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Osteoporosis Message Board

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I am a 38 year old female. I fell on 11-3-04, really I guess you could say I slid down a wheelchair ramp and fractured T10.( I could harldy get out of bed, went to the ER and they did no xray or nothing, went to my MD the 3rd day and they did xrays then called and told me there was no fracture and back to work I went in severe pain Then the second day of work they call and say oh yeah you have a vertebeal fracture).

I have been having pain ever since. My doctor first told me give it 4 weeks and you will be ok. The 6th week I was still in pain and he ordered more xrays and the fracture had not healed. He said "I don't know what you could be doing that would be giving you pain", I have worked all but the first 3 days this happened. I am now 8 weeks post the fall and still in pain. So I made myself an appt with a ortho and he ordered a bone density test. So today I was diagnosed with Osteopenia!!! At 38.

I am a nurse and I understand what orthopenia is, but I don't know how that can effect the healing of this fracture? Does anyone here know about or have had the same experience? I will be having an MRI tomorrow maybe that will shed some light on this as well.
Hello Meagansmom. I'm sorry you are suffering from so much pain. Osteopenia, as you know, is the precurser to osteoporosis, and it can certainly slow down your healing because you aren't replacing bone as quickly as you did as a youngun. I hope you are now using calcium supplementation. I take Calcium with D, along with C and magnesium for added absorption (hopefully). As to your question about heredity: yes, it is a risk factor.

Here is the complete list of risk factors according to the National Osteoporosis Foundation:

[B]Age[/B]. The older you are, the greater your risk of osteoporosis. Your bones become weaker and less dense as you age.

[B]Gender[/B]. Your chances of developing osteoporosis are greater if you are a woman. Women have less bone tissue and lose bone more rapidly than men because of the changes involved in menopause.

[B]Family History and Personal History of Fractures as an Adult[/B]. Susceptibility to fracture may be, in part, hereditary. Young women whose mothers have a history of vertebral fractures also seem to have reduced bone mass. A personal history of a fracture as an adult also increases your fracture risk.

[B]Race[/B]. Caucasian and Asian women are more likely to develop osteoporosis. However, African American and Hispanic women are at significant risk for developing the disease.

[B]Bone Structure and Body Weight[/B]. Small-boned and thin women (under 127 pounds) are at greater risk.

[B]Menopause/Menstrual History[/B]. Normal or early menopause (brought about naturally or because of surgery) increases your risk of developing osteoporosis. In addition, women who stop menstruating before menopause because of conditions such as anorexia or bulimia, or because of excessive physical exercise, may also lose bone tissue and develop osteoporosis.

[B]Lifestyle[/B]. Current cigarette smoking, drinking too much alcohol, consuming an inadequate amount of calcium or getting little or no weight-bearing exercise, increases your chances of developing osteoporosis.

[B]Medications/Chronic Diseases[/B]. A significant and often overlooked risk factor in the development of osteoporosis is the use of certain medications to treat chronic medical conditions. Medications to treat disorders such as rheumatoid arthritis, endocrine disorders (i.e. an under-active thyroid), seizure disorders and gastrointestinal diseases may have side effects that can damage bone and lead to osteoporosis.

There is also a list of medications that cause bone loss as well, but I think this post is long enough for now. :rolleyes:
Dx Osteoporosis 05/04 at age 49
T-scores: Spine -3.0 Femoral Neck: -1.9
Current treatment: Evista

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