Osteoporosis

Osteoporosis is a condition that weakens bones, making them fragile and more likely to break. It occurs when the body loses too much bone, makes too little bone, or both. Often called a "silent disease," osteoporosis develops slowly over time and typically has no symptoms until a fracture occurs, usually in the hip, spine, or wrist.

At North Texas Diabetes & Endocrinology, we provide expert care for the prevention, diagnosis, and treatment of osteoporosis to help patients protect their bone health and maintain independence as they age.

  • Bone is living tissue that is constantly being broken down and rebuilt. As we age, bone loss can outpace new bone formation, leading to decreased bone density and strength. Common causes and risk factors for osteoporosis include:

    • Aging – Bone density naturally declines with age, especially after menopause.

    • Hormonal changes – Low estrogen (in women) or low testosterone (in men) accelerates bone loss.

    • Family history – Genetics can play a strong role in bone health.

    • Lifestyle factors – Poor nutrition, lack of exercise, smoking, and excessive alcohol use contribute to bone loss.

    • Medical conditions – Including thyroid disorders, certain cancers, celiac disease, and autoimmune diseases.

    • Medications – Long-term use of corticosteroids and other drugs can weaken bones.

  • Osteoporosis often develops without noticeable symptoms until a bone fracture occurs. However, some signs may include:

    • Loss of height over time

    • Stooped posture or curvature of the spine (kyphosis)

    • Back pain, especially from vertebral compression fractures

    • Fragile bones that break easily, even with mild stress or falls

    Because early osteoporosis is symptom-free, regular screening is essential for at-risk individuals.

  • Treatment focuses on preventing fractures, slowing bone loss, and promoting bone health. Our approach includes:

    • Lifestyle and Nutrition Counseling: We help patients increase their intake of calcium and vitamin D, and encourage weight-bearing exercises to strengthen bones.

    • Medications: Several types of medications can slow bone loss or help rebuild bone, including:

      • Bisphosphonates (e.g., alendronate, risedronate)

        • Denosumab

        • Selective estrogen receptor modulators (SERMs)

        • Anabolic agents (e.g., teriparatide, abaloparatide)

    • Fall Prevention Guidance: Reducing the risk of falls at home and in daily life is crucial for protecting fragile bones.

    • Monitoring and Ongoing Care: Regular follow-ups help us track your bone density, assess treatment effectiveness, and adjust your care plan as needed.

Stronger Bones Start with the Right Care

Whether you’ve already been diagnosed with osteoporosis or want to understand your risk, our endocrinology team is here to help. With expert evaluation, personalized treatment, and preventive care, we’ll work with you to protect your bones and maintain a healthy, active lifestyle.

Contact us today to schedule a bone health evaluation or DEXA scan.