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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Scoliosis, Stenosis And Kyphosis After Taking Prednisone For Years. Can Not Go For Surgery. What Else Can Be Done?

I had taken prednisone for years and just recently it caused me major problems with my back including a break. I since have been diagnosed with stenosis , scoliosis and kyphosis . I wear a turtle style brace for it most of all the day while up or a small wrap around one. I tried physical therapy but this did not help. Of course it probably goes without saying i am disabled. Also if the truth be told i still must use prednisone pills on occassion for asthma because it is the only thing to help when it gets that bad and i use advair as one of the spray s i use. I am not a cantidate for surgey. Is there anything else i can do? I also suffer with chronic fatigue.
Mon, 8 Jul 2013
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Pediatrician, Neurology ,  's  Response
This is certainly the effect of long duration treatment with steroids where your bones have become this- osteoporotic and the best way I must suggest is to undergo bone densitometry (DXA) scan. A high Z score and low T score need treatment also. Once diagnosed there are treatment available to increase the bone density- I could suggest you to take regular calcium 500 mg/day and also Bifosa 10 mg tablet/day for three months; dosage adjustment may be needed depending upon the improvement, later. In the mean time, talk your your asthma doctor about the possibility of maintaining prednisone to a minimum dose possible.
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Diagnosed With Scoliosis, Stenosis And Kyphosis After Taking Prednisone For Years. Can Not Go For Surgery. What Else Can Be Done?

This is certainly the effect of long duration treatment with steroids where your bones have become this- osteoporotic and the best way I must suggest is to undergo bone densitometry (DXA) scan. A high Z score and low T score need treatment also. Once diagnosed there are treatment available to increase the bone density- I could suggest you to take regular calcium 500 mg/day and also Bifosa 10 mg tablet/day for three months; dosage adjustment may be needed depending upon the improvement, later. In the mean time, talk your your asthma doctor about the possibility of maintaining prednisone to a minimum dose possible.