← Return to Struggling with making an osteoporosis treatment decision

Discussion
Comment receiving replies
@kirstenlheld

Hi Everyone,

I am a 55 year old, white woman who has just been diagnosed with Osteoporosis. Two years ago, I had a complete workup done to evaluate exactly what kind of arthritis I have that included a Dexa scan. For the record, I have, "Erosive, inflammatory, osteoarthritis that is not associated with an auto immune disorder". My doctor said I am an extremely rare bird in that regard. This is absolutely genetic as both my mother, grandmother and great grandmother also suffered from it.

At that time, I was in Osteopenia. That was July 2020. So I diligently kept track and when I didn't hear from my doctor after the two year period, I called and asked for a referral for another bone scan. I just had that done and my T scores are now -2.8 in the spine, and -2.1 in the femoral neck. My PCP was very concerned that the numbers got that much worse in two years. So...I am just starting my journey. I have worked out my entire life doing aerobic and weight lifting, I do not have low Vit D or low calcium and have been taking supplements of both for decades now, I have no family history of fractures and have had no fractures myself except for when I was 8 years old and fell off a playground unit onto a concrete surface landing directly on my leg. Ironically, two months after the Osteopenia diagnosis, I slipped on a piece of laundry on my basement stairs and fell down the last three steps, landing on an area rug on my left hip pretty hard. It hurt, but I didn't break anything. (I must confess that I was a hot mess lying there crying with the "patient has an 8% risk of hip fracture within the next 10 years" going over and over in my mind).

I have scheduled an Echolight scan to be done in Asheville during an upcoming visit in October and will also be setting myself up with a specialist at a local hospital to run a battery of tests to see what might be causing this in someone of my age. I am NOT going to make a quick decision about going on any medication and read this entire thread, which I must say has been hugely helpful, so thank you to everyone who commented here. I look forward to adding to the conversation with my experiences and am grateful to have this connection.

Jump to this post


Replies to "Hi Everyone, I am a 55 year old, white woman who has just been diagnosed with..."

Those scores are not terrible. The femur neck is not osteoporosis yet and the -2.8 is -0.3 over the line. But I view osteoporosis as a spectrum, not a line, actually. Of course discuss with your doc and checking bone quality is smart too.

I had osteoporosis for 14 years plus 5 on a cancer med that worsened things and didn't fracture- just fractured spine last year finally with an unwise but kind of extreme movement.

I am pro-medication in most of my posts but friends with scores like yours are not doing meds and that is an option for you and your doctor to discuss. I refer people to Keith McCormick's book "The Whole Body Approach to Osteoporosis."

If you are 55, is it possible you had a precipitous drop at menopause? My own experience was a sharp drop at menopause and then a much slower drop (more stable) thereafter (I am 71 and was first diagnosed at 55).

I did tai chi for years which helped with balance, also an important preventative.

One thing to know: insurance tends to cover Prolia and bisphosphonates first, and requires that you fail on them or cannot tolerate them or suffer a fracture or have severe DEXA scores etc. before paying for the real bone-builders, Forteo, Tymlos and Evenity. If your income qualifies you can get help for Tymlos or Forteo, or even free meds.

Studies have shown that the front line Prolia and bisphosphonates may reduce effectiveness (not sure how much) of the bone-builders. You may want to save the bone builders for later, according to doc recommendations, but I personally think insurance needs to change!

Prolia can pose problems for some because you cannot just stop it (my doctor agress). Fracture risk goes up with stoppage and you have to go on something else, usually a bisphosphonate.

My friend just broke her wrist and has scores identical to yours. She is not doing meds yet. My ultimate scores were approx. -4 and after Tymlos I would honestly be pleased to have your scores! Not to minimize your concerns but hopefully give you the feeling that you have some time.