Bones Turnover Markers and Osteoporosis

Physical Therapist interviews Dr. Stuart L. Silverman on the role of bone markers in the osteoporosis treatment and management. 0:00 Introduction: Dr. Stuart Silverman 2:25 How to Best Communicate Fracture Risk to Patients (RICO (Risk Communication in Osteoporosis)) 3:34 Dr Silverman Introduces Bone Markers 4:15 Conflict of Interest Declaration 4:44 Bone Remodelling Overview 5:43 Introduction to Bone Turnover Markers 6:17 Two Reference Bone Markers 8:52 Dr Silverman Presents a Bone Strength Triangle Model: Use of Bone Turnover Markers 10:34 When Does Dr. Silverman Use Bone Markers With His Patients? 13:25 How Bone Markers are Tested: CTX, P1NP and NTX 16:16 Osteoporosis in Cortical Bone 17:28 How to Prepare for Your Bone Marker Test 17:50 Sources of Variability of Bone Markers 19:41 Does Collagen Supplement Affect Bone Marker Results? 20:12 Automated Technology: Reference Range for P1NP and CTX Markers 21:23 Frequency of Orders: Bone Markers 22:30 How to Measure Least Significant Change 23:17 Bone Markers Can Predict the Rate of Bone Loss 23:57 Bone Markers and Fracture Risk 24:41 How Widely Used Are Bone Marker Tests in Therapeutic Decisions for Individuals? 26:38 Applications for Bone Turnover Markers 26:53 Some Uses of Bone Markers 30:08 What are High Bone Turnover and Low Bone Turnover Osteoporosis? 31:29 Bone Health Therapy for Younger Individuals (Below 40) 34:13 Prolia Transition and Bone Markers 37:15 Bone Markers and Drug Holidays from Bisphosphonates 37:39 Definition of Drug Holiday 39:28 Dr. Silverman Discusses Prolia Usage 40:11 Prolia for Younger Patients 40:53 Prolia, Bone Fragility and Dental Work 41:39 Guidelines for Prolia Use With Dental Surgery 42:30 Dr. Silverman Discusses His Strategy for Prolia Patients and Dental Surgery 44:32 Are There External Factors That Can Influence Bone Turnover Marker Results? 46:41 Where Can You Get a Bone Marker Test and What are the Approximate Costs? 47:41 How Often Does Dr. Silverman Use Trabecular Bone Scores (TBS)? 48:46 The TBS Does not Catch Cortical Bone Loss 49:22 Dr. Silverman's Approach: A More Comprehensive Focus on Measuring Bone Health 49:43 Outro Stuart L. Silverman MD FACP FACR is the Clinical Professor of Medicine at Cedars-Sinai Medical Center and UCLA School of Medicine, and Medical Director of OMC Clinical Research Center -------------------------------------------------------------------------------------------------------- EXERCISE FOR BETTER BONES & ACTIVITIES OF DAILY LIVING -------------------------------------------------------------------------------------------------------- https://bit.ly/3vU2XWA -------------------------------------------------------------------------------------------------------- PERFECT POSTURE COURSE -------------------------------------------------------------------------------------------------------- https://bit.ly/2SZx7t9 -------------------------------------------------------------------------------------------------------- BALANCE TRAINING -------------------------------------------------------------------------------------------------------- https://bit.ly/34SCIUx -------------------------------------------------------------------------------------------------------- FLEXIBILITY TRAINING -------------------------------------------------------------------------------------------------------- https://bit.ly/3wZN6pH -------------------------------------------------------------------------------------------------------- SUBSCRIBE TO THIS CHANNEL -------------------------------------------------------------------------------------------------------- https://bit.ly/2ygFcPA ----------------------------------------- FREE COURSE on OSTEOPOROSIS and EXERCISE ----------------------------------------- https://bit.ly/38MzUbG ----------------------------------------- BOOKS ----------------------------------------- https://melioguide.com/products/books/ Exercise for Better Bones - Osteoporosis Exercise Program (Book) https://amzn.to/38K37UI Yoga for Better Bones - Safe Yoga for Individuals with Osteoporosis (Book) https://amzn.to/2TZVk0L Strengthen Your Core (Book) https://amzn.to/36xDvc1 ---------------------------------------- VIDEO HOME WORKOUTS and TRAINING ---------------------------------------- https://melioguide.com/products/videos/ ----------------------------------------- FOLLOW MARGARET ----------------------------------------- Website: https://melioguide.com Facebook: https://www.facebook.com/melioguide Medical Disclaimer All the information, content, and material presented in this video is for informational purposes only. It is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider.