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Sunday, June 13, 2010 jennie17efc asks

Q: Hi I am 26and have recently had a DEXA scan recently. Do I have osteoporosis in my spine?

Hi I am 26 and have just been given the following DEXA scan results:

  • Spine -3.6
  • Hips -0.8
  • Legs -1.2

 

I am finding it difficult  to get a doctor to say wether I have osteoporosis or osteopenia due to my age. 

I have been prescribed calcium and Vitamin D supplements but no other treatment.  Is this the correct treatment?

For 10 years i have been taking a Depo Provera contraception injections and I suffered a compression/wedge fracture and 2 other simple fractures in the T12 vertabrae of my spine my spine in January after I slipped on some ice.  I know Depo reduces your hormone levels so could this be the reason for the Dexa results and will I be able to reverse these results by using different contraception.

 

Many thanks

 

Jennie

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Answers (1)
Pam Flores, Health Guide
6/14/10 3:55pm

Hi Jennie, welcome... Sorry to hear about your low z-scores.  As you probably know, Depo Provera is one of the medications that can cause osteoporosis.  I would try to see a specialist in bone and mineral metabolism.  You can usually find them at University Hospitals and they could determine if your low scores are from medication or a combination of that and an inability to absorb calcium and vitamin D.  This type of Dr. can also rule out other causes and if found treat them.

 

Here's a list of medications that cause bone loss, that you can read.  You should also be able to find the type of specialist I mentioned in your area or close to it.  According to the WHO definition on t and z scores, your spine score is in the osteoporosis range, but check with a specialist and see if this is accurate for your age.  If you are looking at your t-scores, see if the z score is substantially different since this would be used for your age.

 

Good luck and I hope you can find someone to help you further.

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Pam Flores, Health Guide
6/14/10 10:04pm

Hi again, I can't believe I forgot to mention all your fractures-shame on me!! Frown I know how tough that is, and the pain process and hard rehab that ensues afterwards, so I wish you all the luck in your recovery and hope you are well on your way to being pain free or close to it and of course healed.  I hope you don't have any more also!  Please try and find a bone and mineral metabolism doctor, they should be able to shed light on this and help immensely.

 

Take Care...

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By jennie17efc— Last Modified: 12/26/10, First Published: 06/13/10