Osteopenia is a condition in which an individual develops a loss in bone mass and the bones become weaker. This happens when the inside of the bones become brittle due to a lack of calcium. The symptoms of osteopenia include broken bones or bone fractures. Women are more likely to develop osteopenia than men.
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Why do I have trigger problems in the middle finger of both hands?
Query: Hi doctor, I am having trigger problem in the middle finger of my left hand over a year. But, the same finger of my right hand has now developed the same problem. They are especially bad in the morning and it is difficult to straighten them. I can feel a very heavy click when I do it. I had blood te... Read Full »
Answer: Hi, Welcome to icliniq.com. The most important information to know would be x-ray of your hands. There are different types of arthritis like autoimmune, osteoarthritis and gout. It could also become worse with your new medications as they can cause bone loss and pain. It may also occur if you... Read Full »
Is the treatment for my breast cancer correct?
Query: Hi doctor, My chief complaint is severe lower back pain and pain in upper thighs. My medical history is as follows. Carcinoma of the breast three years back, followed by surgery, chemotherapy, and radiotherapy. I am on Tamoxifen for past 3 years, and now I am taking Arimidex. I have been suffering ... Read Full »
Answer: Hello, Welcome to icliniq.com. I do not have full information regarding the case from your query. What was the stage of the condition at the time of diagnosis? What chemotherapy was used? When did you start Arimidex? The conclusion I can make from the information which you have given is tha... Read Full »
I have had multiple concussions. Is it due to growth hormone deficiency?
Query: Hi doctor,I am a 28-year-old male, and I have been living with a lower quality of life for the past eight to nine years, starting around six to seven months after I had a pretty severe concussion. I had been diagnosed with post-concussion syndrome and saw several neurologists who ran numerous tests ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, I feel that you could have osteoporosis or osteopenia rather than growth hormone deficiency. You can have your bone DEXA scan done and follow up with your orthopedician if it turns out to be either. Growth h... Read Full »
I have pain in both feet. Please check X-ray and suggest diagnosis and treatment.
Query: Hello doctor, I am a 40-year-old male having pain in both feet for four to five months. The pain is in the bottom of the feet going from the heel to balls of feet and toes. Enclosed X-ray of feet and foot images. Please suggest diagnosis and treatment. I am not diabetic and my uric acid is normal. R... Read Full »
Answer: Hello, Welcome to icliniq.com. Mostly this appears to be plantar fasciitis but I could not see your X-rays as it is not attached. This is a condition in which the fascia or the tissue at the heel is inflamed, and pain is there especially in the morning after getting up from sleep. I suggest the f... Read Full »
My doctor has not prescribed any treatment for osteopenia. Is this sound advise?
Query: Hello doctor, I am concerned about my moderately-high calcium levels. I am in my late thirties, in excellent shape and play competitive sports. I am very careful about maintaining a clean diet. Over the past four years, I have had elevated glucose (a1c 6.3) and elevated serum calcium (fluctuating be... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you do have diabetes for which Metformin is an appropriate treatment. As for your calcium levels, you have absolutely normal serum as well as urinary calcium levels. You do have osteopenia, for... Read Full »
I am a 61-year-old female and have pain in the left thigh while walking uphill or downhill. Why?
Query: Hello doctor, I am 61 years old female with dull aching pain in the left thigh close to the inguinal ligament corresponding to iliopsoas insertion, which has been severe in the night for the past month. It radiates up in the abdominal wall and down in the anterior thigh. My symptoms started after th... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I have seen your reports (attachment removed to protect the patient's identity), and based on that, there are two possibilities: It can be osteoarthritis of the hip causing thigh pain or disc degeneration and nerve root entrapment. I wil... Read Full »
A 67-year-old osteoporotic female has wrist swelling. Is it tuberculosis?
Query: Hello doctor, My mother who is 67 years old is an osteoporosis patient. She has been recently operated for carpal tunnel in the left hand. A few months back, she had developed an ankle effusion which subsided after starting osteoporosis injections. She is on Gemtide and calcium. Recently, she has de... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your attachments (attachment removed to protect patient identity). An ultrasound cannot diagnose whether she has tuberculosis or not. This requires an MRI (magnetic resonance imaging) scan and also a needle biopsy under ultrasound guidance which n... Read Full »
Why does my prematurely born baby have high ALP values in spite of supplementing with Vitamin D?
Query: Hello doctor, I need advice on vitamin D, calcium, and phosphorus supplements to prevent osteopenia for a prematurely born baby. I found out that after term age, due to fortifier and suppletion, he overdosed with vitamin D (50 mcg a day). So we are wondering what daily dosages of calcium, phosphate... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and have tried answering your questions as elaborately as possible below. ALP (Alkaline Phosphatase) values are abnormal but improving since the optimal cut-off value of serum ALP is 500 IU/L. The ALP values are still so high due to metabolic bon... Read Full »
What type of collagen is best for improving the bone density?
Query: Hello doctor, I am suffering from osteopenia. And I was on bisphosphonates for five years without any improvement. So, I switched to Prolia but did not get good results again. Then I added ayurveda medicines along with Prolia, and my spine BMD spine went up by 8% and became normal. After one year... Read Full »
Answer: Hello,Welcome to icliniq.com.What is your current T-score (number of standard deviations in bone density measurement) for hip, spine, and wrist? The collagens that are found in bones are both type I and type III. So, assuming that the collagen that you take gets deposited in the bones without changi... Read Full »
Suffering from osteopenia and osteoarthritis. Taking AcuCal and FreeFlex. Is it safe to take SAM(S Adenosyl Methionine) to enhance mobility?
Query: Dear Doctor, My mother is 66 years old. She is having Trigeminal Neuralgia and for which she is taking Lyrica 75mg, Tegritol CR 400 and Symbal 30. And other medication details as below: For Cholesetrol -> Storfib -10mg. For BP -> seloken xl 100mg and amlodac 5mg. For Urinary Incontinence -&g... Read Full »
Answer: Hi, Welcome to icliniq and thanks for the query. She can take SAM or MSM (Any one of them). SAM is a safe medication. It is a cartilage protective drug and will help her improve some of the pain in osteoarthritis. For osteoarthritis: you have to remember that these medications like free flex, coll... Read Full »