My xray in 2017 and 2020 showed no arthritis and then right after 2020 xray the next day I had MRI and it was then doctor said yes there is a moderate arthritis on my right hip and mild case on the left hip. So I guess unless it is very severe xay won't show.
How long have you been on Prolia? Did you try other osteo medicine before Prolia? I did 6-7 years of Actonel but though it helped all numbers to be the same or better since 14 years ago it did not help with the femur neck. Though I found out about my osteo problem in 2006 and femur neck was -3.3 then , now it is -3.7 and my doctor said Actonel doesn't help femur neck and I need to have Prolia. He did say that with Porlia i can except to improve .1 each year so this means after 10 years my number would be -2.7 and that is given if it does work and that I do not have side effects..
As I told Mary, I am currently back on Actonel and do squats and exercise everyday. I also put a heating pad on my hip bone to bring blood circulation there since there are only 2 very tiny blood veins going into that area so I decided to help the medicine to get into femur neck and I will soak in hot tub every week as well.
You said you had osteo when you were in mid 40's. I think I am in the same boat because when I was 55 the number was -3.3 so that means in my 40s I was most likely in trouble already.
Thanks for sharing 'positive thinking' about life.