How Hard Is It To Manage Bone Density?

Wrong Question!  What you should be managing is Fracture Risk.  If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming...

“Baby-Boomers” Should Check Their Bones

A patient had no idea why her doc sent her to me for a Complete Bone Health Evaluation.  As a “baby-boomer”, she lives by the motto: “You are only as...

Sometimes We Need Medications

Patients who have already fractured may need osteoporosis medications.  Adding fractures to a low BMD or T-score on DXA makes the Clinical Osteoporosis more severe and increases Fracture Risk.  This...

Increased Fracture Risk = Osteoporosis

Fracture Risk is the elephant in the room.  Fractures can keep you from doing what you want for weeks or months.  Fractures can put you in a Nursing Home, sometimes...

“Bisphosphonate Holiday” 2014

“You are entering a Data-Free Zone”   That was unfortunately the messasge at the joint meeting of the International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) last month. ...

Fracture Risk – More Important than DXA, BMD, & t-Score

The International Society for Clinical Densitometry (ISCD) met last week.  Our society has been dedicated to properly evaluating DXA to determine Bone Mineral Density (BMD) and t-score.  Now ISCD is taking...

Natural Risk

Several patients in the last month have decided not to take the “unnatural” risk of taking medication for their Postmenopausal Osteoporosis.  They have been scared by the media emphasis on...

Enjoy A Nooner

Again we have a patient whose Spine BMD has dropped despite good osteoporosis medication.  She takes 500 mg Calcium at breakfast and at supper.  She remembers that you can only absorb...