Thursday, November 20, 2014
Treatment Recommendations for Negative Dexascan Results
I have had a dexascan with the hip score -1.7 and spine score -2.4. I have also recently had an X-Ray of the thoracic spine which showed degenerative changes with moderate osteophytes. I will be following with my doctor soon for recommendations. I am 39 years old with a family history of osteoporosis, 4 children, hysterectomy (partial) don`t drink alot of milk or dairy products, and currently take no supplements. What would be your recommendations for treatment?
I cannot advise you personally since I do not know your entire history. In general a DXA scan is recommended for women who are 65 and older or for women younger than that if they are menopausal and have other risk factors.
In premenopausal women a DXA scan is recommended only in women who are high risk; e.g. those who are having unexplained fractures, those who have anorexia nervosa or those who have to take steroids for a specific health problem.
If a premenopausal woman presented to my office with a DXA report such as yours, I would perform a thorough evaluation for secondary causes of low bone mass. There may be other reasons why your bone mass is low.
Margery Gass, MD
Formely, Professor, Clinical Obstetrics & Gynecology
College of Medicine
University of Cincinnati