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Osteoporosis

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Osteoporotic bone (right): click on image for link to UK National Society Site

Osteoporosis is a process of weakening of the bones most commonly affecting women after the menopause. Bone density is generally reduced and fractures become more likely.
 
There is currently a greatly increasing population of patients at risk of fractures due to osteoporosis
 
Hip, wrist and vertebral fractures are already very common and we will have many more to treat in future
 
There are many treatments emerging for the treatment of osteoprosis and for the prevention of fracture, even after patients have already had a fracture.
 
These treatments are highly effective and patients should be encouraged to seek them
 
A bone scan may or may not be required to diagnose the condition
 
 
One recommendation by NICE is that all women over the age of 75 with a hip fracture go onto bisphosphonate treatment straight away without any further investigation
 
These treatments may be tablets or monthly injections and can reduce the risk of fracture by over 40% for patients at risk
 
We have screening services at Blackheath and King's College Hospital and all patients over 55 attending our King's College Hospital fracture clinic will be seen by Sarah Brannigan, our Osteoporosis Nurse Specialist and will be advised accordingly
 
It is better to avoid having a fracture in the first place though...so see your GP!

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Alendronate tablets (a popular 'bisphosphonate' treatment)

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Ibandronate ('Bonviva') is another, newer 'bisphosphonate' which can be given less frequently

Click on the images above for links to the company web pages for more information

Calculate your risk of fracture
 
You can get an idea of your personal risk of fracture from various web sites. One I have found to be useful is
 
 
If you enter 0 (zero, which is the population average) into the Z score box (this would be the figure you would get from having a DEXA bone density scan) you will get the result based on your risk factors alone. Of course, if you were to have a bone density scan and found your figure to be less than the average, then your risk would be higher.
 
The calculator actually gives you your lifetime and 5 year risk of fracture
 

Mr A Mark Phillips MA FRCS(Tr&Orth)