In both younger and older patients, vertebral fractures take weeks to heal with rest and pain relievers. Compression fractures of vertebrae associated with osteoporosis can also be treated with a procedure called vertebroplasty or kyphoplasty, which can help to reduce pain. In this procedure, a balloon is inflated in the compressed vertebra, often returning some of its lost height. Subsequently, a "cement" (methymethacrylate) is injected into the balloon and remains to retain the structure and height of the body of the vertebra. Pain is relieved as the height of the collapsed vertebra is restored.
Therapy for hypothyroidism is monitored at approximately six week intervals until stable. During these visits, a blood sample is checked for TSH to determine if the appropriate amount of thyroid replacement is being given. The goal is to maintain the TSH within normal limits. Depending on the lab used, the absolute values may vary, but in general, a normal TSH range is between to /ml. Once stable, the TSH can be checked yearly. Over-treating hypothyroidism with excessive thyroid medication is potentially harmful and can cause problems with heart palpitations and blood pressure control and can also contribute to osteoporosis . Every effort should be made to keep the TSH within the normal range.
I have Metastatic Melanoma and was treated with Keytruda for a year. It killed my Endocrine system, including my Pituitary gland, Thyroid, Adrenals, and everything else. I take NP Thyroid for HT, Cortisone 2X daily for Adrenal insufficiency. I am suffering from Chronic fatigue that’s had me in bed for 12 weeks. I am too tired to get up. I feel like I’m feverish and have spells of convulsive chills, followed by drenching sweats, usually at night. When I check it, my body temp has been at . I stopped taking Synthroid because it was making me feel bad and went to NP Thyroid. I almost immediately felt better….for about 3 months, then the fatigue started. My labs look normal but I know that they shouldn’t necessarily look normal when on NDT when the lab is testing for normal levels when on Synthroid. I would appreciate any thoughts from anyone.