Bone Health
Osteoporosis diagnosis: DEXA scan T score of <-2.5 or diagnosed clinically - a fall from standing height resulting in fracture or evidence of spinal compression fractures
Risk factors: age, female sex, previous fracture, family history of osteoporosis, medication like prednisone, smoking, excess alcohol intake, small frame...
There are no symptoms of osteoporosis- can see loss of height or forward hunched posture “kyphosis”
People with osteoporosis break their hip and that is what generally causes the fall- not the fall that causes the fracture
Prevention: weight bearing exercise, getting adequate calcium and vitamin D
Treatment: Bisphosphonates, RANKL inhibitors or parathyroid hormone analogs
Health Pearl: