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Osteoporosis

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Symptoms and Tests

Osteoporosis is often called the "silent disease" because bone loss occurs without symptoms. People may not know that they have osteoporosis until their bones become so weak that a sudden strain, bump, or fall causes a hip fracture or a vertebra to collapse. Collapsed vertebra may initially be felt or seen in the form of severe back pain, loss of height, or spinal deformities such as kyphosis, or severely stooped posture. 

Detection

Following a comprehensive medical assessment, your doctor may recommend that you have your bone mass measured. Bone mineral density (BMD) tests measure bone density in the spine, wrist, and/or hip (the most common sites of fractures due to osteoporosis), while others measure bone in the heel or hand. These tests are painless, noninvasive, and safe. Bone density tests can: 
 
Detect low bone density before a fracture occurs. 
Confirm a diagnosis of osteoporosis if you have already fractured. 
Predict your chances of fracturing in the future. 
Determine your rate of bone loss and/or monitor the effects of treatment if the test is conducted at intervals of a year or more. 

  • Bone Densitometry (Patient Education Institute)
  • Bone Density Testing: Measure Your Risk of Broken Bones (Mayo Foundation for Medical Education and Research)
  • Bone Markers (American Association for Clinical Chemistry)
  • Glossary of Orthopaedic Diagnostic Tests (American Academy of Orthopaedic Surgeons)
  • Warning Signs of Osteoporosis (American Academy of Orthopaedic Surgeons)
  • What You Should Know about Your Spine X-Ray (Cleveland Clinic Foundation)
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    Source: The NIH Osteoporosis and Related Bone Diseases National Resource Center


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