Thank you for your post.

The infusion you have been offered as an osteoporosis drug treatment is likely to be zoledronic acid or pamidronate. Both of these belong to the bisphosphonate range of osteoporosis drug treatments. Bisphosphonates, as tablets, injection and infusion, have been linked to a rare condition called osteonecrosis of the jaw. More information on this is in a previous post entitled ‘Dentist’ which the helpline replied to on 24th November 2011. I’m not sure what ‘special measures’ the dentist is referring to if you should need further dental work. Current recommendations state that in the absence of high risk factors for ONJ (as explained in the other post) dental work can usually be undertaken.

You haven’t mentioned what type of treatment you were hoping to receive from the physiotherapist (physio). Usually a physio would want to avoid treatments which might increase the risk of fractures (broken bones) in those with osteoporosis and fragile bones, such as, for example, manipulation of bones or deep massage. Physios however provide a wide range of treatments and interventions which do not necessarily increase fracture risk. For instance, for those who have spinal fractures this might include a programme of safe exercises to do at home and advice on posture, balance and mobility. Any treatment decisions are based on a detailed assessment of risks versus benefits. The over-riding concern of any health professional is, naturally, to do no harm and to provide advice and treatment that is beneficial and helpful. I’m sorry to hear that you were left with a feeling of being ‘written off’ because you have osteoporosis. In these situations it may be useful to discuss your feelings with the physiotherapist or your GP to clarify the reasons for the physio’s concerns.

Best wishes

Helpline Nurses
National Osteoporosis Society