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Two years ago, I was diagnosed with osteopenia and take a pill once a week to build up the bone, as well as 1500mg of calcium with vitamin D. I also had a heel spur removed from both feet that has plagued me for 25 years. I am concerned about stopping the calcium supplement for the osteopenia, but I am also afraid to continue taking the calcium for fear that it will add to further bone spurs. Any advice?
Two years ago, I was diagnosed with osteopenia and take a pill once a week to build up the bone, as well as 1500mg of calcium with vitamin D. I also had a heel spur removed from both feet that has plagued me for 25 years. I am concerned about stopping the calcium supplement for the osteopenia, but I am also afraid to continue taking the calcium for fear that it will add to further bone spurs. Any advice?
htmASKTHEDOCosteopeniaandbonespurs
Osteopenia and bone spurs have no direct connection. So, taking calcium has no effect on bone spurs.
1370854
InteliHealth
2010-07-19
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Robert H. Shmerling, M.D.
2012-07-19
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Ask The Expert
Harvard Medical School
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General Medical Questions
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Q: Two years ago, I was diagnosed with osteopenia and take a pill once a week to build up the bone, as well as 1500mg of calcium with vitamin D. I also had a heel spur removed from both feet that has plagued me for 25 years. I am concerned about stopping the calcium supplement for the osteopenia, but I am also afraid to continue taking the calcium for fear that it will add to further bone spurs. Any advice?
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The Trusted Source
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Robert H. Shmerling, M.D.

Robert H. Shmerling, M.D., is associate physician at Beth Israel Deaconess Medical Center and associate professor at Harvard Medical School. He has been a practicing rheumatologist for over 20 years at Beth Israel Deaconess Medical Center. He is an active teacher in the Internal Medicine Residency Program, serving as the Robinson Firm Chief. He is also a teacher in the Rheumatology Fellowship Program.

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July 19, 2010
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A:

Osteopenia and bone spurs have no direct connection. So, taking calcium has no effect on bone spurs.

Osteopenia is a condition in which bone density is slightly lower than is considered ideal, but it is not as low as with osteoporosis. So, your risk of fracture is slightly increased, but not as dramatically as if you had osteoporosis.

People with osteopenia should be evaluated for conditions that might contribute to low bone density, such as an overactive thyroid gland. Those with osteopenia should receive treatment to slow bone loss and/or increase bone density. Treatment includes calcium, vitamin D and, in some cases, medications (such as alendronate/Fosamax or risedronate/Actonel) to increase the formation of bone.

The most common cause of bone spurs in the feet is plantar fasciitis. This is inflammation of the tough connective tissue that lines the arch of the foot. The plantar fascia applies stress where it attaches to the heel. The bone in the heel reacts by forming a spur, which is a small outgrowth of extra bone.

Although bone spurs are highly associated with longstanding plantar fasciitis, many people have bone spurs without any symptoms at all. They show up on x-rays that are usually taken for some other reason.

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