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Meowmee

(9,212 posts)
14. Ask your doctor
Fri Feb 28, 2025, 11:04 PM
Feb 2025

It's not a simple situation to do something like that when you have osteoporosis. It also depends on how bad it is. If your bones are super fragile they can fracture during surgery and you are more at risk to fracture after surgery due to a fall etc. I have severe osteoporosis from various health issues, but I have never fractured at all in my life until 2 years ago. It was a forced fracture however as I tried to move something way too heavy. Had I not done that or had my doc put me on forteo back then I probably would not have fractured at all, unfortunately I had a vertebral compression fracture from doing that and the o and never being treated etc. I have fallen maybe a year before that- I tripped on something mowing the lawn, but did not fracture then so it needed a lot more force.


https://www.nextgenerationhipandknee.com/can-you-have-total-hip-replacement-with-osteoporosis/#:~:text=If%20you%20already%20have%20weak,can%20still%20be%20an%20option.

https://www.cedars-sinai.org/health-library/diseases-and-conditions/h/hip-replacement-surgery.html#:~:text=Although%20the%20hip%20replacement%20procedure,time%20for%20them%20to%20learn.

They will probably want to put you on meds first. I will warn you that the bisphosphonates are dangerous and can actually cause fractures and many other issues such as osteonecrosis of the jaw/ onj. Prolia is the most dangerous one, it can cause spinal fractures after you stop it so you will need to be on some treatment for life.

I am currently on tymlos(abaloparatide) which is sythetic parathyroid hormone, in small doses it stimulates your body to build bone naturally unlike the bisphosphonates which build up bone unnaturally by inhibiting osteoclasts which normally break down bone. Drugs like tymlos and forteo(teraparatide) which are injected at home stimulate you to build bone the way you normally would by stimulating osteoblasts which build bone. They are usually used after you have a fracture. The bisphosphonates stop the break down of bone so you end up with layers of older more fragile bone which is never broken down properly.

While you are on any of these meds you need to supplement vitamin d and get enough calcium- from food is best. But if you are on prolia, you need to supplement calcium.

https://www.health.harvard.edu/womens-health/osteoporosis-drugs-which-one-is-right-for-you#:~:text=Teriparatide%20(Forteo)and%20abaloparatide%20(,bone%20density%20and%20vertebral%20fractures.

Recommendations

3 members have recommended this reply (displayed in chronological order):

Recently learned the same about my spine. Scrivener7 Feb 2025 #1
Same here edhopper Feb 2025 #5
I have osteopenia SheltieLover Feb 2025 #2
I have it too. milestogo Feb 2025 #4
Yes it does. SheltieLover Feb 2025 #11
I've had good results with vitamin K2 with D3. multigraincracker Feb 2025 #8
Yes it does & Bone Up contains these SheltieLover Feb 2025 #12
I've been very lucky. In 75 years I've never broken a bone. multigraincracker Feb 2025 #15
Glad you've never broken a bone SheltieLover Feb 2025 #16
Plus I played sports all thru HS and beyond. multigraincracker Feb 2025 #18
That's good SheltieLover Mar 2025 #28
I never heard of Bone Up. Thanks. Just ordered 360 capsules. LeftInTX Mar 2025 #27
Good for you! SheltieLover Mar 2025 #29
For a really good calcium supplement, I recommend Bone Up by Jarrow. It has the full range of vitamins and diane in sf Feb 2025 #3
I take a Prolia shot every six months. I have had great results with bone density growth. Talk to your doctor. Raftergirl Feb 2025 #6
Any side effects? I had a hard time with alendronate and that's Scrivener7 Mar 2025 #31
It's my opinion that you should NEVER have currently unneeded PoindexterOglethorpe Feb 2025 #7
I wasn't serious about it edhopper Feb 2025 #9
I hear you! SheltieLover Feb 2025 #13
Personally I would go with exercise and dietary changes before undergoing surgery... cliffside Feb 2025 #10
Excercise and diet will benefit and should be done anyway but they will not help you if you have severe osteoporosis Meowmee Mar 2025 #21
Thanks for sharing and a good reminder that we need to advocate for ourselves and do some research ... cliffside Mar 2025 #24
You're welcome 😁 Meowmee Mar 2025 #25
Ask your doctor Meowmee Feb 2025 #14
My doctor does blood test every six months to make sure everything is AOk. I also take a calcium supplement. Raftergirl Feb 2025 #19
I'm glad it was ok for you and your mom- I assume prolia or another one? Meowmee Feb 2025 #20
Prolia. My sister is on it, also with no issue. I started it when diagnosed with osteopenia. I have no intention Raftergirl Mar 2025 #22
Not everyone gets that Meowmee Mar 2025 #23
Interesting DET Mar 2025 #30
Yes the quality of the bone is not good because it's all older bone Meowmee Mar 2025 #32
Also have dr order up a home sleep study SheltieLover Feb 2025 #17
Hi, I'm familiar Bread and Circuses Mar 2025 #26
I am over 65 and on Medicare edhopper Mar 2025 #33
OK... Bread and Circuses Mar 2025 #34
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