The lumbar spine BMD is 1.126 g/cm2 with T-score of -0.4.
The left femoral neck BMD is 0.713 g/cm2 with T-score of -2.3.
The right femoral neck BMD is 0.664 g/cm2 with T-score of -2.7.
The left hip BMD is 0.754 g/cm2 with T-score of -2.0.
The right hip BMD is 0.760 g/cm2 with T-score of -2.0.
I don't think this t score is that bad, am I wrong?
You have normal bone density in your spine and osteopenia everywhere else, apart from your right femoral neck, which is just into the osteoporosis range. That's a huge difference between your spine score and your right femoral neck, something I would query! T-scores alone though aren't sufficient, as they should do a fracture risk assessment that also takes account of any other risk factors for fracture, for example having already had a fragility fracture, taking certain meds, family history, smoking.
Thank you.for your response. I have no family history andnever smoked. My mother is 93 and never a broken bone same for my grandmother and great grandmother and they were 100 when they passed.
Those are just examples of things that might raise your fracture risk. You can do a calculation yourself using this FRAX tool: sheffield.ac.uk/FRAX/tool.a.... Make sure you select the correct country and ethnicity from the Calculation Tool link (drop down box) at the top. If you've never had a fragility fracture, it's very unlikely that you have osteoporosis.
As Met00 has pointed out you should investigate why there is a 'major discordance' between the hip and spine.
Dr. Susan Ott: courses.washington.edu/bone...
Thank you, will do.
You're welcome! Could your L1-L4 T-score be elevated because of osteoarthritis or other degenerative changes associated with aging? I see from your bio you have already started Prolia? Were tests done to rule out secondary causes of bone loss prior to starting Prolia?
No other testing was done. I took one shot but I don't plan on taking anymore. It has made my body hurt, headache, tounge sore. Thank you for your response.
"Make a Diagnosis Before Treatment
Before treatment it is important to make a differential diagnosis between primary and secondary osteoporosis because the anti-osteoporotic drug treatment would be useless if the main illness causing osteoporosis is not treated too."
Source: Orthogeriatrics The Management of Older Patients with Fragility Fractures Paolo Falaschi David Marsh Editors Second Edition In collaboration with Stefania Giordano
I have to wonder how any of us would fare on a dexa over the age of 70. We cannot forget we are all aging and so do our bones. If this were me, I would take meds for 12 months and then monitor it again in a few years OR do calc. and d supplements, add strength training and check again in about 15 months.
Me, I am osteo at age 54 (likely have been for some years before) I feel mine is from early onset menopause at 38 years old and not knowing to supplement etc... While early menopause seems to be a thing in my family, I seem to be the only one with osteo (could be because I got tested and they just don't know).
I am taking fosamax for 12 months with sups. I opted this way because my diet and exercise are already good and really not enough time in the day to increase anymore for exercise.
Best of luck to you!
