Osteoporosis – Diagnosis and Treatment

Metabolic Bone Disease & Osteoporosis

Metabolic Bone Disease & Osteoporosis

The Metabolic Bone Disease and Osteoporosis providers specialize in bone health including fracture healing, primary management of osteoporosis, osteopenia and fracture risk reduction.

Conditions We Treat
  • Fractures, non-unions, and delayed healing
  • Metabolic bone disease (osteoporosis, Paget’s disease, rickets, osteomalacia, fibrous), dysplasia, (melorheostosis)
  • Geriatric vertebral compression fractures
  • Geriatric hip fractures
  • Stress fractures
  • Collagen, calcium, and vitamin defects
  • Genetic diseases associated with fractures
orthopedic-trauma
Diagnosis

The diagnosis of these bone conditions may include a bone density scan — a safe, painless x-ray technique that compares your bone density to that of a healthy person of your same gender and ethnicity .

Our providers may also order blood and urine tests to look for markers — levels of different enzymes, proteins, and other substances circulating in the body that give information about your disease and the progress of your treatment. These markers can provide information about the rate of bone formation, bone resorption (loss of bone), and vitamin D levels, which are essential for the body’s absorption of calcium .

In addition, our providers may also perform genetic evaluations for patients suspected of having a genetic disease associated with fractures .

Treatment

Drug Treatments

There are many drug treatments for osteoporosis. These include bisphosphonate drugs such as Fosamax (alendronate), Actonel (risedronate), and the monthly drug Boniva (ibandronate). These drugs help slow or stop bone loss. Another treatment option is Forteo (teriparatide), an injectable synthetic version of parathyroid hormone, a naturally occurring hormone that helps regulate calcium. This treatment helps build new bone.

Delayed Fracture Healing

For patients with delayed fracture healing, we offer treatment including percutaneous injections of concentrated marrow cells, along with demineralized bone matrix (a bone-graft substitute) or bone morphogenetic protein (which stimulates the body to make more bone cells), and systemic treatment with parathyroid PTH (1-34), which has been shown to increase bone density and prevent fractures in both postmenopausal women and patients on corticosteroids.

Frequently Asked Questions
  • The loss of estrogen due to menopause is the most common cause of osteoporosis. In fact, 25% of women older than 60 years old are found to have osteoporosis.
  • Women who go through menopause early or those who have had their ovaries surgically removed before the age of 45 are at risk.
  • The aging process is a major factor because, by the age of 50, bones start thinning by 1-3% every year.
  • A family history of osteoporosis
  • European or Asian lineage
  • Lack of vitamin D or calcium
  • Regular consumption of alcohol or caffeine
  • Smoking
  • Sharp decreases in weight due to excessive exercising or dieting
  • Overuse of steroids
  • Conditions such as hormonal imbalances or thyroid disease
  • Chronic diseases such as liver disease orgastrointestinal disorders
Osteoporosis can also be found in men, but it is more commonly found in women. The main risks in males come from alcoholism or a lack of testosterone.
Once someone is diagnosed with osteoporosis, a doctor may recommend medication. The type of treatment varies based on what the doctor considers to be the most appropriate for the patient.