Bone-density test recommended

Dear Dr. Gott: My mother has never had a bone-density test. Should she have this test at 94?

If she agrees, and the test shows bone loss/osteoporosis, is medication such as Actonel or Fosamax appropriate for preventing fractures?

Dear Reader: This is a very good question.

In my experience everybody – male and female – over the age of 90 has osteoporosis to some extent.

If your mother is physically active, careful not to fall and is otherwise healthy, I’d conclude that a bone-density test is not vital. On the other hand, a bone-density test is safe and painless, so it might be appropriate.

If your mother has mild osteoporosis, the situation can be monitored with annual DEXA studies. If, however, she has severe osteoporosis, she should undergo treatment with a drug such as Boniva.

Unfortunately the bone-strengthening medicines do have side effects that can, in some cases, be a serious problem, such as stomach upset and the rare complication of jawbone decay.

Why hasn’t your mother ever had a bone-density test? As a general rule, all postmenopausal women should have bone scans every year or two.

Even men over 60 should have the test done.

In any case, I suggest that your mother undergo the testing and then meet with her doctor to explore treatment options, if appropriate.

To give you related information, I am sending you a copy of my health report “Understanding Osteoporosis.” Other readers who would like a copy should send a long, self-addressed, stamped envelope and $2 to Newsletter, P.O. Box 167, Wickliffe, OH 44092. Be sure to mention the title.