Endocrinology and Diabetes Expertise

Osteoporosis

Osteoporosis is a progressive condition that weakens bones, making them more susceptible to fractures. Often called a “silent disease,” it can progress without symptoms until a fracture occurs. At Elise M. Brett MD PC, located on the Upper East Side of Manhattan, Dr. Elise M. Brett provides expert endocrinology care for the diagnosis, treatment, and prevention of osteoporosis. Through advanced bone density testing, individualized treatment plans, and ongoing monitoring, patients receive comprehensive care to maintain bone health, reduce fracture risk, and improve overall quality of life.

Recognizing the Signs and Symptoms of Osteoporosis

Osteoporosis is often asymptomatic until bone loss becomes significant, but sure signs may indicate its presence:

  • Loss of height over time
  • Stooped posture or kyphosis
  • Sudden fractures from minor falls or injuries
  • Bone pain or tenderness
  • Back pain caused by vertebral fractures
  • Reduced mobility or difficulty performing daily activities

Why Specialized Osteoporosis Care is Important

Osteoporosis significantly increases the risk of fractures, which can lead to chronic pain, reduced mobility, and loss of independence. Early diagnosis and intervention are crucial to prevent serious complications, particularly in postmenopausal women and older adults. Individualized care ensures that patients receive the most effective treatment based on their bone density, age, hormonal status, and risk factors. Monitoring and management of osteoporosis involve more than medication; lifestyle changes, diet, and exercise are critical to maintaining bone strength. Expert evaluation helps identify secondary causes of osteoporosis, such as hormonal imbalances or medication effects, allowing for comprehensive care. Personalized treatment reduces the risk of fractures, improves quality of life, and supports long-term skeletal health.

Step-by-Step Osteoporosis Diagnosis and Treatment

At Elise M. Brett MD PC, osteoporosis evaluation and treatment follow a structured, patient-centered approach:

  • Comprehensive Medical Assessment: Dr. Brett reviews medical history, family history of fractures, lifestyle factors, and previous bone health evaluations to assess risk.
  • Physical Examination: A detailed exam evaluates posture and evaluates for secondary causes of bone loss.
  • Bone Density Testing (DEXA Scan): Dual-energy X-ray absorptiometry (DEXA) is used to measure bone density and determine fracture risk.
  • Laboratory Testing: Blood and urine tests may be performed to evaluate calcium, vitamin D, hormone levels, and other metabolic factors.
  • Individualized Treatment Plan: Based on results, Dr. Brett develops a plan that may include medications to strengthen bones, dietary and exercise recommendations, and lifestyle interventions.
  • Lifestyle and Nutrition Guidance: Patients receive support to optimize calcium and vitamin D intake, incorporate weight-bearing exercise, and address habits that affect bone health.
  • Ongoing Monitoring and Follow-Up: Regular bone density tests and follow-ups ensure that treatments remain effective and are adjusted as needed to achieve optimal outcomes.

Preventing Osteoporosis and Fractures

Preventing osteoporosis requires a combination of medical care, nutrition, and lifestyle strategies. Adequate calcium and vitamin D intake support bone strength, while regular weight-bearing and resistance exercises maintain bone density. Avoiding smoking and limiting alcohol consumption reduces the risk of bone loss. Early screening, especially for postmenopausal women and those with risk factors, allows for timely intervention. Maintaining a healthy weight and engaging in balance exercises can reduce fall risk. Patient education on bone health empowers individuals to make informed choices that protect their skeletal system. By addressing both medical and lifestyle factors, patients can prevent or slow osteoporosis progression and reduce fracture risk.

With proper diagnosis and treatment, patients with osteoporosis can significantly reduce their risk of fractures and maintain mobility. Medications, combined with lifestyle strategies such as exercise and nutrition, strengthen bones and improve overall skeletal health. Early intervention allows patients to prevent severe bone loss and avoid debilitating injuries. Ongoing monitoring ensures that therapies remain effective and adjustments are made as needed. With proactive management, patients can maintain independence, protect bone health, and enjoy a higher quality of life throughout the aging process.

Frequently Asked Questions About Osteoporosis

1. Who is at risk for osteoporosis?
Women after menopause, older adults, and individuals with a family history of fractures are at higher risk. Certain medications and medical conditions can also increase risk.

2. How is osteoporosis diagnosed?
Diagnosis typically involves a DEXA scan to measure bone density, along with blood tests to evaluate metabolic factors.

3. Can osteoporosis be treated?
Yes, medications, lifestyle changes, and nutrition can slow or reverse bone loss and reduce fracture risk. Early treatment improves outcomes significantly.

4. Are there lifestyle changes that help prevent osteoporosis?
Yes, weight-bearing exercise, adequate calcium and vitamin D, avoiding smoking, and limiting alcohol all support bone health.

5. How often should bone density be monitored?
Monitoring frequency depends on age, risk factors, and treatment plan. Many patients receive follow-up DEXA scans every 1-2 years.

6. Does Dr. Brett perform bone density tests in the office?
No. Patients are referred to outside radiology facilities for bone density testing. If you had a prior bone density test and are coming for initial consultation, please bring a copy of your report to the visit.

Protect Your Bone Health with Expert Osteoporosis Care

Osteoporosis can silently weaken bones and increase fracture risk, but early intervention and personalized care can protect skeletal health. At Elise M. Brett MD PC, Dr. Elise M. Brett provides comprehensive evaluation, treatment, and monitoring to ensure optimal bone strength and long-term well-being.

If you are concerned about bone health, experiencing fractures, or want to evaluate your osteoporosis risk, scheduling a consultation with Dr. Brett is the first step. Receive expert guidance, individualized treatment, and ongoing support to maintain bone strength, reduce fracture risk, and preserve your mobility and quality of life.