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New here, looking for options for osteoporosis treatment

Sadbones profile image
9 Replies

Reading drug side effects one is femur fracture but my femur neck is the problem, scary

Anyone with experience with femur osteoporosis?

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Sadbones profile image
Sadbones
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9 Replies
lilo789 profile image
lilo789

DXA errors involving the femoral neck are so common - what is the difference between it and the total hip? According to former ISCD president Dr. Neil Binkley the DXA major error rate is 50%. courses.washington.edu/bone...

Sadbones profile image
Sadbones in reply tolilo789

Thanks for the info

lilo789 profile image
lilo789 in reply toSadbones

You're welcome. Dr. Susan Ott says that if there is 0.5 SD between the FN and TH there could be a positioning error.

Mark_ABH profile image
Mark_ABH

Hi Sadbones, atypical femoral fractures (AFF) are typically associated with longer-term use of osteoporosis medicines (more than four years). americanbonehealth.org/bone...

It's important to have a health care provider monitor your progress if you're taking a medicine for osteoporosis. Taking a "drug holiday" -- a break from the medicine -- after a few years is advised for people under certain circumstances. healio.com/news/endocrinolo...

Sadbones profile image
Sadbones in reply toMark_ABH

I am doing pt with resistance exercise and also martins book with exercises, wear weighted vest for walks or exercise, depending on the day. Endocrinologist and primary doc both pushing meds. My latest concerns with meds are my reflux and the possibility of necrosis of jaw as mine is wired & screwed, was broken both sides lower, roof of mouth split, upper and lower gums split and put back together. Worried about all tissue & bone in that area.Also, endorse has me taking slow release calcium with d & magnesium, citracal. Any feedback on that? Haven’t noticed anyone on site using? Or better to take calcium, then add d & k? Anyone using sublingual for those?

Love all the info here, it is a lot to absorb!

Mark_ABH profile image
Mark_ABH in reply toSadbones

You should consult your oral/facial surgeon about that; I think your concerns are valid. These adverse events are quite rare, but with all the work you've had done, you should check into it.

Here's some more info on calcium supplements. Calcium citrate has the advantage that it can be taken without food. D and magnesium are both important, so getting them all in one sounds like a good idea: americanbonehealth.org/nutr...

Sadbones profile image
Sadbones in reply toMark_ABH

Thank you for the reply, I will follow up with an oral surgeon, dentist is not concerned. I have read the article from your link. Really appreciate this site for providing information as well as experiences of others

SallyInJax profile image
SallyInJax

Atypical femur fracture is very rare, one in 100,000. The risk of breaking a bone can change a persons life.

Don’t be a couch potato and obtain some weight-bearing exercise to stimulate the bones, including light weights. make sure you receive sufficient calcium daily, along with vitamin D.

Sadbones profile image
Sadbones in reply toSallyInJax

Definitely sally, added pt to make sure I keep angles correct and use more resistance. I was surprised by report as no pain and am active. Can trace back to several meds and lack of calcium. Working on a new me😁 thanks for your reply

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