Category Archives: bone health

Does calcium and vitamin D help with community-dwelling older adults?

Does calcium and vitamin D help with community-dwelling older adults?  JAMA put out a great article recently about calcium and vitamin D and its help to decrease fractures. The low down on this study is that in this meta-analysis (meaning … Continue reading

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Arthroscopic knee surgery in some cases is not needed!

Stop the presses!  There was a study showing that middle-aged people (mean age of 53 – 59) who have arthroscopic repair of degenerative meniscal tears do NOT have significantly improved long-term pain OR function over conservative measures. This study included … Continue reading

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Prescription gel helps with knee pain

Diclofenac gel (the only topical nonsteroidal anti-inflammatory available in the United States) was shown to help decrease pain and improve function scores for as long as 12 weeks in patient with osteoarthritis of the knee.  The drawbacks are the cost … Continue reading

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How long should oral bisphosphonates (an osteoporosis medicine) be taken?

Short answer: Five years or less. Studies found little, if any, benefit in reducing fractures after taking bisphosphonates (a class of osteoporosis medicine) for more than five years. Furthermore, oral bisphosphonate use for longer than five years is associated with … Continue reading

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Will my knee pain get worse?

There are identifiable risk factors which may predict who has worsening knee arthritis.  If you are male, obese, feel worse pain in your knee (your opinion), or have worse looking knee xrays (my opinion) your knee pain is more likely to … Continue reading

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Should I insist my doctor order an MRI?

There are lots of magazine articles telling patients that if they want better care to speak up for themselves!  This brings up . . . are MRIs done too often?  Magnetic Resonance Imaging has become a routine test in the … Continue reading

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Do you need antibiotics before seeing the dentist?

My mom recently was told by her dental office that due to orthopedic hardware in her ankle she’d need to take antibiotics before  teeth cleanings.  There are guidelines to specifically address this.  And, no antibiotics are needed. Every time you brush … Continue reading

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