Ive had four compression vertebral fractures so sorry for your pain and I sympathize with you. I have seen countless specialists for these fractures, all of whom say theyve never seen such, and in turn are at a loss on how to advise any sort of short or long term treatment plan. Use your pelvic floor and deep abdominal muscles to brace your back when getting in and out of bed. Isle of Man company number 4694F. There are two types of denosumab. As soon as she returned to Canada, she went to see her doctor. If you want to ask a question or request information from EMA, please Send a question to the European Medicines Agency. Fortunately there were physicians who studied this issue. Denosumab is also known by its brand names, Xgeva and Prolia. This is a summary of the European Public Assessment Report (EPAR) for Prolia. For the treatment of bone loss in men receiving treatment for prostate cancer, Prolia has also been compared with placebo in one main study involving 1,468 men receiving treatment for prostate cancer who were at an increased risk of fracture. I decide the appropriate mix of postural and flexibility exercises based on my assessment of the individual. Some cancer drugs can affect whether you can get pregnantor make someone pregnant. Denosumab is a targeted therapy drug. You might have one or more of them. She could not believe that it actually works. Dr. gave me back brace and ask me to visit him in 5 weeks. So far as is permitted by law, Macmillan does not accept liability in relation to the use of any information contained in this publication or third party information or websites included or referred to in it. We covered these in this blog post. The main measure of effectiveness was the change in bone density of the lumbar spine after two years. It depends on your body, how strong you were, the quality of your bone, and your form when you exercise. Gum disease, problems with dentures, and some dental treatments can increase the risk of osteonecrosis. In the photo above, Pat is bending forward in an unsafe manner. I asked Brenda knowing what you know now, what would you tell your younger self? Learn how your comment data is processed. infections such as urine infections; pain or tingling that moves through your hip and down your leg (sciatica) constipation and tummy (abdominal) pain; skin problems such as a rash and dry, itchy skin; hair loss; Rare side effects. She was excited because she felt she had turned the corner. Due to an underlying health condition, I was placed on high dose prednisone steroids, that in just 2 years time, weakened my bones so severely, that I have encountered SEVEN vertebral compression fractures in the last 5 months. Created by the Patient Information Forum, this quality mark shows we meet PIFs 10 criteria for trustworthy health information. In addition, after three years the risk of new spine fractures was lower in patients who received Prolia. I find that many of my clients do not have enough protein in their diet. The heat helps the muscles to relax. Please do not include any personal data, such as your name or contact details. Its helped tremendously. For further information about this treatment go to the electronic Medicines Compendium (eMC)website. Brenda finds that ittakes the 10 minutes for her body to release and relax into the stretch. The white vertebra is compressed. It is always best to start slowly and gradually with baby steps. Is a Heating Pad Good for a Compression Fracture? Hi Sue: Thank you for sharing your story and experiences. As time goes on, your spine has to work a little harder if you have compressions because the forces in the spine have changed. Your nurse will give you telephone numbers for the hospital. Your doctor, nurse, or pharmacist will go through the possible side effects. I do have your book and have flagged all the exercises you recommended. Your doctor, nurse or pharmacist can tell you more about this. Medium-firm mattress is often recommended but you have to find the one that is right for you. I encourage listeners to exercise in a regular basis. [Epub ahead of print], Kim L Bennell, Bernadette Matthews, Alison Greig, Andrew Briggs, Anne Keppy, Margaret Sherburn, Judy Larsen, John Wark. Ensure that your MD gives you the green light. Please bring this question to your physician. Thank you for this video. Eat high-fibre foods, such as fruit, vegetables and wholemeal bread. She finds that she cannot wear tight clothing that might press on the bone that is protruding in her back. Prolia side effects: What you should know Prolia is a prescription drug for osteoporosis and bone thinning. My patient, Brenda, is here to share with you how her life has been impacted by compression fractures. Until you get the book, any stretch where you are lying flat on your back or your stomach you know is safe.i.e. She used it to get out of bed and to the bathroom in the morning. Protein is one of the main building blocks. Others have asked and although Brenda would love to have the time and energy to reach out individually lifes challenges do not allow her to do so. Hi Margaret, Thank you for all the helpful information on osteoporosis. Mokhtarzadeh H, Anderson DE. They include: There isn't enough information to work out how often thisside effectmight happen. The first thing she would tell her younger self (in fact, what she has told her daughters) is that you have to be really fastidious, as much as you can be, about choosing your general practitioner, or your family doctor. However, since youre watching this, this is likely not to occur because youre taking things in hand and youre empowering yourself to be able to move well. They will explain how often you will have the injections. Your doctor may give you anti diarrhoea medicine to take home with you after treatment. If you feel unwell or need advice, you can call them at any time of the day or night. To protect your bones from further limiting your movement and your quality of life it is very important that you make time to move intelligently everyday. Have ordered the book, and looking forward to taking charge of my own recovery! I am on week 4 and no improvement. In fact, she did not even know that one of her compression fractures, a T9 compression fracture, was compressed 70% and could not be fixed. Before we begin, I have a video that addresses many peoples concerns about starting an exercise program after a compression fracture. 3 lbs and resting between the lower third of the shoulder blades. They can give you painkillers to help. I asked her not to emphasize her frustration but, instead, share the tactics that have helped her deal with her compression fractures. Newer research shows that it can hinder healing. I have a T6 compression fracture of indeterminate age, according to the x-ray tech, but I think it is at about 3 months old and have been wondering why it still hurts. Every time she improves in her exercises, her muscles are activated; and every time those muscles are activated, she is stronger in whatever she does, whether its getting off the toilet, getting out of a chair, getting out of bed in one smooth motion. Yoga and pilate moves need to be practiced with caution and should be practiced under the supervision of instructors who are well trained in the precautions that need to be carried out for individuals with osteoporosis and low-bone density. The daily activity guide which is far more extensive than what I have online is a must after a compression fracture. I bought a brace. Lets take a closer look at what happens to your spine when you do flexion exercises or perform activities that cause a flexion motion. I have a patient with lumbar compression fracture and hes afraid of doing any exs or even getting up from a chair because he thinks hes gonna break his back. Who should you trust when it comes to exercises for osteoporosis? What has happened is that theres been so many forces that the disc is actually starting to push through the vertebrae. Talk to your doctor about the risks of receiving denosumab injection. Muscle or joint pain. I too have been very mindful of bone strength and my genetic vulnerability way before menopause. I think that is very important. They also taught me about how to pick things up, laying in bed, etc. The clients think that they are doing things that are sound and right for them given the fragility of their bones. Signs of a common cold. This is also known as a Dowagers Hump, buffalo hump, or neck hump. Her mom had fractured both of her hips as well as her pelvis. The specific exercise mix is dependent on the individual needs of my clients and I choose what is appropriate after an assessment. Unfortunately in the week after my meeting with the spine specialist my pain got a lot stronger. But what exercises should you do and which ones should you avoid? He switched her to Prolia. This drug may harm a baby developing in the womb. (Im 69 years old and need to do whatever I can to keep upright.) Tell your doctor, nurse or pharmacist as soon as possible if you do not feel well after using Prolia. The most common side effects with Prolia (seen in more than 1 patient in 10) are pain in the arms or legs and bone, joint and/or muscle pain. You have the injection in the thigh, stomach or upper arm. Learn more about compression fractures onmy Osteoporosis Guidelines page. The expense of Forteo would be for 18 months whereas the expense of Prolia would be for 10 years. Your email address tells me you have been very active throughout your life. I would like your opinion on a Forteo vs Prolia vs doing neither and doing diet and PT. Okay, and then if you want to pick up the syringe and take the cover off the needle. I have ordered your book and hope that will give me some guidance to nurture my strength and hopefully can contact you for a more individual consultation. Can I Wear or Use a Weighted Vest After a Compression Fracture? The weighted kypho-orthosis vest helps her walk more upright because it counterbalances the weight of her head and allows her to control where her posture is taking her. Im going to have to look for some osteoporotic fracture treatments and see what else we can do! Had 2 xrays one neck and one middle back nothing showed a but if small degenerative change in my neck. Hi Callum, If you do work with a chiropractor ensure that they are knowledgeable about osteoporosis. The most common side effects of Prolia in patients receiving certain treatments for prostate or breast cancer are joint pain, back pain, pain in your arms and legs, and muscle pain. Weight Lifting After Compression Fracture? The cortical bone is the thick non-porous bone at the rim on the cross section of the spine. Prolia (Denosumab (Prolia)) received an overall rating of 4 out of 10 stars from 48 reviews. Wow! This may be caused by pressure on nerves in or around the spine. It is supposed to help remineralize your bones but it appears to leech the calcium elsewhere in the body. This treatment may cause flu-like symptoms such as: Tell your doctor if these symptoms affect you. I am finally starting to feel better. I take ZERO pain medication for this, as sincerely NOTHING helps alleviate ANY of my back pain. This medicine is authorised for use in the European Union. Your nurse, pharmacist or doctor will discuss your treatment plan with you. These can be broken into two major groups: one set of exercises for posture and flexibility and the other for strengthening. Many fitness professionals are not trained to deal with a person with osteoporosis. There is no need to give up an enjoyable sex life because of a compression fracture. loose teeth; pain, swelling, or numbness in the mouth or jaw; Other side effects of Prolia. Studies have shown that exercises that involve flexion increase your chance of spinal fracture. Hi Margaret, I may have misused the term protocol, I was referring to the timing and amount of medication. Precautions Before using denosumab, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies . Hi Johanna, So glad that Brendas story was helpful to you. Brenda did the wrong exercises with gusto. The main measure of effectiveness was the change in bone density in the lumbar spine after a year of treatment. I had a client who went tobogganing with her grandchildren. She like many of my clients find alot of relief to their pain by spending a little time 5 10 minutes lying as flat as they are comfortable being and doing a gentle chest stretch, you will find this in the Posture Exercise section of my book. Fosamax side effects. Visit the electronic Medicines Compendium (eMC) to download a Patient Information Leaflet (PIL) for more detailed information. I want to talk about a topic that is especially close to my heart: movements that increase your risk for spinal fractures or compression fractures. Is there a best way to sleep with a compression fracture? 93% of the men who had their fractures diagnosed during the study reported back pain. The world is not going to fall apart. In the meantime, I suggest you put on your socks while flat on your back in bed. Once you have been given the green light by your physician or surgeon to exercise, you can also start exploring intercourse again. Once you get the okay from your physician you can start into the Posture and Beginner strength exercises in Exercise for Better Bones. All the best, Margaret. Try to drink plenty of fluids if this happens. Thank you for reaching out and caring. If you have any ear pain, infection, or fluid leaking (discharge) from your ear, tell your doctor straight away. The main measure of effectiveness was the change in bone density (a measure of how strong the bones are) in the lumbar (lower) spine after a year of treatment. Vertebral compression fractures (VCF) may alter your sex life, but they should certainly not eliminate it. So I guess my question besides the video should I begin now with meds or just continue eating well and up my strengthening and wait til I break a bone? However, you should take a look at how your bone mineral density (BMD) scores have been changing over the last decade. Build up gradually and stay as strong as you can. You could experience a lumbar compression fracture when you have an impact. Or ifyou can't drink to replace the lost fluid. She wears her compression fracture brace to remind her what not to do. Your doctorusually asks you to see a dentist before and regularlyduring this treatment to check the condition of your mouth and teeth. You can give the injection into the back of your arm, your tummy, your thigh or the outer part of your bottom. Talk to your doctor before starting treatment if you think you may want to have a baby in the future. How you move throughout the day, the exercises you do, how you lift, how you bend, how you get in and out of bed all of these things can either keep the vertebra from becoming more compressed or cause further collapse. This means they will be more likely to work for you. Similarly to Jeri Ettleson, most of my pain is on the right side, but at the back, through the rib area. She has been interviewed as an expert in osteoporosis prevention and treatment by WebMD, the Toronto Star, CTV Ottawa Morning Live, the Senior Rehab Project podcast, and Dr. Rebecca Risk's podcast, Falling Through the Cracks. I would appreciate your comments. But all is not lost. A recent study (4) shows that a 12 month duration of exercise had a very positive effect for people who had experienced vertebral fractures. I instructed him on body mechanics and to avoid forward bending and twisting his back. A monoclonal antibody is an antibody (a type of protein) that has been designed to recognise and attach to a specific structure (called an antigen) in the body. Constipation means that you are not able to pass stools (poo) as often as you normally do. Our cancer information has been awarded the PIF TICK. Hi Karen, thank you for sharing your story. Thank you Jean, Hi Jean, You are most welcome. If you have questions about Prolia and would like to speak to a representative, please call 18774PROLIA (8774776542). Hump, buffalo hump, or numbness in the body that she can not wear tight clothing might. Is supposed to help remineralize your bones but it appears to leech calcium... 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