Bones, Joints & Muscles

Osteoporosis: Detecting Silent Bone Loss

Fragility fractures are not an inevitable part of ageing.

Dr. Inès Da Costa

Endocrinologist

6 min read
Medical illustration of Osteoporosis: Detecting Silent Bone Loss

In simple terms

Osteoporosis quietly thins bones over decades. The first fracture is often the first symptom.

What you need to remember

  • DiagnosisDXA bone densitometry, FRAX score for 10-year fracture risk.
  • TreatmentCalcium 1000-1200 mg/day from diet preferred
  • Fall preventionVision correction, medication review, home safety adjustments, balance training.

All women from 65, men from 70, and earlier in the presence of risk factors (steroid use, early menopause, low body weight, family history).

Diagnosis

DXA bone densitometry, FRAX score for 10-year fracture risk.

Treatment

  • Calcium 1000-1200 mg/day from diet preferred
  • Vitamin D supplementation
  • Bisphosphonates, denosumab, romosozumab, teriparatide for established disease
  • Weight-bearing and resistance exercise

Fall prevention

Vision correction, medication review, home safety adjustments, balance training. Most fractures occur from low-energy falls.

A vertebral fracture from minimal trauma is osteoporosis until proven otherwise.

The words explained

Medical terms used above, in everyday language.

Diagnosis
The moment a doctor identifies which illness is causing your symptoms.
Risk factor
Something that makes an illness more likely, such as smoking or family history.
Prevention
Steps taken before a problem starts, to make it less likely.

When should you see a doctor?

  • Your symptoms last more than a few weeks or keep coming back.
  • They get worse quickly, or stop you doing everyday things.
  • You notice sudden pain, breathing trouble, fainting or bleeding — seek urgent care.
  • You already take medication and want to change anything about it.

This article explains general health information. It does not replace advice from your own doctor.

Frequently asked questions

What is Osteoporosis: Detecting Silent Bone Loss?
Osteoporosis quietly thins bones over decades. The first fracture is often the first symptom.
What are the main symptoms or signs of Osteoporosis: Detecting Silent Bone Loss?
Common signs vary from person to person. The article above lists the symptoms to watch for, how they progress, and when they need medical attention.
When should you see a doctor for Osteoporosis: Detecting Silent Bone Loss?
See a doctor if symptoms last more than a few weeks, get worse quickly, stop you doing everyday things, or if you notice sudden pain, breathing trouble, fainting or bleeding.