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Home / Ask the Expert

osteoporosis and steroid treatment

I am a 51 year old woman and had a hysterectomy over 20 years ago. My rheumatologist told me I have a very severe case of osteoporosis in my lumbar and should resume treatment immediately. Her suggestion is a daily dose for 2 years that I will inject myself. I cannot remember the name of it and cannot find any further information at this time on the internet. I would like to know if you know of any of these treatments and the safety. Also, I have read over and over that steroids contribute to this disease. I have had several injections of cortisone in my lumbar and other areas of my body. I also have a hemangeoma in my L4 vertabrae that consumes at least half of the inner vertabrae. I am currently scheduled to have epidural injections in my lumbar for pain treatment in the same area of my most severe osteoporosis. I am very confused and ready to cancel this appointment. Why would doctors put my back at further risk knowing the dangers of steroids and osteoporsis? Please tell me your opinion on this subject.

Bone mass in hips -3.5 to -3.8 on Fosamax for 5yrs

I am a 92 lb 5 ft 59 yr old female on Fosamax for 5 years. My previous bone density test 5 years ago read: spine -2.6 and hips -3.5. My new test read spine -2.3 and my hips -3.8. The radiologist confirmed that the machines since then have been recalibrated so he could not make a good comarison. I did have the test done at another facility in the same hospital system. Could that mean that my hips might not have changed but the new calibrations have higher standards? Also, is it common to improve in your spine and get worse in your hips while on Fosamax. Does Fosamax generally work better on the spine than hips?

Compression fracture

What procedure would you recomend vertebroplasty or kyphoplasty for a 69 year old women?

NATURAL ALTERNATIVES FOR OSTEOPOROSIS

ARE THERE NATURAL ALTERNATIVES TO THE BISPHOSPHONATES OR HORMONE REPLACEMENTS FOR REDUCING AND MANAGING OSTEOPOROSIS?

Tiredness and Actonel

Is tiredness common when taking actonel?

Lupus and AVN

I am 48yo, hispanic decent woman diagnosed with SLE 8 years ago. Recently, my left shoulder has dropped and more painful than previous. Ortho doctor has suggested I have a “frozen shoulder”, but more probably AVN. I cannot have an MRI for diagnosis because of spinal fusion appliances. I understand there is a connection between Lupus and AVN. What is AVN? He recommended complete shoulder replacement, but because of constant flairs of Lupus, (pleurisy and kidney) I have waited nearly one year. Currently, on NO meds for lupus because I have reacted to everything (Celebrex, Vioxx cause my kidney’s to bleed) Plaquenil had no effect (on for 2 1/2 years) low dose steroids cause an allegic reaction. I currently take dilaudid for pain management, but it is not helping. I do not have a rheumatologist – doctors in my area (Florida) are not taking new Medicare patients. I am stuck. Any information you can give me would be appreciated. I would love to come to MD, but can not afford the trip, and the nearest teaching hospital to me is Gainesville (a 5 hour trip I can not make because of discomfort).

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Ask The Expert Topics

  • Alternative Therapies
  • Ankylosing Spondylitis
  • Associated With Other Illnesses
  • Bursitis and Tendinitis
  • Corticosteroids
  • Diet and Exercise
  • Disease Modifying Antirheumatic Drugs (DMARDs)
  • Enteropathic Arthritis
  • Fibromyalgia
  • General Arthritis
  • Gout, Pseudogout, Other
  • Infectious Arthritis
  • Myositis
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
  • Osteoarthritis
  • Osteonecrosis
  • Osteoporosis
  • Polymyalgia Rheumatica
  • Psoriatic Arthritis
  • Reactive Arthritis
  • Regional Pain: Back and Neck
  • Rehabilitation
  • Rheumatoid Arthritis
  • Surgical Therapy
  • Systemic Lupus Erythematosus (SLE)
  • Systemic Sclerosis
  • Vasculitis
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