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Osteoporosis Message Board


Osteoporosis Board Index


Hi,

I am 25 years old, otherwise completely healthy, active elite rower, 125lbs and have just been diagnosed with osteoporosis. I had a DEXA due to re occurring rib stress fractures which came back as -2.47 in femoral neck and -2.68 in lumbar spine. I am in a bit of shock (as is the team doc) as we were not expecting this at all and just did the DEXA to rule low bone density out.

I don't really know what to do and am waiting on an appointment with an endocrinologist. Anybody else with premenopausal osteoporosis? Doctor says first step is to check for underlying causes -any idea what these could be? Get blood test results back tomorrow and x-ray of spine due to lower back pain. Is it possible to increase bone density from this point? Everything I have read so far talks about improving diet, lifting weights, getting more sun but as a rower with a team nutritionist and weight training program I already do all of this quite well I would think.

Sorry if this post is a bit vague, I don't really know what I hope to gain but I am kind of overwhelmed by this diagnosis and will be reading through the forum to try to get an idea of what I'm up against. Hello to you all :)
[QUOTE=tuska;5125426]Hi,

I am 25 years old, otherwise completely healthy, active elite rower, 125lbs and have just been diagnosed with osteoporosis. I had a DEXA due to re occurring rib stress fractures which came back as -2.47 in femoral neck and -2.68 in lumbar spine. I am in a bit of shock (as is the team doc) as we were not expecting this at all and just did the DEXA to rule low bone density out.

I don't really know what to do and am waiting on an appointment with an endocrinologist. Anybody else with premenopausal osteoporosis? Doctor says first step is to check for underlying causes -any idea what these could be? Get blood test results back tomorrow and x-ray of spine due to lower back pain. Is it possible to increase bone density from this point? Everything I have read so far talks about improving diet, lifting weights, getting more sun but as a rower with a team nutritionist and weight training program I already do all of this quite well I would think.

Sorry if this post is a bit vague, I don't really know what I hope to gain but I am kind of overwhelmed by this diagnosis and will be reading through the forum to try to get an idea of what I'm up against. Hello to you all :)[/QUOTE]


I was diagnosed with osteoporosis at age 40 when I got my first DEXA. I did see specialists and basically came to the conclusion that the low bone mass was what my peak bone mass was. In other words in youth all I achieved was something already in the osteoporosis range. I am short with a small bone frame which is one factor. I also assume I had low level of hormones in youth since I went into early menopause at age 40. I tried everything and basically costed a long OK up to now at age 55 when my BMD dipped even lower. I did try Forteo and it didn't help. I have tried Actonel too.
The bisphosphonates (like Fosamax) can actually improve your bone mass, maybe not back to normal, but some improvement can occur. If you have had several rib fractures, you are prone to fractures elsewhere. One of the most painful and deforming fractures, compression fractures in the spine, occur insidiously over time and cause the "humpback" of osteoporosis. There is little to nothing that can be done about these fractures and often result in long term pain. I would reconsider your decision about taking medication. Your Z scores are really low, and besides finding out what is causing this and correcting it, I would be more concerned about further bone damage than taking a medicine to prevent further fractures. Just my opinion, of course, there is always a risk/reward to any decision.





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