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What Causes Spontaneous Vertebral Compression Fractures?
Question: i am 34 with no history of fracture until i suffered a compression fracture of t10 in my spine.. what could cause this to happen if there is no cancer showing up in blood work.?
Brief Answer:
It can be due to endocrine causes or due to abnormal physical activity
Detailed Answer:
Hi! Welcome to HealthcareMagic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through.
Based on the history you have shared,there can be various possibilities which can make bones vulnerable to easy fractures and these can be endocrine causes at the top so I would suggest to have a baseline workup with calcium and phosphate levels done alongwith D3 and PTH levels to look for any abnormality in calcium absorption or metabolism. Alongwith that, thyroid profile and sugar levels may also be reviewed.
A Dexa bone scan will also be helpful to look for bone density and any abnormality can be detected earlier and may be treated with bisphonates and other supplements.
If these all turn out to be normal, this whole incidence can simple be due to abnormal physical activity or postural instabilities. Physiotherapy and brisk excercises may be helpful in future.
Wishing you all the best and a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
It can be due to endocrine causes or due to abnormal physical activity
Detailed Answer:
Hi! Welcome to HealthcareMagic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through.
Based on the history you have shared,there can be various possibilities which can make bones vulnerable to easy fractures and these can be endocrine causes at the top so I would suggest to have a baseline workup with calcium and phosphate levels done alongwith D3 and PTH levels to look for any abnormality in calcium absorption or metabolism. Alongwith that, thyroid profile and sugar levels may also be reviewed.
A Dexa bone scan will also be helpful to look for bone density and any abnormality can be detected earlier and may be treated with bisphonates and other supplements.
If these all turn out to be normal, this whole incidence can simple be due to abnormal physical activity or postural instabilities. Physiotherapy and brisk excercises may be helpful in future.
Wishing you all the best and a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
we had originally thought it was cushings disease but a blood test for cortisol was done and theea result was 9.7 which is normal according to the lab i had it done.. ive seen some normal range charts online that indicated it was kow but each lab is different.. i have all the symptoms of cushings.. im going to attach my most recent set of bloodwork and ask u to look at that plz..
Brief Answer:
For cushings the examination is many times suggestive
Detailed Answer:
Hi! Thanks for the the feedback. The lab parameters attacked here are all in normal ranges and there is no significant abnormality. Similarly the concerns relating to cushings doesn't get supprt from the lab values that you have mentioned. Also many times examination is very much suggestive of the cushings like puffy looks, XXXXXXX hump, obesity, purple striae at the skin etc. In the absence if these it's unlikely but for further reassurance kindly get yourself reviewed by an endocrinologist. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
For cushings the examination is many times suggestive
Detailed Answer:
Hi! Thanks for the the feedback. The lab parameters attacked here are all in normal ranges and there is no significant abnormality. Similarly the concerns relating to cushings doesn't get supprt from the lab values that you have mentioned. Also many times examination is very much suggestive of the cushings like puffy looks, XXXXXXX hump, obesity, purple striae at the skin etc. In the absence if these it's unlikely but for further reassurance kindly get yourself reviewed by an endocrinologist. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
is there any need for concern for the elevated lymphocytes and the presence of immature granulocytes
Brief Answer:
These are not significantly deranged
Detailed Answer:
Hi! These values are not significantly raised to be worried about or to manage accordingly. Only a follow complete blood picture after a month or so if any symptoms like fever or lymph node enlargement are observed, these then needs to be probed further. Otherwise not. Regards.
These are not significantly deranged
Detailed Answer:
Hi! These values are not significantly raised to be worried about or to manage accordingly. Only a follow complete blood picture after a month or so if any symptoms like fever or lymph node enlargement are observed, these then needs to be probed further. Otherwise not. Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
my mother passed away from bone cancer when she was young.. could the lymphocytes be a predictor of problems further down the road
Brief Answer:
In that case total white cell count would have been very high
Detailed Answer:
Hi! Sorry to hear about that. But in such cases total white cell count would have been very high. Still for further reassurance a peripheral film for atypical lymphocytes can be done alongwith tracking the complete blood pictures from time to time or every three monthly to be specific. Serum LDH should also be done alongside. Very high alkaline phosphatase or LDH or calcium might have indicated some metastatic disease but so far doesn't seem to be the case. Regards.
In that case total white cell count would have been very high
Detailed Answer:
Hi! Sorry to hear about that. But in such cases total white cell count would have been very high. Still for further reassurance a peripheral film for atypical lymphocytes can be done alongwith tracking the complete blood pictures from time to time or every three monthly to be specific. Serum LDH should also be done alongside. Very high alkaline phosphatase or LDH or calcium might have indicated some metastatic disease but so far doesn't seem to be the case. Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
what other things could cause the fracture if not cancer??
Brief Answer:
Endocrine, dietary and physical causes may contribute
Detailed Answer:
Hi! Like we discussed earlier, about calcium and phosphate levels and any derangement as well as hormonal profile or endocrine systems witch balance their well being like parathyroid gland issues, kidney diseases, as well dietary defficiencies. Strenuous physical activities or traumas may also contribute. Postural instability etc may cause brittle bones if not subjected to regular excercises and physical activities. Regards.
Endocrine, dietary and physical causes may contribute
Detailed Answer:
Hi! Like we discussed earlier, about calcium and phosphate levels and any derangement as well as hormonal profile or endocrine systems witch balance their well being like parathyroid gland issues, kidney diseases, as well dietary defficiencies. Strenuous physical activities or traumas may also contribute. Postural instability etc may cause brittle bones if not subjected to regular excercises and physical activities. Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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