Osteoporosis
Bone density assessment, fracture risk evaluation, and preventive and therapeutic management.
Book a consultation →Osteoporosis is a skeletal disease characterized by reduced bone density and deterioration of the micro-architectural structure of bone, leading to increased fragility and fracture risk. Spine, hip and wrist fractures are the most common. The disease is often called a "silent disease" because it causes no symptoms until the first fracture occurs.
- Often asymptomatic until the first fracture
- Height loss over time
- Stooped posture (kyphosis)
- Back pain from vertebral fractures
- Fractures from minimal trauma (minor falls)
- Chronic back pain
Dr. Kaci provides comprehensive osteoporosis risk assessment using DXA (bone densitometry) and the FRAX algorithm, developing individualized treatment plans.
- ✓Bone densitometry (DXA) and FRAX calculation
- ✓Bisphosphonates (Alendronate, Risedronate, Zoledronic acid)
- ✓Denosumab for high-risk cases
- ✓Teriparatide and Romosozumab for severe osteoporosis
- ✓Calcium and Vitamin D supplementation
- ✓Weight-bearing exercises and balance training for fall prevention
Who should have bone densitometry?
Post-menopausal women over 65, men over 70, and younger individuals with risk factors such as family history, corticosteroid use, or certain chronic diseases.
Can osteoporosis be prevented?
Yes, to a large extent. Adequate calcium and vitamin D intake, physical exercise, not smoking and avoiding excess alcohol significantly reduces the risk.
How long should osteoporosis medications be taken?
Bisphosphonates are typically taken for 3–5 years, then the condition is reassessed. Some patients require ongoing treatment. Decisions are made individually based on bone density and fracture risk.
Can I exercise if I have osteoporosis?
Not only can you — you should! Weight-bearing exercises (walking, light weight lifting) strengthen bones and muscles. Avoid activities with high risk of falling or impact.
Are calcium supplements necessary?
Getting calcium from food (dairy, leafy green vegetables) is preferred. Supplements are only recommended if dietary intake is insufficient, as high doses of calcium from supplements may have side effects.
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