Dexa scan report

[bakingD]

My dexa scan shows T scores Ap spine -2.9,Z score -1.6,femoral neck -T -2.3 ,Z-1.1 and total hip normal-10 yr fracture risk 13%,hip fracture risk 3 %

Worsened by 8.5% since last scan 2 years ago but also says OA/Scoliosis of lumbar spine might mean bone density artificially raised

My GP wants me on Denosumab - do you think that’s a good idea?I so don’t want more meds!!!

[PMRpro Ambassador]

I think you possibly need to consider something - if only because the hip density is borderline osteoporosis and the scores seem to have deteriorated a fair bit in 2 years - think about what it will be in another 2 years. Especially if the current results may be artifically improved by other conditions.

Why is the GP so keen on Prolia/denosumab as opposed to a bisphosphonate? How much do they know about it? Do they realise that once started either you remain on it indefinitely or switch to a bisphosphonate when the Prolia is to be stopped to prevent the rebound loss of bone density in the first year after stopping and which can cause multiple spinal fractures. They can be life-changing and are at the very least, very painful.

Have you thought about calling the ROS helpline to discuss your options?

theros.org.uk/

[bakingD in reply to PMRpro]

gosh thanks so much Pmr pro I think Gp Wanted Denosumab as I feel v sick and struggle with other medications

[PMRpro Ambassador in reply to bakingD]

There are other bone drugs that aren't given orally - there are bisphosphonates that are given as annual infusions. Seems a big jump to denosumab though it is very effective at building bone - but you have to maintain that improvement with a bisphosphonate once you are there.

[bakingD]

you're spot on just had a chat with nurse she said my bone density wasn't off the scale but if am continuing with steroids it may be good to take something and the Iv Zoledronic acid can just be stopped without the rebound risk of fractures, similar with the oral biphosphonates, whereas Denosumab you need to switch to something- so will chat to my GP now armed with good info- thanks so much

[PMRpro Ambassador in reply to bakingD]

Oh hallelujah - the rebound fractures are common currency!!! I wondered how long it would take to get to the front line