May 3, 2018 11:31PM chronicpain wrote:
Surely her doctors have made suggestions with a new OPorosis dx? Usually bisphosphonates are used, such as alendronate (fosamax) zometa ( zoledronic acid or Reclast) , or Prolia ( denosumab) together with adequate D and calcium, to lower fracture risk.
But OP itself, without more, should not cause pain, so it could be the arthritis (what kind does she have? rheumatoid? osteo? degenerative? , ) or something else causing pain (mets? muscles? neuropathy?). OP causes pain when there is a fracture, or spinal distortion from prior fractures, otherwise it is pretty silent.
When you say her “bone scan” showed improvement on OP you probably mean her BMD (bone mineral density test which measures mass per unit volume). Scans like docs use for bone mets are different and not diagnostic of OP.
If you meant BMD is “ improved” on just calcium and D keep in mind osteoarthritis can make it look falsely better. There has to be at least a 3% improvement to be significant.
Talk to her docs, if she allows, and get clarity on cause of her pain and they will treat that, and also ask why she is not on additional OP rx like listed above while at it. Sometimes they have to do plain films to check for subtle fracture that could cause pain