Bisphosphonates as they came into their own as a class of drugs were, as Richard said, a new modality treatment and that required some increased imaging. That required education on the client's part. That required a lot of education on the practitioners part on how to better utilize them and I think I'm still in the quest for learning that as we all go along.
But I think that it did two things for me as I look back at it since the introduction of bisphosphonates. It's been a game changer in navicular disease. I can now manage it much better than I could 10 or 15 years ago. It has also allowed me now as I find areas of boney inflammation in other parts of the body, to have some more effective tools in conjunction with the other tools I'm using. So that's how it worked for me.