Osteoporosis
Osteoporosis is a condition where bones become weaker and more fragile due to loss of bone density, significantly increasing the risk of fractures. It is often called a silent condition because bone loss happens gradually with no symptoms until a fracture occurs.
Who is at risk
- women after menopause
- long-term steroid use
- family history of osteoporosis or fracture
- certain hormonal conditions including thyroid and parathyroid disorders
Diagnosis and fracture-risk assessment
Assessment combines fracture history, DEXA results and clinical risk factors. A T-score alone does not capture every person's risk. Blood tests may look for secondary causes such as thyroid, parathyroid or gonadal disorders, coeliac disease, kidney problems or long-term steroid exposure.
Treatment choices and monitoring
Treatment may include bisphosphonates, denosumab, anabolic therapy or other options according to fracture risk and suitability. Calcium intake, vitamin D, exercise, falls prevention, kidney function and dental health are considered. Some medicines require a planned transition and should not be stopped without advice.
UK-wide video consultations
History, fracture-risk calculations and DEXA results can usually be reviewed securely by video. Blood tests and imaging are arranged locally.
What we offer
- DEXA scan referral and blood tests to check calcium and vitamin D
- identification of any underlying hormonal cause
- personalised treatment and monitoring plan