Osteoporosis & Fractures
Osteoporosis weakens bones, making them more prone to fractures, particularly in the hip, spine, and wrist. Many people do not know they have osteoporosis until a fracture occurs.
Our geriatric team at the Medical Group of New Jersey focuses on early detection, prevention, and long-term bone health to maintain mobility and independence.
Symptom Onset & Initial Evaluation
Osteoporosis usually develops silently and may not cause symptoms until a bone fracture occurs. When symptoms do appear, they often involve:
- Sudden back pain caused by a vertebral compression fracture
- Noticeable height loss or a stooped posture
- Hip pain following a minor fall
During your initial evaluation, your geriatrician will take a comprehensive approach to understanding your bone health. This may include:
- Reviewing your personal and family history of fractures
- Assessing gait, balance, and overall fall risk
- Checking calcium and vitamin D levels
- Discussing lifestyle habits, diet, and medications that may weaken bones
Diagnosis & Risk Assessment
To determine bone strength and future fracture risk, your geriatrician at The Medical Group of New Jersey may recommend:
- DEXA scan to measure bone density
- FRAX score to estimate your 10-year fracture risk1
- Blood tests to evaluate calcium, vitamin D, thyroid function, and kidney health
- Imaging studies (X-ray or MRI) if a fracture is suspected
These results help guide a personalized treatment plan.
1. National Osteoporosis Guideline Group. “Section 4: Intervention Thresholds and Strategy.” www.nogg.org.uk.
Treatment & Management
Osteoporosis care focuses on strengthening bones, reducing fall risk, and preventing future fractures. Treatment may include:
- Weight-bearing and resistance exercises to maintain bone strength
- Adequate daily intake of calcium and vitamin D
- Medications such as bisphosphonates or denosumab for patients at higher risk
- Fall-prevention strategies, including home safety modifications
- Physical therapy to rebuild strength and posture after fractures
Monitoring & Follow-Up
Your geriatrician will continue monitoring your progress with repeat DEXA scans every 1–2 years, periodic vitamin and hormone testing, medication adjustments, and regular reassessment of fall risk. Consistent follow-up ensures that your treatment plan remains effective and responsive to changes in your health.