Beware of GIOP

GIOP is Glucocorticoid Induced OsteoPorosis.  Cortisone, Prednisone, and many Inhalers for Asthma or COPD are glucocorticoids.  Therefore, Glucocorticoid Induced OsteoPorosis is a particularly aggressive form of osteoporosis that affects all ages,...

VFA Adds Acuracy to DXA Testing

Vertebral Fracture Assessment (VFA) identifies many persons with Clinical Osteoporosis who are missed by DXA testing alone.  How many?  I reviewed my first 941 patients to have VFA with their...

VFA – An Additional Standard

The vertebrae (bones in the spine) can gradually crumble or suddenly crunch.  The resulting minor ache is often mistaken for arthritis or a pulled muscle.  Gradual crumbles are “morphometric” (detected by x-ray)...

DXA – The Old Standard

DXA has been the standard screening test for Osteoporosis in the USA for two decades.  DXA is easy to obtain and the computer print-out makes it look very simple to...

Men Too

“Men are from Mars”, so March is a good time to think about men, the overlooked minority in osteoporosis.  The American Journal of Men’s Health has published a study of...

Fracture Clinics – Most Successful

What setting is most successful at evaluating Osteoporosis and initiating therapy?  Fracture Clinics are the winner again in a new study published in Osteoporosis International.  That is why I spent 2...

A Happy and Healthy New Year

Happy New Year.  This is the first day of the rest of your life.                           If you could...

Fracture? Bone Health Evaluation!

I have been on the road with presentations in South Dakota and Southern Illinois recently.  SD is state # 10 for me.  I teach health care providers about the role...

TANSTAAFL

There Ain’t No Such Thing As A Free Lunch.  As true now as when Robert Heinlein shortened it to TANSTAAFL. Every medication has benefits and risks.  Every decision to not...