Osteoporosis and lower back pain

Posted by kdickerson @kdickerson, Dec 23, 2024

Hi everyone and thank you for taking time to read my post. I am 58 and healthy- retired teacher and now teach 3 days Reading Intervention. Here is my issue- I have severe osteoporosis and, to be honest, I’m scared. My hips are mild to moderate but my spine is in the range 3.2 to 3.4. I love my doctor and trust him completely. His plan is to start Evenity then Prolia. Can someone share experience with pain? My lower back hurts off and on all day but worse in the mornings. Thank you all so much.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

One thing to keep in mind is that back problems are very common, and some of them require a MRI to be diagnosed. You could have, for example, both osteoporosis and disc issues. Backs are complicated.

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@ripley

Can you describe the back pain you experienced which you attribute to weak bones? My osteoporosis is most severe in my spine and for several months I've had back pain during certain movements, it feels like nerve pain, mostly at my lower spine. I also have osteoarthritis in my back. Recent x-rays did not find any fractures. I am not on any bone meds right now, but am considering Evenity. Also, have your Evenity treatments gone well? Thanks.

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I wonder if you have a disk problem? I found some of my back pain is caused
by degeration of disks that are wearing out. I also have pain from
osteoarthritis in my lower back and hips. That has caused some sciatica.
The first time I had an epidural that helped me for a couple of years. The
second time I went to physical therapy. The pain I got in my weak
osteoporosis spine was more like a tiredness and aching when standing. I
would need to lay down for 15 to 20 minutes to alleviate the pain. Since I
started Evenity, I have been able to stand longer. I will put my results
on this site when I have my next Dexa scan the end of February. The only
side effects I have had is sore arms and a rash at injection sites. That
has been alleviated by taking Claritin and hour prior to my shots.

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A simple idea--when was the last time you got a new mattress or mattress topper? If you get the right one, the morning stiffness might be reduced. Some don't give enough, and others might not give enough support. It's a trial and error, but we have found that the right mattress topper makes a difference. This is somewhat like when a running or walking shoe has broken down, one can sometimes feel the need for a new one.

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I have severe osteoporosis, too, and will go on Tymlos this year as soon as I finish my next round of oral surgeries (the final stage of two dental implants). I've had pain in both hips (they aternate) and in my lower back for the past year, but my orthopedist couldn't find much wrong based on x-rays. So he sent me to a physical therapist, who suspects spinal compression. She said that the hip pain that alternates from one side to another is a common symptom. Since I'm a full inch shorter now than I was a year ago, that made sense to me. I'm doing lots of stretches, e.g. cat-cow yoga poses, shoulder stands, back bends, etc., which help. If I don't do them, the pain is much worse. All the best to you in your journey!

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@pamela1685

I have severe osteoporosis, too, and will go on Tymlos this year as soon as I finish my next round of oral surgeries (the final stage of two dental implants). I've had pain in both hips (they aternate) and in my lower back for the past year, but my orthopedist couldn't find much wrong based on x-rays. So he sent me to a physical therapist, who suspects spinal compression. She said that the hip pain that alternates from one side to another is a common symptom. Since I'm a full inch shorter now than I was a year ago, that made sense to me. I'm doing lots of stretches, e.g. cat-cow yoga poses, shoulder stands, back bends, etc., which help. If I don't do them, the pain is much worse. All the best to you in your journey!

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@pamela1685 I am curious why you are waiting to start Tymlos until after the oral surgeries. I have been told it has no impact on jaw or dental issues, and can help with healing. I don't want to get off topic but wonder if there is advice to avoid Tymlos or Forteo with dental surgeries. I could see it with Prolia, bisphosphonates or Evenity.

Back to the original program of back pain!

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