Dr. Anu Daber

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FDA-approved indications for bisphosphonates include treatment of osteoporosis in postmenopausal women, osteoporosis in men, glucocorticoid-induced osteoporosis, hypercalcemia of malignancy, Paget disease of the bone, and malignancies with metastasis to the bone.But a personalised approach needs to be adopted for each patient after consultation with the rheumatologist 

Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs). Cervical spondylosis is very common and worsens with age Radiculopathy is when these changes cause nerve compression which leads to tingling numbness in fingers or arms and motor deficit

It needs to be individualized based on the clinical symptoms,uric acid levels,indication for using warfarin,age and gender of patient along with other comorbidities.This is a decision your rheumatolgist needs to make after examining the patient as a part of patient-doctor shared decision making process