Hi bonebabe - Thank you for your feedback. I am 26 years old so Z-scores are relevant. Given the difference in cortical and trabecular bone, should I expect/hope for an improvement in my hip density in the months to come?View Thread
After one year on Forteo, I am excited to report that my spinal BMD has increased from a T-Score of -3.6 to -3.1 (Z-score -2.5 to -2.0). However, my hip density has declined slightly from T -1.2 to -1.3 (Z-score -0.4 to -0.5). I've read this is a typical phenomenon of Forteo. Would someone explain the mechanisms behind this discrepancy between spine and hip improvements? I appreciate your insights. ~megmo84View Thread
I've been recently introduced to the notion of "bone quality versus bone quantity". At 26, I have severe osteoporosis in the spine (T -3.6) but have never had a fracture. (My osteo results from an eating disorder I developed at age 12.) I am currently on Forteo, do weight-bearing exercise, and eat a bone-healthy diet. As I think of my course of future osteoporosis treatment (i.e. resuming bisphosphonates), I wonder if I am actually in as high a risk of fracturing as my T-scores imply. After Forteo, would medications do more harm than good? My research tells me that DEXA scores tell only part of the story.
I have osteo in the lumbar spine (T - 3.1) and am fortunate to have never sustained a fracture. That said, I am frustrated by the conflicting advice regarding safe exercises for those in my condition. For example - brisk walking is a favorite pastime. Is this okay, not okay?
Also, is it possible to restore height after a vertebral (morphologic) fracture has occurred?
As a new member to the community, I appreciate the support and expertise shared among you all.View Thread