NOF Tip for 12 May – Safe Movement Brochure

Knowing how to move safely avoids unnecessary risks for falls and fractures.  That can improve your life.  Avoid unnecessary risks. NOF publication https://www.nof.org/wp-content/uploads/Safe-Movement-Brochure-COMBINED.pdf details proper bending, lifting, etc. This brochure...

NOF Tip for 10 May – Osteoporosis Medications

Diet and exercise are not always enough to prevent fractures.  Medications are needed if you are fracturing or BMD is falling despite your best efforts. We have many posts about when...

Treat to Target #6 – Treatment

Our goal is NO NEW FRACTURES.  Therefore, Treat to Target means a FRAX score of <20% for “major osteoporotic” and <3% for hip fracture.  Alternately, T-score of better than -1.5 if...

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 #3 – FRAX

Our Target is NO NEW FRACTURES.  The original goal by DXA was a  T-score of -2.4 or better.  But age is a huge factor in actual fracture risk.  The 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...

A New Anabolic – Tymlos

The FDA approved Tymlos (Abaloparatide) in June for use in women diagnosed with osteoporosis.  Unfortunately most patients are unlikely to obtain insurance coverage for Tymlos until January or February 2018. Tymlos...

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...