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What type of Doctor oversees your Osteoporosis?

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My Doctor told me to see either an endocrinologist or rheumatologist. I have bone loss due to a Spinal Cord Injury.

28 replies

I am seeing an endocrinlogist for my osteoporosis.

I have been seeing a rheumatologist for for 17 years and I feel very comfortable with him. It really depends on how knowledgable your doctor is.

Also a rheumatologist.

Endocrinologist, but, then, I also have hyperparathyroidism
Sue

When I lived in NYC I used to have my rheumatologist manage my osteoporosis. But now I live in Massachusetts and my internist recommended an endocrinologist to manage my osteoporosis. She is incredibly smart and I'm glad I see her.

Mimi

Osteoporosis D,
What kind of Dr. do you go to?

I'm seen by an endocrinologist.

Norm,

I go to a rheumatologist. He is the head of his department in a Twin Cities hospital. I see him here in NW Wisconsin. A very knowledgeable man. He says osteoporosis is half of his practice.

Tom

So far, I only see my primary care physician. She hasn't recommended an endocrinologist yet.

Hi - from what I've read, an endocrinologist or rheumatologist are excellent for covering the metabolic testing and assessment for osteo. In addition to an endocrinologist, I'm also seeing a physical therapist to cover specific osteo exercises for my hip osteoporosis and spine osteopenia. She has participated in Sara Meek's seminars and is really great to work with.
http://www.sarameekspt.com/seminars.asp

My GP monitors my case. However, I am going to ask for a referral to a specialist. I live on a small Island in Canada(Prince Edward Island) so will have to travel to a larger area to see a specialist.

I go to an endocrinologist and also a bone and mineral specialist in Dallas

I live in Roseville, CA, near Sacramento, and have had trouble finding an endocrinologist that specializes in Osteoporosis. I asked my internist to recommend someone and the endocrinologist told me that I didn't need to see her since my calcium levels were fine. I was upset, to say the least. Does anyone know a doctor that has experience in osteoporosis in my area?
Thanks

I see only my primary care doctor and pain management specialist for the osteoporosis. Neither are particularly knowledgeable. We don't have an endocrinologist in the area, and the rheumatologists are not good.

Endocrinologist

A terrible one.
Forgive my attempt at a joke. I'm frustrtaed. I do see an endocrinologist and have been worked up at Mayo Clinic.
Now I'm facing my 9th fracture; thoracic is gone. I've had kypho in those that I can, but the ones higher up are too risky. Anyway, After a year of Fosamax; I was deemed to be a treatment failure and once again VItamin D deficient. Now he wants to wait 3 months before starting another tx regimen of either Reclast or Forteo. Does that make sense to anyone? Obviously the Fosamax did NOT work "severe decline" in two hip regions and lumbar. By my left forearm is OK! Yay! I'd like to use it to slap him, but I'm right handed.
My next Apt with him isn't until Aug 12th- I'm not one of those sit back and wait people. After a year of Fosamax not working, let's get busy with the next and see if it does any good. I'm 39 and not going to spend my 40th bday in a wheelchair, in bed (unless Brad Pitt is with me). Does anyone have an opinion whether rheumatologists are more aggressive than endocrinologists in general? I could see a rheumatologist but don't know if I"m just going to be starting all over at page one.
Good Question and I'm sorry I didn't have an answer only a little more bitterness to throw in for flavor.

My best wishes are with you all- Hang in there :)

I see an endocrinologist once a year, but am also monitored by an internist - who identified the acid reflux caused by my 5+ years on Fosamax.

Internist took me off the Fosamax; endocrinologist concurred, commenting that "Five years on Fosamax is about protocol, since the long-term effects of the drug are still unknown."

Currently just take OTC: Citrical and Vit. D. Due for a DEXA scan this fall.

Oh, Kathleen, I do so empathize with your situation... I too am at a crossroads wondering which doctor's advice I should follow. (I live in Greece, by the way, it;s the same everywhere...) Have osteopenia for hip (-2.4) after 6 years with Miacalcic (+Ca+D3+Mg+ some exercise). This is just a breath away from osteoporosis, all that medicine for nothing and to think I was proud to have started early on, while still having my period precisely because I wanted to make sure I have good strong bones. (I am 59, BTW, had periods till I was 56.) Frustrated, I saw an orthopedic doctor who immediately prescribed Actonel. Started to take it then got scared and stopped and went to see another endoctrinologist, who said I should not be taking anything because I do not have osteoporosis. Now, I read here that some people are seeing rheumatologists... You are so brave, keep fighting -- I wish you all the best.

Dear Kathleen1130

I'm surprised that your doctor wouldn't start you on Vitamin D3 injections right off as I haven't seen anyone with problems getting Vit D injections.

Forteo is the only med that is known to build bone and can't understand why the Doc wouldn't just go there. I'm against meds in general but with your set of problems, I wouldn't hesitate giving Forteo a try. The biophosphates tho are really scary stuff.

I don't think anyone really understands the bone building/loss chemistry and everyone seems to be guessing or are giving out the drug company party line. Good luck and do your own research as far as you are able. Your condition sounds rare. Wish you the best.

Even if you need an osteoporosis specialist, you might not be sure where to find one because no one type of physician is defined as an osteoporosis specialist. An osteoporosis specialist is any doctor who has the interest, training, and experience to study bone health in depth. Types of physicians who are often osteoporosis specialists are gynecologists, endocrinologists, orthopedic surgeons, and geriatricians. Osteoporosis specialists are not limited to this group; you may also find a specialist in any area of medicine. However, it doesn't guarantee that they are experts in osteoporosis.

Some clinics like the one that I go to provide multidisciplinary care with physicians, nurses, dietitians, physical therapists, and radiographic technologists participating in your evaluation and care.

If you decide you need a physician specialist, talking with your primary care physician is a good place to start. You can also check this website for a list of physician specialists throughout the country.

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OsteoporosisNOF: NOF's CFC information: CFC #:11043; Osteoporosis Foundation, National

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OsteoporosisNOF: Volunteer to start an NOF support group to help yourself and others with osteoporosis in your community. Call (800) 231-4222 to learn more.

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