A common question from patients suffering from parathyroid disease is whether their condition will lead to osteoporosis. Parathyroid glands control how much calcium is released from your bones and into your bloodstream. The parathyroid glands control how much calcium is released from our bones.
Normally, parathyroid glands regulate parathyroid hormone (PHT) in response to normal or elevated calcium levels in the blood. With parathyroid disease, an abnormal parathyroid gland does not "turn-off" in response to a normal or elevated calcium level in the bloodstream. Instead, they continue to secrete PTH. This produces elevated calcium levels in the blood stream that can, in time, lead to serious medical problems.
With elevated PTH due to an abnormal parathyroid gland, patients continually lose calcium from their bones faster than they replace it. This leads to thinning of the bones - or osteoporosis. Even if you don't have any symptoms, this loss of bone density becomes increasingly difficult to reverse and replace.
Osteoporosis drugs such as Fosamax or Boniva will not cure the underlying parathyroid disease. This is because as long as the parathyroid tumor exists, the secreted PTH will remain elevated and will be too powerful for any drug to counteract. Osteoporosis drugs do not block the effects of PHT. No clinical trials have shown that these drugs help increase bone density in patients with parathyroid disease.
Even if the calcium levels do not rise further than slightly elevated levels, there is still continual damage being done to your bones and skeletal system. The long-term effects can be severe and permanent. A 'wait and see' approach is not advised for patients suspected of suffering from parathyroid disease.
In nearly all cases, surgery is needed to remove the diseased parathyroid gland. The traditional surgical technique requires a surgeon to place a large incision in the neck to locate and examine the four parathyroid glands located behind the thyroid. The tumorous gland is located and removed. Patients that opt for traditional surgery require at least one night of hospitalization. The patient is also left with a large inch scar on the neck.
About 97% of parathyroid disease patients have only one bad gland. Minimally invasive parathyroid surgery is an outpatient procedure that requires an incision of only a one-inch or less. The average operative time is less than half an hour vs. 2 to 5 hours with a traditional procedure. Minimally invasive surgery helps patients recover faster.
And best of all, scarring is minimal and the risk of osteoporosis is averted.