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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bone Pains After Taking Steroid Medicines.

Hi , I am Shazia (name changed) , my mother has joint pains .This is a long story . She had allergy 3 years back so we did all treatments Allopathic ,Homeopathic and Ayurvedic .During the Ayrvedic treatment she was given Aesteroids so the Allergy was treated completely but the nerves of hands and legs got damaged . Now she has continuous pain in her legs inthighs she has a fluid which stops the movement of legs , as per the doctor if she gives more stress on that part the bones can facture , Please advise
Wed, 10 Feb 2010
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Your mother probably is suffering from a condition called Steroid induced Cushing's Syndrome. Corticosteroids affect bone in three main ways; 1) Loss of bone mass, 2) Loss of bone protein and osteoporotic lesions, 3) increased urinary excretion of calcium and phosphorus leading to bone loss. She should be evaluated by an endocrinologist and undergo tests like overnight 1-mg Dexamethasone suppression test or a 24-hour urine test for Cortisol. She may need further medications depending on the test reports. The patient should eat foods that are high in calcium and vitamin D and low in fat. To prevent the risk of fractures in patients taking steroids, prevention of falls is important. Drugs such as the Bisphosphonates may be prescribed to prevent bone loss but you need to meet an orthopedician for this.
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Bone Pains After Taking Steroid Medicines.

Your mother probably is suffering from a condition called Steroid induced Cushing's Syndrome. Corticosteroids affect bone in three main ways; 1) Loss of bone mass, 2) Loss of bone protein and osteoporotic lesions, 3) increased urinary excretion of calcium and phosphorus leading to bone loss. She should be evaluated by an endocrinologist and undergo tests like overnight 1-mg Dexamethasone suppression test or a 24-hour urine test for Cortisol. She may need further medications depending on the test reports. The patient should eat foods that are high in calcium and vitamin D and low in fat. To prevent the risk of fractures in patients taking steroids, prevention of falls is important. Drugs such as the Bisphosphonates may be prescribed to prevent bone loss but you need to meet an orthopedician for this.