How an Osteoporosis Doctor Can Help Manage Bone Health

Osteoporosis often develops without noticeable symptoms, but a doctor can detect early indicators before significant bone loss occurs. Changes in posture, a decrease in height over time, or signs of spinal curvature may suggest weakening bones. Some individuals experience back pain due to small fractures in the vertebrae, which can happen gradually without an obvious injury. In cases where fractures occur from minimal impact, such as a minor fall or even a strong cough, underlying osteoporosis may be suspected. Beyond physical signs, a doctor may identify risk factors through medical history and screening. Low bone density found in routine testing, a history of fractures, or prolonged use of medications that affect bone health can all point to early-stage osteoporosis. Blood tests may also provide additional insight into calcium and vitamin D levels, which are essential for bone strength. Detecting these early markers allows for preventive steps to slow bone loss and reduce the risk of more severe complications.

Bone density is typically measured using a specialized scan called a dual-energy X-ray absorptiometry (DEXA) scan, which provides a range of detailed information about bone strength. This painless, non-invasive test focuses on key areas like the hip and spine, where fractures are most common. The results produce a score which compares the patient’s bone density to that of a healthy young adult, helping to determine whether osteoporosis or low bone mass is present. In addition to DEXA scans, an osteoporosis specialist may consider other imaging tests depending on individual risk factors and medical history. Quantitative ultrasound, which assesses bone quality in areas such as the heel, can sometimes be used as an alternative screening tool. In cases where fractures have already occurred, additional imaging may help evaluate the extent of bone loss. These assessments provide a clear picture of bone health and guide treatment decisions based on the severity of density loss.

Assessing the risk of osteoporosis involves a comprehensive evaluation that includes medical history, lifestyle factors, and diagnostic testing. A doctor will consider family history, as genetics play a significant role in bone health. Other contributing factors, such as smoking, excessive alcohol consumption, poor diet, or lack of physical activity, are also taken into account. Certain medical conditions, including autoimmune disorders and hormonal imbalances, may further increase the likelihood of developing osteoporosis.

A physical examination may identify early signs of bone weakening, while laboratory tests can reveal deficiencies in calcium, vitamin D, or other key nutrients. Bone density scans provide objective measurements, and in some cases, additional blood work helps assess markers of bone turnover. By considering all of these factors, an osteoporosis specialist can determine an individual’s overall risk and recommend targeted prevention strategies to slow or prevent bone loss.

Osteoporosis specialists often address posture and mobility concerns, particularly when bone loss affects the spine. As vertebrae weaken, individuals may develop a stooped posture or experience a gradual loss of height. To counteract this, treatment plans may include targeted exercises that strengthen core muscles, improve balance, and enhance flexibility. In some cases, physical therapy is recommended to reinforce proper body mechanics and reduce the risk of falls or fractures. An osteoporosis doctor may also suggest lifestyle modifications to support better mobility and alignment. Recommendations might include the use of supportive footwear, ergonomic adjustments for daily activities, or assistive devices if stability is a concern. When necessary, bone-strengthening medications may also play a role in maintaining structural integrity. By addressing both bone health and functional movement, these specialists help individuals maintain independence and reduce complications associated with osteoporosis-related posture changes.

The frequency of visits to an osteoporosis specialist depends on individual risk factors, bone density levels, and treatment plans. Those diagnosed with osteoporosis or low bone mass may require routine follow-ups to monitor progress and adjust medications or lifestyle recommendations as needed. Typically, bone density scans are repeated every one to two years to track changes and determine whether current treatments are effective.

For individuals with risk factors but no diagnosed bone loss, periodic evaluations may be recommended to assess any developing concerns. Preventive care, including discussions on diet, exercise, and bone health maintenance, can help slow the progression of osteoporosis. Regular check-ins ensure that any emerging issues are addressed early, reducing the likelihood of fractures or other complications over time.

Dr. Kiran Dintyala’s concierge and functional medicine practice offers osteoporosis treatment. For more information, contact us or request an appointment online. We are conveniently located at 888 Prospect Street, Suite 203, San Diego, CA 92037. We serve clients from La Jolla CA, Delmar CA, Solana Beach CA, Carmel Valley CA, Encinitas CA, and surrounding areas.