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How to interpret this DXA?

Reply from: Darth Breather
Date: 25 Feb 2007, 08:48
How to interpret this DXA?

Someone askd me too post this for her. Shes post menopausal in her
50s. Shes also been on 20 mg of omeprazole everyday for hiatus hernia.
And she said she realy avoids the sun to save her skin.

She had a DXA done and it gave normal readings for her arm and hip but
lower for the spine and one veterbra showd osteoprosis.


Here are her T-scores:

1. Radius+Ulna 0.6
2. Hip -0.3
3. L1 -1.2
4. L2 -1.4
5. L3 -1.3
6. L4 - 3.6

She thougt it was wierd that one verterbra was so diffrent and whats
going on.
She has a doc apptment but thougt maybe people here woud have some
helpful input. In paticular about why one verterbra is so different.

Meanwhile she is geting a bit more sun and taking 4-6 tums every day
and eating prunes.


Reply from: Art S
Date: 25 Feb 2007, 20:06
Re: How to interpret this DXA?


"Darth Breather" <darth_breather@yahoo . com > wrote in message
news:1172389685.891238.28910@z35g2000cwz.googlegroups . com ...
> Someone askd me too post this for her. Shes post menopausal in her
> 50s. Shes also been on 20 mg of omeprazole everyday for hiatus hernia.
> And she said she realy avoids the sun to save her skin.
>
> She had a DXA done and it gave normal readings for her arm and hip but
> lower for the spine and one veterbra showd osteoprosis.
>
>
> Here are her T-scores:
>
> 1. Radius+Ulna 0.6
> 2. Hip -0.3
> 3. L1 -1.2
> 4. L2 -1.4
> 5. L3 -1.3
> 6. L4 - 3.6
>
> She thougt it was wierd that one verterbra was so diffrent and whats
> going on.
> She has a doc apptment but thougt maybe people here woud have some
> helpful input. In paticular about why one verterbra is so different.
>

First, BMD g/cm^2 is probably more important but, in this case, I doubt
that it would answer the question. Has she had any surgery? What does
L5 look like? What does the image look like? Any previous DEXAs?

You might want to take a look at
* courses.washington.edu/bonephys/opDEXA1.html. On page 3
there is the comment/observation "A large discrepancy could be a
technical problem or could represent bone pathology".

There is a section on interpretation mistakes. In particular, take a look at
* courses.washington.edu/bonephys/mis/mist95.html and see if
it applies.

The whole series ( * courses.washington.edu/bonephys/ophome.html)
is excellent, by the way.

> Meanwhile she is geting a bit more sun and taking 4-6 tums every day
> and eating prunes.
>

Sounds good. What about weight bearing exercise?

Art



Reply from: Darth Breather
Date: 26 Feb 2007, 08:39
Re: How to interpret this DXA?

Thanks for yr reponse.

On Feb 25, 11:06 am, "Art S" <thedabble...@earthlink . net > wrote:
> "Darth Breather" <darth breat...@yahoo . com > wrote in message
>
>
> > Someone askd me too post this for her. Shes post menopausal in her
> > 50s. Shes also been on 20 mg of omeprazole everyday for hiatus hernia.
> > And she said she realy avoids the sun to save her skin.
>
> > She had a DXA done and it gave normal readings for her arm and hip but
> > lower for the spine and one veterbra showd osteoprosis.
>
> > Here are her T-scores:
>
> > 1. Radius+Ulna 0.6
> > 2. Hip -0.3
> > 3. L1 -1.2
> > 4. L2 -1.4
> > 5. L3 -1.3
> > 6. L4 - 3.6
>
> > She thougt it was wierd that one verterbra was so diffrent and whats
> > going on.
> > She has a doc apptment but thougt maybe people here woud have some
> > helpful input. In paticular about why one verterbra is so different.
>
> First, BMD g/cm^2 is probably more important but, in this case, I doubt
> that it would answer the question.

Heres the BMDs of the verterbrea:
L1: 0.788, L2: 0.873, L3: 0.936, L4: 0.725


Has she had any surgery? What does
> L5 look like? What does the image look like? Any previous DEXAs?

They didnt anlyze L5. The printout she gave me shows a picture but no
reading for L5. This wass her first DEXA coz the insurance co woudnt
pay for it. She paid this one herself coz she got nervos about
omeprazole. Shes not had srugery.

> You might want to take a look at * courses.washington.edu/bonephys/opDEXA1.html. On page 3
> there is the comment/observation "A large discrepancy could be a
> technical problem or could represent bone pathology".
>
> There is a section on interpretation mistakes. In particular, take a look at * courses.washington.edu/bonephys/mis/mist95.htmland see if
> it applies.
>
> The whole series ( * courses.washington.edu/bonephys/ophome.html)
> is excellent, by the way.

Thanks for the link.
>
> > Meanwhile she is geting a bit more sun and taking 4-6 tums every day
> > and eating prunes.
>
> Sounds good. What about weight bearing exercise?

Yeh, gotta convince her abt that!


Reply from: Art S
Date: 26 Feb 2007, 09:17
Re: How to interpret this DXA?


"Darth Breather" <darth_breather@yahoo . com > wrote in message
news:1172475541.028443.6460@a75g2000cwd.googlegroups . com ...
> Thanks for yr reponse.
>
> On Feb 25, 11:06 am, "Art S" <thedabble...@earthlink . net > wrote:
>> "Darth Breather" <darth_breat...@yahoo . com > wrote in message
>>
>>
>> > Someone askd me too post this for her. Shes post menopausal in her
>> > 50s. Shes also been on 20 mg of omeprazole everyday for hiatus hernia.
>> > And she said she realy avoids the sun to save her skin.
>>
>> > She had a DXA done and it gave normal readings for her arm and hip but
>> > lower for the spine and one veterbra showd osteoprosis.
>>
>> > Here are her T-scores:
>>
>> > 1. Radius+Ulna 0.6
>> > 2. Hip -0.3
>> > 3. L1 -1.2
>> > 4. L2 -1.4
>> > 5. L3 -1.3
>> > 6. L4 - 3.6
>>
>> > She thougt it was wierd that one verterbra was so diffrent and whats
>> > going on.
>> > She has a doc apptment but thougt maybe people here woud have some
>> > helpful input. In paticular about why one verterbra is so different.
>>
>> First, BMD g/cm^2 is probably more important but, in this case, I doubt
>> that it would answer the question.
>
> Heres the BMDs of the verterbrea:
> L1: 0.788, L2: 0.873, L3: 0.936, L4: 0.725
>
>
> Has she had any surgery? What does
>> L5 look like? What does the image look like? Any previous DEXAs?
>
> They didnt anlyze L5. The printout she gave me shows a picture but no
> reading for L5. This wass her first DEXA coz the insurance co woudnt
> pay for it. She paid this one herself coz she got nervos about
> omeprazole. Shes not had srugery.
>
>> You might want to take a look at
>> * courses.washington.edu/bonephys/opDEXA1.html . On page 3
>> there is the comment/observation "A large discrepancy could be a
>> technical problem or could represent bone pathology".
>>
>> There is a section on interpretation mistakes. In particular, take a look
>> at * courses.washington.edu/bonephys/mis/mist95.html and see if
>> it applies.
>>
>> The whole series ( * courses.washington.edu/bonephys/ophome.html)
>> is excellent, by the way.
>
> Thanks for the link.
>>
>> > Meanwhile she is geting a bit more sun and taking 4-6 tums every day
>> > and eating prunes.
>>
>> Sounds good. What about weight bearing exercise?
>
> Yeh, gotta convince her abt that!

Good luck. Most women are afraid to touch weights because they are
afraid that they will get too muscular.

You can try showing her
* w w w .stumptuous . com /cms/displayarticle.php?aid=15
(It is part of * w w w .stumptuous . com /cms/index.php ) - a site that
discusses weight lifting. It is written by a skinny female, so she may
be more inclined to consider it.

Other pages to read:

males encouraging females to work out:
* w w w .stumptuous . com /cms/displayarticle.php?aid=61

older women exercising:
* w w w .stumptuous . com /cms/displayarticle.php?aid=64

Art






Reply from: Darth Breather
Date: 26 Feb 2007, 19:45
Re: How to interpret this DXA?

On Feb 26, 12:17 am, "Art S" <thedabble...@earthlink . net > wrote:
> "Darth Breather" <darth breat...@yahoo . com > wrote in message
>
> news:1172475541.028443.6460@a75g2000cwd.googlegroups . com ...
>
>
>
>
>
> > Thanks for yr reponse.
>
> > On Feb 25, 11:06 am, "Art S" <thedabble...@earthlink . net > wrote:
> >> "Darth Breather" <darth breat...@yahoo . com > wrote in message
>
> >> > Someone askd me too post this for her. Shes post menopausal in her
> >> > 50s. Shes also been on 20 mg of omeprazole everyday for hiatus hernia.
> >> > And she said she realy avoids the sun to save her skin.
>
> >> > She had a DXA done and it gave normal readings for her arm and hip but
> >> > lower for the spine and one veterbra showd osteoprosis.
>
> >> > Here are her T-scores:
>
> >> > 1. Radius+Ulna 0.6
> >> > 2. Hip -0.3
> >> > 3. L1 -1.2
> >> > 4. L2 -1.4
> >> > 5. L3 -1.3
> >> > 6. L4 - 3.6
>
> >> > She thougt it was wierd that one verterbra was so diffrent and whats
> >> > going on.
> >> > She has a doc apptment but thougt maybe people here woud have some
> >> > helpful input. In paticular about why one verterbra is so different.
>
> >> First, BMD g/cm^2 is probably more important but, in this case, I doubt
> >> that it would answer the question.
>
> > Heres the BMDs of the verterbrea:
> > L1: 0.788, L2: 0.873, L3: 0.936, L4: 0.725
>
> > Has she had any surgery? What does
> >> L5 look like? What does the image look like? Any previous DEXAs?
>
> > They didnt anlyze L5. The printout she gave me shows a picture but no
> > reading for L5. This wass her first DEXA coz the insurance co woudnt
> > pay for it. She paid this one herself coz she got nervos about
> > omeprazole. Shes not had srugery.
>
> >> You might want to take a look at
> >> * courses.washington.edu/bonephys/opDEXA1.html. On page 3
> >> there is the comment/observation "A large discrepancy could be a
> >> technical problem or could represent bone pathology".
>
> >> There is a section on interpretation mistakes. In particular, take a look
> >> at * courses.washington.edu/bonephys/mis/mist95.htmland see if
> >> it applies.
>
> >> The whole series ( * courses.washington.edu/bonephys/ophome.html)
> >> is excellent, by the way.
>
> > Thanks for the link.
>
> >> > Meanwhile she is geting a bit more sun and taking 4-6 tums every day
> >> > and eating prunes.
>
> >> Sounds good. What about weight bearing exercise?
>
> > Yeh, gotta convince her abt that!
>
> Good luck. Most women are afraid to touch weights because they are
> afraid that they will get too muscular.
>
> You can try showing her * w w w .stumptuous . com /cms/displayarticle.php?aid=15
> (It is part of * w w w .stumptuous . com /cms/index.php) - a site that
> discusses weight lifting. It is written by a skinny female, so she may
> be more inclined to consider it.
>
> Other pages to read:
>
> males encouraging females to work out: * w w w .stumptuous . com /cms/displayarticle.php?aid=61
>
> older women exercising: * w w w .stumptuous . com /cms/displayarticle.php?aid=64


Thanks. Good links.





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