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endocrine

Osteoporosis

A condition where bones become weak and brittle, increasing the risk of fractures, especially in the spine, hip, and wrist.

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Overview

Osteoporosis is a skeletal disorder where bones lose density and quality, becoming porous and fragile. It is often called a 'silent disease' because bone loss occurs without symptoms until a fracture happens. It is most common in postmenopausal women but also affects men and younger people with certain risk factors. Fractures, particularly of the hip and spine, can lead to significant disability and loss of independence. Screening with bone density scans (DEXA) is recommended for people over 65 and younger people with risk factors.

Symptoms

Common Symptoms

  • No symptoms in early stages
  • Loss of height over time
  • Stooped posture (kyphosis)
  • Back pain from vertebral compression fractures
  • Fractures from minor falls or even everyday activities
  • Diagnosis: DEXA scan showing T-score of -2.5 or lower

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.

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