Suggest Treatment For Severe Osteoporosis

Posted on Sat, 25 Feb 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 25 Feb 2017 Answered on

Fri, 24 Mar 2017 Last reviewed on

Question : Asked earlier name xxxxxxxxxx @ YYYY@YYYY . Scheduling total knee replacement local ortho referring to specialist due to severe osteoporosis, many break feet right femora left ankle, left arm. Right hip deteriorated placing pressure on right knee, pressure on left foot turning foot now at 35' degree angle HT now 5'5" at 225. Prognosis please and follow up?

Answered by Dr. Aashish Raghu (23 minutes later)

Brief Answer:
Osteoporosis needs to be treated first

Detailed Answer:
Hi there

Thanks for the query

You seem to be having multiple osteoporotic fractures.

Firstly get your DEXA Scan to note how severe your Osteoporosis is. Vitamin D3 levels, Parathorhormone levels, Alkaline phosphate levels, Calcium and Phosphorus levels need to be tested in the blood.

You need to be on therapy to treat Osteoporosis. Regular Vitamin D means and Calcium supplements needed. Alendronate can be taken orally and weekly or Zolendronate once a year injection to reduce the chance of osteoporotic fractures.

Avoid loading activities. Acid squatting, cross leg sitting, climbing stairs and kneeling. Get enough sunlight exposure with protection of sunscreen.

Kindly upload these reports is possible.

Once your Osteoporosis is treated then replacement surgery can be planned to reduce the risk of peri-prosthetic fractures.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Above answer was peer-reviewed by : Dr. Nagamani Ng