June 30, 2020
I was told last week about the mother of an acquaintance in Chicago. His mother has had Vertebral Fractures again and again and again. After each fracture she has been...
May 20, 2020
Vertebral Compression Fractures are often not recognized as anything more than a seriously pulled muscle. I personally made that mistake 30+ years ago. Only when I was tested on our...
February 27, 2018
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...
February 25, 2018
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...
February 16, 2018
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,...
April 23, 2017
Clinical Osteoporosis 2017, NOF and ISCD joint meeting had a different emphasis this year. Fracture Risk, rather than Bone Mineral Density (BMD) is now the key metric. Several speakers emphasizd...
April 17, 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...
January 9, 2017
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...
September 4, 2015
This week I had a patient who has decided that she does not need to treat her Osteoporosis because she does not yet have symptoms. This could be a problem...
August 15, 2015
You have started taking Osteoporosis Medication. You think you have entirely eliminated your Fracture Risk. Then, WHAM – you have a Fracture! What went wrong? It is time to re-evaluate. ...