DEXA scan, and I discovered this. I like active life. I am afraid of fracturing my lumbar spine. Appreciate all the help. Thank you!

Lumbar Spine [L1-L4]:
BMD (in g/cm*2): 0.579
T-score: -4.3
Z-score: -3.2

Left Femoral Neck:
BMD (in g/cm*2): 0.630
T-score: -2.0
Z-score: -0.9

Left Total Hip:
BMD (in g/cm*2): 0.824
T-score: -1.0
Z-score: -0.3

Right Femoral Neck:
BMD (in g/cm*2): 0.604
T-score: -2.2
Z-score: -1.2

Right Total Hip:
BMD (in g/cm*2): 0.780
T-score: -1.3
Z-score: -0.7

FRAX 10-YEAR PROBABILITY OF FRACTURE:
10-year fracture risk is performed using the University of Sheffield FRAX
calculator based on patient-reported risk factors.

Major osteoporotic fracture is 7.8%.
Hip fracture is 1.2%.

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Replies to "Hello! Here are my DEXA scan results below with T-score of -4.3 for Lumbar spine. It..."

@bk1212 If you have not taken any bisphosphonates before, an anabolic bone building medication such as Forteo would be my suggestion. I was also in my 40's when they told me I had osteoporosis . My arm was first to fracture, then my spine with multiple compression fractures. Lumbar spine was T-score -4.1. From those fractures I lost 3 1/2 inches of height. Once I started fracturing, it did not stop until Forteo started working at about 3 months. The pain was very debilitating. Do see a specialist and take care of yourself!