Osteoporosis

Osteoporosis is a silent disease of weakened bone that increases fracture risk — often without symptoms until a fracture occurs. At Premier Rheumatology in Boca Raton, FL and Queens, NY, board-certified rheumatologists evaluate bone density with DEXA scanning, identify reversible causes, and treat osteoporosis with bisphosphonates, denosumab, and IV infusion options such as zoledronic acid (Reclast) — available on-site in our Boca Raton office.

Osteoporosis is a common bone condition characterized by reduced bone density and strength, increasing the risk of fractures. It often develops silently over time and may not cause noticeable symptoms until a fracture occurs. Because bone loss can progress without pain, osteoporosis is frequently identified through screening or after an injury.

Early evaluation and ongoing management are important for reducing fracture risk and supporting long-term bone health.

What Is Osteoporosis?

Osteoporosis is a metabolic bone disorder in which bones become thinner and more fragile due to an imbalance between bone formation and bone loss. As bone density decreases, bones are more susceptible to fractures, even from minor falls or everyday activities.

Unlike inflammatory joint diseases, osteoporosis affects bone structure rather than joints directly. However, fractures related to osteoporosis can significantly affect mobility and quality of life.

Common Symptoms

Osteoporosis itself often causes no symptoms until complications occur. When present, symptoms may include:

• Fragility fractures, particularly of the spine, hip, or wrist
• Loss of height over time
• Back pain related to vertebral compression fractures
• Stooped posture in advanced cases

Many individuals are unaware of bone loss until a fracture occurs.

What Causes Osteoporosis?

Several factors contribute to the development of osteoporosis, including:

• Aging and natural bone loss
• Hormonal changes
• Genetic predisposition
• Inadequate calcium or vitamin D intake
• Sedentary lifestyle
• Certain medical conditions or long-term medication use

Bone loss typically progresses gradually, emphasizing the importance of early identification.

How Is Osteoporosis Diagnosed?

Diagnosis involves evaluation of bone density and fracture risk, which may include:

• Review of medical history and fracture risk factors
• Bone density testing
• Laboratory testing to evaluate metabolic contributors
• Imaging studies when fractures are suspected

Assessment helps guide treatment and monitoring strategies.

Treatment Options for Osteoporosis

Treatment focuses on strengthening bones and reducing fracture risk. Options may include:

• Lifestyle strategies to support bone health
• Nutritional optimization when appropriate
• Medications to reduce bone loss or support bone strength
• Advanced therapies for individuals at higher fracture risk
• Infusion-based treatments when clinically indicated

Treatment plans are individualized and adjusted over time.

When to See a Rheumatologist

A rheumatology evaluation may be appropriate if you experience:

• Low bone density on screening
• Fragility fractures
• Risk factors for accelerated bone loss
• Uncertainty about bone health management

Specialized care can help guide appropriate treatment.

Our Approach to Treating Osteoporosis

Our approach emphasizes comprehensive risk assessment, individualized treatment planning, and long-term monitoring. We focus on preventing fractures and supporting bone health through evidence-based strategies.

For patients who may benefit from infusion-based therapies, these options are provided as part of coordinated care.

Schedule a Consultation

If you have concerns about bone density or fracture risk, scheduling a consultation can help clarify your bone health status and explore appropriate management options.