If bone density is reduced, the first treatment of choice is bisphosphonates such as cyclical etidronate plus calcium, or alendronate. 9 Hormone replacement therapy (HRT) may also be beneficial in post-menopausal women, 9 however the risks and contraindications of HRT need to be considered. Testosterone therapy may be indicated in men with androgen deficiency. 10 Intervention should also be offered to patients with a past history of fracture after minimal trauma, as this indicates the skeleton is less able to cope with the usual strains of daily living. 10
Help I have a friend who is a gym goer Im not sure of his quantity or how long he has been taking steroids, but stopped recently because he had really bad neck pain. No dr or scan, ultrasound etc showed anything. Put on huge pain killer amounts didnt help alot but felt after about six weeks some relief. Until today when he thinks a prior knee issue has flared up. If this a result of steroid abuse how long before it heals? Im pretty sure he wont touch them again. He can handle all over aches and pains but these last two injuries have had him off work.