{"id":415,"date":"2017-03-26T14:07:10","date_gmt":"2017-03-26T14:07:10","guid":{"rendered":"http:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/osteoporosis\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"osteoporosis","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/osteoporosis\/","title":{"rendered":"Osteoporosis"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; weight loss, night sweats<\/li>\n<li>Others &#8211; fractures, menopause<\/li>\n<li>Examine &#8211; BMI<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>FRAX score +- DEXA<\/li>\n<li>Bloods &#8211; FBC, U+Es, LFTs, TFTs, calcium, phosphate, vitamin D, LH, FSH, testosterone<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation &#8211;\n<ul>\n<li>DEXA scan looks at how strong your bones are<\/li>\n<li>-1 to -2.5 means your bones are slightly less dense and strong than normal<\/li>\n<li>less than -2.5 means you have osteoporosis where your bones are less dense and strong, meaning they are easier to break<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; increase calcium, reduce alcohol, increase weight bearing exercises, stop smoking<\/li>\n<li>Calcium, vitamin D<\/li>\n<li>Alendronic acid (if confirmed osteoporosis or if 75+fragility fracture)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>NB:<\/p>\n<ul>\n<li>Risedronate if alendronic acid not tolerated<\/li>\n<li>FRAX, who to consider\n<ul>\n<li>previous fragility fracture<\/li>\n<li>post menopausal women<\/li>\n<li>oral steroids (&gt;7.5mg over three months)<\/li>\n<li>all women &gt; 65<\/li>\n<li>all men &gt; 75<\/li>\n<\/ul>\n<\/li>\n<li>If high risk &#8211; start alendronic acid + adcal<\/li>\n<li>If low risk &#8211; DEXA + adcal<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; weight loss, night sweats Others &#8211; fractures, menopause Examine &#8211; BMI &nbsp; Clinical management Investigations FRAX score +- DEXA Bloods &#8211; FBC, U+Es, LFTs, TFTs, calcium, phosphate, vitamin D, LH, FSH, testosterone Explanation &#8211; DEXA scan looks at how strong your bones are -1 to -2.5 means your bones are &hellip; <a href=\"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/osteoporosis\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Osteoporosis<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2019,"menu_order":165,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-415","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=415"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/415\/revisions"}],"predecessor-version":[{"id":2027,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/415\/revisions\/2027"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2019"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}