Treat to Target #5 – VFA

Treat to Target of NO NEW FRACTURES.  How do we find that target?  DXA >-2.5 is a start.  Fragility fractures increase new fracture risk.  FRAX adds many more risk factors to the...

Treat to Target #4 – TBS

Our goal is NO NEW FRACTURES.  Cancellous (spongy, like the ends of the drumstick) bone should be a strong latticework of struts called trabeculi.  Clinical Osteoporosis, an increased fracture risk,...

Treat to Target # 2 – Fragility Fracture

Treat to Target means aiming for NO NEW FRACTURES.  As discussed last time, the original target was to maintain Bone Mineral Density (BMD) at the level first tested.  25 years...

Treat to Target #1 – Which Target?

Treat to Target has been standard for chronic diseases like high blood pressure and diabetes for decades.  These are chronic diseases, more common as we get older, that we can control...

NOF & ISCD at “Clinical Osteoporosis 2017”

The National Osteoporosis Foundation (NOF) and the International Society for Clinical Densitometry (ISCD) are meeting together later this week.  This will be my 10th attendance at each group.  They are...

Adding VFA to DXA

I have let the regular posts to the blog lapse for quite some time, while working on other issues. I have been reviewing my first-time Vertebral Fracture Assessment (VFA) patients.  My...

National Fracture Prevention Foundation

Fracture Prevention was the theme at NOF (National Osteoporosis Foundation) this year.  This has always been their goal, but it has not been well communicated. Fractures are bad.  Fractures are painful. ...