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Updated: Feb 14, 2026

Author Spotlight: Exploring the Impact of Lingnan Fire-Needle Therapy in Osteoporosis Intervention
Published on: April 26, 2024
Osteoporosis for the practicing neurologist.
Micol S Rothman1, Sterling G West1, Michael T McDermott1
1Department of Medicine-Endocrinology (MSR, MTM) and Department of Medicine-Rheumatology (SGW), University of Colorado School of Medicine, Denver, CO.
Osteoporosis, a condition causing weak bones and fractures, can have reversible causes identified through medical evaluation. Neurologists should consider medication side effects and use risk calculators for effective osteoporosis management.
Area of Science:
- Bone health and metabolic disorders
- Neurology and pharmacotherapy
- Geriatric medicine
Background:
- Osteoporosis is a prevalent condition characterized by impaired bone strength, increasing fracture risk.
- Identifying and managing reversible causes of low bone mass is crucial for patient outcomes.
- Neurologists must be aware of specific medications impacting bone density.
Purpose of the Study:
- To outline the evaluation of osteoporosis in a clinical setting.
- To highlight medications with detrimental effects on bone health.
- To discuss risk stratification and treatment options for osteoporosis.
Main Methods:
- Targeted patient history and physical examination.
- Laboratory blood work to identify reversible causes.
- Utilizing the FRAX calculator for fracture risk assessment.
Main Results:
- Glucocorticoids and antiepileptic medications pose distinct risks to bone health.
- The FRAX calculator aids in determining the need for pharmacologic therapy.
- Nonpharmacologic interventions include calcium, vitamin D, and exercise.
Conclusions:
- Comprehensive assessment can reveal reversible causes of osteoporosis.
- Pharmacologic therapy, including bisphosphonates and newer agents, is essential for high-risk patients.
- Integrated management combining lifestyle and medication is key to preventing fractures.
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