Common Specialities
Common Issues
Common Treatments

Osteoporosis - Symptom, Treatment And Causes

Whta is Osteopororsis?

Osteopororsis is a medical condition which makes the bones brittle and weak. The bone gets so brittle that even a mild stress like falling, coughing and bending can cause a severe fracture. The fractures caused by Osteopororsis usually occur on the spine, wrist and hip.The bones in our body is constantly broken and replaced, during Osteopororsis, the bone fails to get replaced after breaking down. Osteopororsis affects both women and men, but Asian and white women, especially those who have passed their menopause are at a higher risk. Weight- bearing exercises, healthy diet and medications can strengthen weak bones and avoid bone loss.

Risk factors of Osteopororsis:

Unchangeable risks:

  • Age- According to studies, the older you are, the more prone you become in developing Osteopororsis.
  • Race- Being of Asian or white ancestry can put you at a greater risk of developing Osteopororsis.
  • Family history- Having a sibling or a parent with Osteopororsis can make you more susceptible in developing it.
  • Body frame- Women and men who have small body frames usually tend to develop Osteopororsis at a young age because their bone mass is very less as compared to people with a big body frame.

Hormone levels:

  • Sex hormones- Low sex hormones weaken the bones. Also less estrogen levels in women during menopause is the most common risk factor for developing Osteopororsis. The treatments used for prostate cancer can reduce estrogen and testosterone levels in men which can lead to bone loss density.
  • Thyroid problems- A lot of thyroid hormone can lead to bone loss. If you have an overactive thyroid, taking thyroid hormone medications to treat the thyroid can develop Osteopororsis.
  • Other glands- Osteoporosis can also be caused due to adrenal glands or an overactive parathyroid.

Dietary factors:

  • Low calcium intake- Lack of calcium plays a major role in Osteopororsis. Low calcium consumption contributes to increased risk of fractures, early loss of bones and low bone density.
  • Eating disorders- Restricting the consumption of food can severely weaken the bones in both women and men. People who have anorexia are more prone in developing Osteopororsis.
  • Gastrointestinal surgery- Surgery which reduces the size of your stomach or surgery to remove parts of the intestine can limit the level of area available to absorb nutrients like calcium.


  • Sometimes certain medications and steroids used to treat seizures, gastric reflux, cancer and transplant rejection can also contribute in developing Osteopororsis.
Treatable by medical professional Require medical diagnosis Lab test not required Chronic: can last for years or be lifelong
Pain on the back bones Pain on the lower back Pain on the bones of the affected area Loss of height Bone fracture

Popular Health Tips

The Effect Of Osteoporosis & Low Levels Of Calcium On The Spine!

MBBS, D - Ortho, DNB - Orthopaedic Surgery, MNAMS, Fellowship Advanced Spine Surgery, Fellowship Disc Replacement Surgery, Visiting Spine Fellowship, Visiting Fellowship Spine Deformity Correction, Felloship Minimal Inavsive Spine Surgery
Orthopedist, Jaipur
The Effect Of Osteoporosis & Low Levels Of Calcium On The Spine!

Osteoporosis is a medical condition that makes bones weak. They become brittle and vulnerable to wear and tear. It is a very common bone ailment with around 10 million people being diagnosed with osteoporosis in India every year.

With osteoporosis and the accompanying calcium deficit, the chances of the bones of the spine breaking are quite high. Sometimes, cracks develop along the spinal bones. These fractures are called vertebral compression fractures. And they are responsible for severe back pain. The pain intensifies and makes activities like standing up, sitting down or walking or lifting objects difficult hard.

How can you tell that your bones have developed fractures?

Doctors often find it hard to diagnose spine fractures because not all patients show the symptoms of bone fractures. But the usual symptoms are-

• Severe and unmitigated back pain
• Sharp jabbing pain when you stand up or sit down
• Pain when you try to twist your body or try to bend forward.
• You begin to slouch or the spine becomes curved
• Loss of height

If the fracture is located in the lower spine it causes more pain than an upper spine fracture. Sometimes more than one bone fractures in the spine.

Risks of spine fracture

Women are at greater risk of getting spine fractures, especially women over 50 when their bone density decreases. The older a woman gets, the weaker her bones become. Around 40% of all women in their 80s have a spinal bone fracture.

Treatment for a spinal fracture

If your doctor suspects that you have a spine fracture, she/he will recommend an X-Ray or a computerized tomography (CT). Based on the result of the tests, your doctor will suggest

• Further tests especially a dual x-ray absorptiometry which measures your bone density and the severity of your osteoporosis. Once your treatment starts, you might have to get this scan periodically so that your doctor can judge how well the treatment is working.
• Medicines to build your bone strength.
• Pain and anti-inflammatory medication to subdue your backache. The dosage will depend on the intensity of the pain.
• Calcium and vitamin medicines to repair bone damage
Physiotherapy sessions to restore full functionality and mobility of the spine. You might be advised to go on regular walks to increase the flexibility of your spine.
• You might have to purchase a brace for your back which heals your spine by holding the bones in place for long stretches of time
• Rest and relaxation because your body needs a lot of energy to heal bones.
• If chronic back pain continues unabated despite rest and medication, surgery might be needed.

Can spine fractures be prevented?

Osteoporosis causes bone fractures and so the best way to protect your bones is to prevent osteoporosis. Even if osteoporosis has set in, you can reverse it or stop it from deteriorating.

• One of the chief reasons for osteoporosis is obesity. So you should exercise regularly to keep weight gain in control.
• Avoid fad diets because they might leave you malnourished which might take a toll on your bones.
• Avoid alcohol consumption and smoking and cut down on coffee.
• Make sure your diet consists of leafy green vegetables, dairy products especially cottage cheese, fish and nuts-all of which contain calcium. Calcium strengthens your bones
• You will need Vitamin D (best source is the sun) which helps process calcium.

Osteoporosis is an enemy to your spine. But with proper treatment, the effects of osteoporosis and calcium deficit can be overturned.

Osteoporosis - Symptoms You Must Not Ignore!

MS - Orthopaedics, Fellowship in Sports injuries, Shoulder & Knee arthroscopy, Fellowship in Paediatric Orthopaedics
Orthopedist, Delhi
Osteoporosis - Symptoms You Must Not Ignore!

Osteoporosis is a bone disease that happens when bone density decreases and the body stops producing as much bone as it did before. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps. It can affect both males and females but it is most likely to occur in women after menopause, because of a sudden decrease in estrogen, the hormone that usually protects against osteoporosis.

Symptoms of Osteoporosis-

The early stages of osteoporosis do not cause any symptoms or warning signs. In most cases, people with osteoporosis do not know that they have the condition until they have a fracture. If symptoms do appear, some of the earliest ones may include receding gums, weakened grip strength, weak and brittle nails, back pain, loss of height over time, a stooped posture, and a bone fracture that occurs much more easily than expected.

Causes of Osteoporosis-
Some of the leading reasons behind osteoporosis include the following:

  1. Age: The biggest cause of osteoporosis is age. It mostly affects people aged above 50.
  2. Menopause: Another primary cause of osteoporosis in women, which occurs around the age of 45 to 55 years. Due to the changes in hormone levels associated with it, menopause can cause a woman’s body to lose bone even more quickly.
  3. Reduced sex hormones: Lower estrogen levels appear to make it harder for the bone to reproduce.
  4. Ethnicity: White people and Asians are more susceptible than other ethnic groups.
  5. Bone structure: Being tall or slim increases the risk of osteoporosis.
  6. Vitamin D deficiency: In case of vitamin D deficiency, the body cannot absorb adequate amounts of calcium from the diet to prevent osteoporosis.

Risk Factors for Osteoporosis-
A number of factors can increase the likelihood of osteoporosis, these may include your age, race, lifestyle choices, and medical condition and its associated treatment. Some of the risk factors for osteoporosis are out of your control, including sex, age, race, family history, and body frame size. Osteoporosis is more common in people who have too much or little of certain hormones in their bodies. Examples include sex hormones, thyroid hormones, and hormones released by the adrenal glands. Osteoporosis is more likely to occur in people who have low calcium intake, eating disorder, and gastrointestinal surgery. Osteoporosis has also been associated with medications used to combat or prevent seizures, gastric reflux, cancer, and transplant rejection. Even lifestyle choices such as sedentary lifestyle, excessive alcohol consumption, and tobacco use can increase your risk of osteoporosis.

Prevention of Osteoporosis-
There are many risk factors for osteoporosis that you cannot control. These include being female, getting older, and having a family history of osteoporosis. There are some of the factors, however, that does fall within your control. Some of these ways to control osteoporosis include getting plenty of vitamin D and calcium, doing weight-bearing exercises, abstinence from smoking and for women, weighing the pros and cons of hormone therapy. If you are at an increased risk of osteoporosis, talk to your doctor about the best way to prevent it and do that as early as possible.

Long Term Cure For Osteoporosis - Things You Need To Know!

MBBS, D - Ortho, DNB - Orthopaedic Surgery, MNAMS, Fellowship Advanced Spine Surgery, Fellowship Disc Replacement Surgery, Visiting Spine Fellowship, Visiting Fellowship Spine Deformity Correction, Felloship Minimal Inavsive Spine Surgery
Orthopedist, Jaipur
Long Term Cure For Osteoporosis - Things You Need To Know!

Osteoporosis treatments incorporate the "essential CDE's" calcium(C), vitamin (D), weight-bearing activity (E), counteractive action of Falls (F), and bone-accommodating drugs.

Understanding osteoporosis treatment is essential for everybody, especially on the off chance that you have hazard variables for the confusion. Osteoporosis treatment incorporates a multifaceted regimen of eating routine, way of life propensities, and osteoporosis medications with a specific end goal to forestall further bone misfortune and fractures.

  • Osteoporosis Medications: Osteoporosis treatments come in a few structures. A lot should be started among the youth; others use medications recommended by the physicians in order to treat osteoporosis.
  • Osteopenia Lifestyle Treatments: Osteopenia is a term used to depict bone thickness that is to some degree lower than ordinary however not sufficiently low to be analyzed as osteoporosis.
  • Osteoporosis Exercise: Weight-bearing activity is often a possibility for osteoporosis patients, and it may even help your bones, as this article clarifies. Check with your specialist before beginning another workout schedule.
  • Strontium Treatment for Osteoporosis: On the off chance that you are worried about the bone-diminishing sickness osteoporosis, one treatment you may have known about and considered is strontium.
  • Forteo for Osteoporosis: Teriparatide (Forteo) is self-infused into the skin. Since long haul security is not yet settled, it is just FDA-endorsed for 24 months of utilization.
  • Osteoporosis Myth: Once You Get Osteoporosis, No Treatment Helps

On the off chance that analyzed, osteoporosis can be treated with an assortment of new osteoporosis medications that counteract bone misfortune and revamp bone. These osteoporosis treatments can considerably diminish your danger of creating risky and conceivably lethal bone fractures.

How Often Should You Get a Bone Mineral Density Test?

That is a disputable inquiry. Discover what two specialists say in regards to the verbal confrontation.

In the event, that you have osteoporosis or think you may have osteoporosis, call your human services supplier to be assessed. Sooner is superior to anything later - particularly in the event that you have strange or sharp torment or other related symptoms or on the off chance that you have nervousness about osteoporosis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2596 people found this helpful

Kyphoplasty In The Management Of Osteporosis!

Neurosurgeon, Delhi
Kyphoplasty In The Management Of Osteporosis!

Osteoporosis is a skeletal disorder, which causes fragility of bones. In the absence of proper prevention and treatment modalities, osteoporosis can cause a painless progression and subsequent fractures. Such fractures (broken bones) mostly occur in the hip, spine, or wrist. As per several past data-driven studies conducted in the United States of America, 1.5 million new fractures are witnessed in people with osteoporosis every year. Of these, spine fractures are seen in 700,000; hip fractures in 300,000; wrist fractures in 250,000; and fractures of other bones in 250,000 people.

Possible Causes of Osteoporosis

  1. Hormonal imbalances Pregnancy
  2. Metabolic diseases Cancer
  3. Age beyond 60-65 years
  4. Symptoms of Osteoporosis-Induced Compression Fractures
  5. Significant upper or lower back pain
  6. Changes in posture
  7. Difficulty with breathing and digestion
  8. Decreased ability to walk
  9. An overall decrease in the quality of life Increased tendency for fracture of adjacent vertebrae


Compression fractures are usually managed with pain medications; narcotic pain medicines are administered for a few months until the pain decreases. Also, few available medications are known to increase the bone density. It is hoped that by building the bone density, future fractures can be prevented. Another method is immobilization of the spine with a brace that helps decrease pain from a broken vertebra; however, such braces are helpful only for the fractures of the lower back.

Role of Kyphoplasty in the Management of Osteoporosis

Kyphoplasty is a procedure that involves a new technology whereby an osteoporotic compression fracture can be treated with relief in pain, restoration of the lost bone height, and immediate stabilization of the fracture with the injection of bone cement.

How is kyphoplasty done?

The procedure is carried out via two A½’’ incisions on each side of the affected vertebra. The technique utilizes X-ray equipment to place working tools into the collapsed vertebra. This step is followed by an insertion of an inflatable bone tamp or expander into the fractured vertebra on each side, after which, the balloons are slowly inflated, lifting up the fractured portion of the vertebra to a more normal height. The balloons are then deflated, and cement is slowly injected. Excellent restoration of fractures, which are less than 4-6 months old and better than 90% success at reducing pain associated with the broken vertebra, is seen with kyphoplasty.

Which patients can benefit from kyphoplasty?

  1. Patients with a recent vertebral compression fracture due to osteoporosis
  2. Patients with fractures which are less than 4 months old
  3. Patients with fractures who are on chronic prednisone or steroids
  4. Complications from this procedure have been primarily related to patients who have been on blood thinner medications.
  5. Potential complications also include cement leaking out of the vertebra and into inappropriate areas.
2989 people found this helpful

Osteoporosis - Factors That Can Lead To It!

MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Osteoporosis - Factors That Can Lead To It!

Osteoporosis in very simple terms is a condition that causes spongy bones. The bones develop pores and become fragile with an increased susceptibility to fractures. In average, all our bones get weak after the age of 35 years which means that the bone mass decreases. Women after menopause are especially susceptible to this condition and also osteoporotic fractures. What are the other risk factors for osteoporosis? Knowing this is important for your bone health as it will help to prevent fractures. But before we discuss the causes of osteoporosis, it’ is important to point out that osteoporosis has no symptoms and it can only be diagnosed when you have a fracture for no reason at all, or you get a bone density test to diagnose osteoporosis.

Some of the factors that can lead to osteoporosis are:

  • Genetics
  • Lack of exercise
  • Low calcium and low vitamin D levels
  • A personal history of fracture as an adult
  • Smoking
  • Excessive alcohol consumption
  • Rheumatoid arthritis
  • Low body weight
  • Family history of osteoporosis which means having a mother with an osteoporotic hip fracture doubles your risk of a hip fracture as well
  • Chemotherapy for treating cancer also increases the risk for osteoporosis as it causes early menopause.
  • In men low testosterone levels known as hypogonadism can cause this condition.
  • The absence of menstrual periods known as amenorrhea in younger women also predisposes them to osteoporosis as it causes low estrogen levels. Amenorrhea can occur in women who undergo extremely vigorous physical training or those that practice extreme dieting. As their body fat goes down they experience amenorrhoea.
  • Chronic inflammation, due to chronic inflammatory arthritis and also liver disease can cause osteoporosis.
  • Any condition that interferes with walking such as stroke can cause spongy bones.
  • Hyperthyroidism, a condition that causes an increase in production of the thyroid hormone can cause spongy bones too.

Some other factors that can lead to it

  • Hyperparathyroidism a disease where there is an increased parathyroid hormone production by the parathyroid gland. This hormone maintains blood calcium levels by absorbing calcium from the bones. This can cause osteoporosis.
  • Low vitamin D causes low absorption of calcium from diet and hence you are at a risk of developing osteoporosis. Conditions such as celiac sprue or biliary cirrhosis which hamper the absorption of vitamin D can also cause osteoporosis.
  • Medications such as heparin, a blood thinner, anti-seizure medicines such as Dilantin and phenobarbital, and long-term use of oral corticosteroids- can all up osteoporosis risks.

The diagnosis of osteoporosis is simple and it is advisable that older people especially women get periodic X- rays and bone density tests to rule out this bone condition.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4173 people found this helpful

Popular Questions & Answers

I have osteoporosis and break my bones easily with a fall. I'm on parathyroid injections to make my bones stronger. Please advise. I have ankylosing spondylitis as well. Please advise.

MBBS, MD - Physical Medicine & Rehabilitation
Orthopedist, Mumbai
You have to complete course of parathyroid injections. For Ankylosing spondylitis ,are you on any disease modifying medicines You can include regular monitored exercise program also which will reduce your pain.

Sir I am suffering with sciatica pain since 4 years of my right leg. But recently the doctor told that I am also suffering with osteoporosis and as such required BMD test. I have taken calcium test and the same is normal. Please suggest me. Recently my right leg fingers are also very weakness and as such I am unable to walk perfectly.

MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
Dear lybrate-user It's 4 years now and as per your saying you had stated developing finger weakness too! It's better to evaluate you spine with MRI 1st to rule out any compression over nerves! Definitely a detailed evaluation is required! If you wish you can share your osteoporosis reports and others through private chat and can get the relevant advices.
1 person found this helpful

I am 68, having problems in knee after diagnosed of Osteoporosis. I take Calcium, Vit D as prescribed. I do not take any painkillers, as it can have prob with kidney. suggest some home remedies/topical treatment to manage this pain. Thanks.

ms orthopaedics, mbbs
Orthopedist, Noida
Perform quadriceps exercises. Apply ice packs locally. Medications like Cartigen dn and enzomac will help. Do not take pain killers. You can try interarticular knee injections.

Table of Content

Whta is Osteopororsis?

Risk factors of Osteopororsis:

Play video
How To Prevent Osteoporosis?
Play video
Most Common Spine Condition
Hi Friends!

My name is Dr. Himanshu Gupta. I am an orthopedic spine specialist. And today I will be talking about spine elements and different type of spine conditions that we see in OPD. Most of the patients suffer from this because of the long sitting on the computer. They suffer from neck pain, back pain, postural pain, mid back pain or long-term standing, sitting while at work in an awkward posture. So the myth is that all is not only related to disc pain.

2nd all these pain can be corrected with a few activities, exercises and posture modifications. Another myth is if you have slip disc, you can never be treated for life. But this is not true. There are multiple treatments available. In most cases, the patient gets better with medicines, exercise, physiotherapy. Very rare cases when there is instability or some neurological weakness, we go for surgical correction. But there is a condition which is called interventional pain. There is the scope of minor interventions for correcting these spinal elements with simple procedures like pulse radio frequency, an endoscopic discectomy. They all are day care procedures. The patient can be discharged the same day. The results for all of these are very good.

If you are looking for any of these treatments for the neck, back, shoulder, sciatica, arm pain or slip disc, you can contact me or reach us at Nivaran Pain Relief Centre. We are available in Gurgaon. We also have other branches outside of Delhi. But there we are available once in a month.

Thank You.
Play video
Osteoporosis: Causes You Need To Know
Hello everyone,

I am Dr Neetan Sachdeva I am Orthopaedic surgeon.

Let's talk about Osteoporosis, Osteoporosis is a very common disease now affecting all of us, many individuals, many ladies, elderly men-females, everybody is getting affected over period of time. About one and two females and 1 and 8 men are affected in India with Osteoporosis. Now you may be having lot of big body ache, pains, if you above 35-40 you may be a male, you may be a female, lot of pain, big aches thakawat jisko bolte hain hum log, may be tired getting up don't feel like working you may be approaching a menopause, such cases we usually trying differentiate between Arthritis and Osteoporosis. If we are going ahead with this investigations with like something like dexa scan which is usually done about 40-45 years of age not before that, in elderly men also it is done and post menopause female also it is done and it comes us to be osteoporosis, then we have treatment for that. So what is basically and Osteoporosis, Osteoporosis is porous bones or soft bones. Now the bones they collapse their own self just by small trivial injuries, just by little weight or just buy some activity you may have damage your bones that happen in osteoporosis. In routine we normally have a very good bone strength around 35 after, 35 gradually the bone strength decreases. So about 40-45 is the age when you start having osteoporosis, that is the time we should be very careful. Now what causes osteoporosis? Lack of exercise, not the right food, lack of calcium, vitamin D, you may be suffering for Rheumatoid Arthritis or any kind of arthritis you may be on steroids, obesity, obviously some comb or bit factors are always there for Osteoporosis. So how would we diagnose Osteoporosis, it is mainly the gold stand test is the DEXA scan that is a bone density, common areas which scanned is the hip, the spine, maybe the wrist and other areas are also spine, but spine is the main area where the Osteoporosis is diagnosed. There are some scores which you find on your report those are known as T-scores, T-scores are the value given by WHO from which we diagnose Osteoporosis, less than 2.5 or above is Osteoporosis. The severity of the Osteoporosis is bones treatment, the treatment maybe just adding supplements, maybe some exercise, eating good food, you may have calcium, vitamin D, if you have severe osteoporosis we might give you some other medication. Yes, alcohol, smoking these all things also adds to Osteoporosis. You need to decrease on those and probably stop them if anyone is having them. Osteoporosis is recently controlled very nicely on drugs and it can be controlled by exercise, you may build up your bone mask with all these supplements, and if you're still not happy with all these you may further go ahead test with Osteoporosis and other than this test Arthritis test can also be done to differentiate between Osteoporosis and Arthritis.

So, if you have any further queries you can contact me on my clinic at Rajdhani Enclave, Pitampura or you can contact through Lybrate.

Thank you very much.
Having issues? Consult a doctor for medical advice