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Orthopedics/Question About My Father's Treatment



Thank you for your time!

My father is 77 years old and lives alone in Goa, India. He is 5 ft 3 inches in height and weighs 126 lbs with a waist size of 36.2 inches inches. He has been seeing an Orthopedist since October 2009 because of a fall on his neck/back. There were no fractures but he has been taking the following medications ever since:

1) Steroid : Deca Duraobolin 50mg - once every three months

2) Idrofos (150 mg) (Ibandronate) - once a month intermittently.
  It was stopped in July 2013.

3) Natural Calcium Citrate Malate Vitamin D3 and Folic Acid Tablet
  Supplement – Once per day

My father's DEXA scan results from May 2011 showed a high fracture risk for his neck and moderate fracture risk for his spine. The DEXA scan from July 2013 showed a moderate fracture risk of his neck and a low fracture risk for his spine. The next scan will be done in July 2015.

I learnt that long term use of the steroid, Deca Duraobolin can adversely affect the liver, heart and prostate and that there is little evidence to support Ibandronate for longer than 5 years.

Would you recommend my father discuss with his Orthopedist about discontinuing these drugs?

My father walks about an hour in the morning and about 45 minutes in the evening and uses the exercise bike for about 15-30 minutes after his morning walk. His diet is brown rice, wheat bread, fruits, nuts and vegetables and socially active.

Thank you!

Dear Zent,

This Orthopedic Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618, Ukranian Village 60622, Elmhurst 60126 & Bartlett 60103 says...

If your father has arthritis that decreases his mobility, then the steroids help him. Mobility & exercise is most important.Exercise will help keep his bones strong. I'm not familiar with Ibandronate.

Hope this helps & Good Luck!

The Chicago Podiatrists of are specialists in orthopedics and sports medicine.
We are located in Chicago, Elmhurst & Bartlett

Dr George Tsatsos, Svetlana Zats, Dr Mariano Rivera, Dr Massard & Dr Kurtz
Chicago 60618 & 60622, Elmhurst 60126, Bartlett 60103 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661

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Dr George Tsatsos


All questions related to orthopedics of the Lower Extremities-with a specialization in Foot & Ankle Orthopedics & Surgery-Adults & Children Sports Medicine questions of the lower extremities-including runner's injuries. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating to foot and ankle problems in Children, Sports medicine of the foot and ankle Runner's and walking problems


Board Certified in Surgery & Orthopedics of the Foot & Ankle. PRIVATE PRACTICES: Ankle N Foot, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008 Organizations

Member American & Illinois Podiatric Medical Association Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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