I just used a Sheffield.ac.uk site for frax, but Im not sure how to interpret the results or if I did it correctly.. it asked for the make of the machine used in the last test (Hologic)?
Mine came back as major osteoporotic 34% and hip as 3.7%
That doesn't sound too good to me? could it be that high because my mother had a fracture I think in late 60/early 70s and I broke my radius 3 years ago? My Dr keeps calling to get the Prolia set up.. more confused.
Age: 63 Female
Weight (kg) 65.8
Height (cm) 165.1
Previous Fracture Yes
Parent Fractured Hip Yes
Current Smoking No
Glucocorticoids No
Rheumatoid arthritis No
Secondary osteoporosis No
Alcohol 3 or more units/day No
Femoral neck BMD (g/cm2) T-score: -2.3 Hologic as the source
BMI: 24.1
The ten year probability of fracture (%) with BMD
Major osteoporotic 34
Hip Fracture3.7
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Let me get this straight. Your t-score is -2.3? That is not osteoporosis (as rather randomly decided by the WHO some years ago). I suspect it is your saying you have had a previous fracture which triggers the high chance of fracture. But what kind of fracture did you have? Was it caused by trauma, or "spontaneous". If it was caused by trauma which was strong enough to break a normal, healthy bone, then your risk of breaking another bone in the future really is no greater than for anyone else in your age group and (apparently) good state of health. If, however, it was a relatively minor event which caused the break, then you should immediately commence a stringent program of diet, supplements and appropriate exercise, similar to this: healthunlocked.com/pmrgcauk...
And you should ask your doctor to check you for secondary causes of osteoporosis before agreeing to any drug treatment:
Thank yall for responding. I will try to answer your question.
I was walking and stepped on a branch, put out my arm and heard it "pop" - fracture of the radius. Other than broken toes -I am clumsy- and a broken leg at age 2. I haven't had any other fractures.
the FRAX used the neck measurements from this year:
neck area 4.66cm total was 29.51
bmc 2.73 22.72
bmd .586 .770
Tscore -2.4 -1.4 from 2016 the t score was also -1.4
peak ref 69 82
zscore -.09 -.03
age match 85 96
the report also shows l1-l4 results as:
area 13.12 12.4 14.33 15.59 Total: 55.43
bmc 10.2 10.23 10.49 12.51 43.43
bmd .778 .825 .732 .802 .783
Tscore -1.9 -1.8 - 3.2 -2.4 -2.4 from 2016 t score was -1.8
QUESTION: what do you think about having another bone density scan at an independent office just to check the results against the one my dr did this year? He is really pushing for the Prolia - at least under the pretense of worrying about future fractures(and maybe that is true) and that is in my future - but I really want to make a good decision based on my results. When I look at the numbers (above that I posted from previous years) - they don't look "that" bad to me when I see others with around the same numbers. But I guess, I don't know what I don't know either.
DEXA scanners aren't accurate enough to be able to compare scores from different machines. You'll almost certainly get different results, which could be better or worse than the ones you already have. If they're worse, you'll just be more worried.
Thank you for mentioning trauma versus spontaneous fracture. My doctors have always ignored the distinction. I had a fracture about 2 decades ago and they keep pointing to that as evidence of my high risk. I took a tremendous fall on an extremely hard surface!
I still dispute my ice-related fracture as being "spontaneous". I was in a hurry, taking a shortcut, and was manoeuvering past what I thought was a snowbank. I put all my weight on one leg as I attempted to step into the snow to get past, but it turned out to be solid ice with a veil of freshly fallen snow on it. Because all my weight was on that leg my foot slipped and my leg bent sideways at the knee and I heard a snap. That isn't good, I thought, as I fell (bone broken before the fall). And then when I went to pick myself up the pain on that leg was excruciating. In retrospect it was probably better I broke the bone (tibial plateau, no displacement) than ripped all my ligaments and tendons, but at the time it was devastating as we missed a long-planned holiday in New Zealand. This is counted as a "fragility" fracture.
By the way, I just did the calculation myself and my fracture risk is considered higher with this tool than what I was told by the hospital after my DXA scan.
that is what is so confusing to me... How the tests can vary so much? I took 3 different ones and got 3 different results. My Dr keeps calling for me to get the Prolia - but I am just too concerned to do it. I am guessing that by the blood tests/ 24 hr urine collection previously mentioned rule out other secondary causes - but how else would I know that?
The only tool we have is DXA scan, plus other risk factors like age, medication, fragility fracture. If successive DXA scans are done the results may only be valid if performed on same machine, and I've heard preferably by the same technician. Which doesn't improve one's confidence in the process!
Not everyone with osteoporosis fractures. Most fractures are sustained by people with normal bones. Falling, not bone density per se, is the greatest risk for fracture.
Do you live in the US? With Frax, the risk changes, depending on which country you live in! I've tried playing around with Frax and QFracture, inputting different data (country or ethnicity, with or without your previous fracture, with or without your parent's hip fracture) - all of these change the score. QFracture consistently gives you a lower score than Frax. Frax seems to put a lot more weight on yours and your parent's fractures.
It also only asked about specific bones, so I didn't have to include my tibial plateau fracture. I've got a feeling age and gender are the biggest factors. I tried fiddling with the results.... Easier to do than with the Sheffield tool. I took out all the possible risk factors and it was still relatively high. Then made myself heavier, no difference, then tried age, dramatic drop, and gender, even more so! So to really reduce our risk we have to be perfectly healthy young males. I wonder what the precentage of males is who get fractures because they live riskier lives compared to elderly women who are in reasonably good shape?
Apparently (in the UK anyway) 1 in 2 women and 1 in 5 men over 50 fracture due to osteoporosis! I do question this, as most of the over 50s I know haven't fractured a bone, unless it means 1 in 2 women and 1 in 5 men with osteoporosis will fracture. ageuk.org.uk/information-ad...
Hi, "frax" is a word I near heard before....my rheumatologist has talked to me about changes in my dexa that concerned another MD; explained the indication of some derease in bone density was very minor and no reason for concern......and the dexa has to be on the exact same equipment that generated the last two reports. He appears to concentrate on the blood tests rather than medical equipment generated data. Thanks for introducing me to "Frax".
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