Now accepting Telehealth appointments. Schedule a virtual visit.

Osteoporosis

Osteoporosis is a disease that weakens bones, making them fragile and more likely to break even with minor falls or stresses like bending or coughing. It results from an imbalance between bone loss and bone formation, and it commonly affects people over the age of 50, especially postmenopausal women.​

What Is Osteoporosis?

 
 
Osteoporosis means “porous bone” and occurs when bone mineral density decreases, making bones less dense and structurally abnormal. Under a microscope, osteoporotic bone shows much larger spaces than healthy bone. The disease is often called a "silent" disease because it doesn't cause symptoms until a bone breaks.​

Causes and Risk Factors

Osteoporosis develops when the creation of new bone doesn't keep up with the loss of old bone.​

  • Common risk factors include aging, menopause in women, family history, small body frame, low calcium or vitamin D intake, certain medications, smoking, and excessive alcohol use.​

  • Race and gender also play a role: women, especially those who are white or of Asian descent and postmenopausal, have higher risk.​

Symptoms and Complications

Early stages usually have no symptoms, but when bones become very weak you may experience:​

  • Back pain (from fractured or collapsed vertebrae)

  • Loss of height over time

  • Stooped posture

  • Bones breaking much more easily than expected

Fractures most often occur in the hip, spine, and wrist. Osteoporosis can cause permanent pain, reduce mobility, and even lead to increased mortality after hip fractures, especially in seniors.​

Diagnosis

Osteoporosis is usually diagnosed via bone density scans—especially recommended for women over 65 or postmenopausal women with risk factors. Physicians may also assess medical history, physical signs, and fracture risk.​

Treatment and Prevention

Treating osteoporosis aims to slow bone loss and prevent fractures.​

  • Healthy diet rich in calcium and vitamin D

  • Regular weight-bearing and strength-training exercise

  • Avoiding smoking and limiting alcohol

  • Medicines that slow bone loss or help rebuild bone

Preventing falls and making lifestyle changes are also strongly recommended.​

Who Is Affected?

Osteoporosis affects over 54 million people in the U.S. and hundreds of millions worldwide, with risk increasing sharply after age 50. About one in two women and one in four men over 50 are expected to have an osteoporosis-related fracture in their lifetime.​

Illustrative Information

  • Osteoporosis is marked by porous bone structure, visible in medical illustrations contrasting healthy and osteoporotic bones.

  • The disease often leads to noticeably curved spines and stooped posture in elderly individuals.

  • Both men and women lose bone mass with age, but women experience a sharper decline after menopause.

Osteoporosis is a serious but largely preventable condition that demands attention to bone health, lifestyle, and regular medical screening, especially for those at higher risk.​

Osteoporosis and vertebral compression fractures explained by Dr. Betsy Grunch:

https://www.youtube.com/watch?v=SmNT0RH-z8A&t=3s

 
 
 
 
 
 
Author
Paddy Kalish OD, JD and B.Arch Author and Blogger

You Might Also Enjoy...

Pickleball-Related Eye Injuries

Pickleball-related eye injuries are on the rise due to the sport’s rapid growth in the United States, especially among adults aged 50 and older

Mouth Breathing

Mouth breathing occurs when a person breathes primarily through the mouth rather than the nose, often due to nasal obstruction or other health issues

ALS(Amyotrophic Lateral Sclerosis)

ALS (Amyotrophic Lateral Sclerosis) is a progressive and fatal neurodegenerative disease affecting nerve cells in the brain and spinal cord that control voluntary muscles, leading to muscle weakness, paralysis, and ultimately respiratory failure.

Common Hormones and Their Nicknames

Many hormones also have scientific abbreviations and are grouped by chemical classes (e.g., peptide, steroid, amine). The nicknames often come from their most prominent and publicized effects on health or behavior.

A1C

A1C, also known as hemoglobin A1C or HbA1c, is a blood test that measures the average level of blood glucose (sugar) over the past two to three months.

Joint hypermobility syndrome(JHS)

Joint hypermobility syndrome is when one has very flexible joints because the joints are loose and stretchy when the ligaments that should make them stronger and support them are weak