How to Assess & Treat Bone Loss

Assessing & Treating Bone Loss #3

Assessing & Treating Bone Loss: Seven Tips For Improving Outcomes Here are a few evaluation and management tips that Dr. Vargo & her colleagues have gathered over their years of practice focused on osteoporosis:

Don’t Be Spineless:

Vertebral fractures are very common, often asymptomatic, and bad news because they are harbingers of future fractures, said Dr. Vargo.

Vertebral breaks, usually in the T8 to L4 vertebrae, tend to occur at much younger ages (mean is around 60 years) hip fractures (mean age of approximately 70). This is because trabecular bone loss happens before cortical bone loss.

Pay close attention to the thoracic and lumbar spine in anyone with low T-scores or osteoporosis risk factors. Among people over 65, roughly 20% will have asymptomatic vertebral fractures. But because they’re often asymptomatic, you’re only going to see vertebral fractures if you start looking for them.

“Fracture always trumps T-score. I don’t care what someone’s T-score is, once a person starts breaking bone, they’re at very high risk and I start treating.

”Vertebral fracture assessment based on low-radiation densitometry (aka, VFA Morphometry), is not considered definitively diagnostic at this point, but it can be helpful in the evaluation.

https://holisticprimarycare.net/topics/topics-h-n/healthy-aging/954-assessing-a-treating-bone-loss-seven-tips-for-improving-outcomes

http://www.depsyl.com

http://back2basicnutrition.com/

http://bionutritionalresearch.olhblogspace.com/