Common "Osteoporosis" queries answered by top doctors | iCliniq


Osteoporosis is a bone disease that results when the bone density is reduced due to less production or too much loss of bone. As the bones get weak and porous, they are more susceptible to fractures. The other symptoms include back pain, loss of height, and stooped posture. Women are more vulnerable to develop osteoporosis than men.

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Kindly suggest the causes of radiating pain in the first metatarsal.

Query: Hi doctor, What are the causes of pain in the first metatarsal that radiate to the entire forefoot?  Read Full »

Dr. Palani Kumar Chellamuthu

Answer: Hi, Welcome to It will be better if your age, other conditions, profession, recreation, alcohol intake and dietary pattern are known. The causes can be divided into two major groups. Group 1: Based on anatomic problems like toe deformities, Morton's metatarsalgia, length and mobili...  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 »

Dr. Rakesh Mittal

Answer: Hello, Welcome to 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 t...  Read Full »

My mother has spondylolisthesis. Please advise.

Query: Hello doctor, My mother, aged 55 years, has slipped and hurt her back. X-ray says spondylolisthesis L4/5 and L3/S1 grade with reduced L5/S1 disc spaces and compression fracture D11 vertebra. Please help.  Read Full »

Dr. Atul Prakash

Answer: Hi, Welcome to I can see that your mother needs an urgent orthopedic review if you already have not had one from your description. Please take it seriously. She will need an MRI (magnetic resonance imaging) to know about the status of the spinal cord and may even need a CT (computed t...  Read Full »

For osteoporosis, is calcium supplement sufficient?

Query: Hi doctor,I am a 31-year-old female diagnosed with osteoporosis. Is Teriparatide treatment recommended? Or vitamin D supplements and Calcium tablets sufficient?  Read Full »

Dr. Sharoff Lokesh Mohan

Answer: Hi, Welcome to Teriparatide is an extreme treatment for osteoporosis and is always based on your DEXA scan (dual energy x-ray absorptiometry) report. Have you got your DEXA scan done? How have you been diagnosed with osteoporosis? Please specify. If DEXA scan has not been done, then j...  Read Full »

I have tachycardia while at rest. Should I consult a cardiologist?

Query: Hello doctor, I am a relatively healthy 68-year-old female who has been having episodes of tachycardia while at rest. This started three months ago. I also have dizziness while reclining mostly at night. I do have medicated high blood pressure, osteoporosis, and GERD. I do seem to tire easier also....  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to the You have dizziness problem while lying down if you have frequent episodes of dizziness in lying down position than positional vertigo can be possible. For which physiotherapy can be beneficial. You need to check your blood sugar and hemoglobin level as well. You ...  Read Full »

My mom has back pain, and might have spine TB. Please help.

Query: Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is tak...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity). If she has received ATT (antitubercular therapy) for tubercular meningitis 10 months ago, it is highly unlikely that she has ...  Read Full »

Can my mother with osteoporosis safely use Teriparatide?

Query: Hello doctor,My mother is 60 years old. She is being treated for osteoporosis currently for which we are already consulting a specialist. I am attaching a few other reports which would request you to evaluate the same and let me know your interpretation and concerns and treatments if any. For choles...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to I have checked the attached reports thoroughly (attachment removed to protect patient identity). Here is my comment: Fortunately, there are no autoimmune rheumatoid arthritis or SLE (systemic lupus erythematosus) as both ANA and anti-CCP are negative. Unfortunately,...  Read Full »

What can be done for mobile knee in a femur plasmacytoma patient?

Query: Hello doctor, I would like to know an orthopedist opinion about my mother's situation. She had femur plasmacytoma 20 years ago and 4 prostheses, because she had many infections after the operations. She remained with her external popliteus paralyzed. Now, she began to feel his knee mobile, and she ...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to The entire femur seen is grossly osteoporotic and the knee is showing evidence of osteoarthritis though I could not see the knee in the AP view. She needs a knee replacement but with the large hip prosthesis and very weak bone stock, I would support the use of a tota...  Read Full »

Is Zoledronic acid better than Ibandronic acid for bone problem?

Query: Hi doctor, My mother is suffering with breast cancer as primary and now there is brain metastasis. The disease has spread to all the parts of the body including the bones. I have attached her PET scan for your reference. We are taking the treatment for the disease and her physical condition was ...  Read Full »

Dr. Srikanth. N

Answer: Hi, Welcome to I understand your concern about the patient. As per the scan report you sent (attachment removed to protect patient identity), though the metastasis is widespread, she has relatively improved as far as bone are considered (sclerotic). In case of cancers, bone quality is l...  Read Full »

What can cause chronic pain in vertebrae, fracture or bone cancer?

Query: Hello doctor, I have had mild pain from one of my vertebrae for about eight months. It is one of the thoracic vertebrae. I am not certain of which one it is approximately in the middle of my back. It feels slightly sore when I bend backward. Also, if I press with my thumb on the spinous process. I ...  Read Full »

Dr. Anuj Gupta

Answer: Hi, Welcome to Eight months period is quite a long time and I feel you should not ignore it. A few things I want to know. Do you have any other ailment, like diabetes or hypertension or hypothyroidism? What you do and how much physical activity you have in your daily routine? Have you...  Read Full »

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