Catherine Burt Driver, MD
Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Osteopenia facts
- What is osteopenia?
- What causes osteopenia?
- What are osteopenia symptoms and signs?
- How widespread is osteopenia?
- Why is osteopenia important?
- When should I see my doctor for osteopenia?
- How is osteopenia diagnosed?
- Who should be tested for osteopenia?
- What is the treatment for osteopenia?
- What follow-up is needed after treatment of osteopenia has been initiated?
- Can osteopenia be prevented?
- What is the prognosis of osteopenia?
- Find a local Doctor in your town
What follow-up is needed after treatment of osteopenia has been initiated?
Often osteopenia does not require treatment with prescription medications. In this situation, the bone density test may be repeated to monitor the bone mineral density (BMD), usually after two years, to detect progressive bone loss and determine if treatment is necessary. Two years may seem like a long time between tests, but BMD changes very slowly, and this length of time is usually necessary to detect significant changes in bone density.
A follow-up test for BMD is frequently repeated after treatment with prescription medication for osteopenia is begun. Again, because changes in BMD occur slowly, the repeat testing is usually done several years after treatment is begun. However, follow-up testing while on treatment is controversial because
- decrease in the risk for fracture while on treatment for osteopenia and osteoporosis is not always mirrored by an increase in BMD on DXA or other testing
- and if repeat testing shows continued bone loss, this does not mean the medication is not working because it is also likely the bone loss would have been much worse if left untreated.
Can osteopenia be prevented?
The best way to prevent osteopenia is by living a healthfully. In regard to osteopenia, prevention includes ensuring adequate calcium intake either through diet or supplements, ensuring adequate vitamin D intake, not drinking too much alcohol (no more than two drinks daily), not smoking, and getting plenty of exercise. For most people, prescription medications are not necessary to prevent osteopenia. However, some people taking certain medications (such as prednisone or other steroids) for more than a few months may need to take prescription medication to prevent bone loss.
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