Conflicting Osteoporosis Test Results? Doctor Explains What to Do Next

[@CarolineMoore-mg9px]

I find this particular video very interesting. My 33 year old son had a stress induced seizure 3 years ago and unfortunately fractured 3 vertebrae due to the severity of the seizure. He subsequently had a Dexa scan and his endocrinologist said he had oesteoporosis. I have always queried this diagnosis as although we are a small framed family no one that I am aware of has , or has ever had osteoporosis. He was diagnosed in Australia where he lives. Here in the U.K. where I live unfortunately the NHS does not recognise REMS, which to my mind is superior to DEXA.

[@johnyurkon5064]

If one already has a suitable MRI how would they go about getting it evaluated?

[@phoenixmassey]

How recent does the MRI need to be?

[@lindathompson4770]

As luck would have it... Last March, I had a routine bi-yearly DEXA by the PCP, and an EMG and MRI w/o contrast by a neurologist looking at the correlation of the nerves and spine. He also did a punch biopsy and the FU is in a few weeks. Would it be necessary to also have the REMS test? And who would I ask to read the MRI as you described?

[@jeannier5938]

Can someone recap this for me? I tried 3 times to listen but I just keep glazing over

[@geraldinetoughey9622]

I had the same experience! He keeps adding in extra explanations here and there and its hard to keep track of the main theme. I give up.

[@MelloCello55]

He seems to be saying toward the end that if your Dexa and your REMS are contradictory, the VBQ (vertebral bone quality) is a good tie-breaker, but you need a non-contrast MRI of the spine, lumbar region I believe. He says in the US you may need to pay for it yourself and it may be worthwhile if your physician is saying you need to take meds based on a Dexa showing osteoporosis, because you may not actually need the meds.