Osteoporosis occurs when bones lose density and structural integrity, making them fragile and prone to fracture — often from minor falls or, in severe cases, spontaneously. It is especially prevalent in postmenopausal women and older men, but also arises secondary to steroid use, rheumatoid arthritis, and other conditions. It causes no symptoms until a fracture occurs, making screening critical.
What is osteoporosis?
When should you seek care?
How Dr. Kakar approaches treatment.
Assessment includes DEXA bone density scanning, evaluation of secondary causes (calcium, vitamin D, thyroid, parathyroid), and fracture risk scoring (FRAX). Treatment combines pharmacological therapy (bisphosphonates, denosumab, or anabolic agents), calcium and vitamin D optimisation, and fall prevention guidance.
When to see a specialist.
Arrange a DEXA scan if you are postmenopausal, over 65, on long-term steroids, or have had a fragility fracture. Early intervention significantly reduces the risk of future fractures.