Comprehensive Osteoporosis Treatment & Bone Health

Expert Management for Stronger Bones

For patients seeking to prevent fractures or manage bone loss, our multi-specialty team provides the advanced diagnostics and personalized therapies you need to stay active and independent.

Don’t Let Osteoporosis Hold You Back

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Our dedicated bone health team is committed to enhancing your overall well-being. Meet our doctors and explore their expertise.

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Specializing in Your Care

Struggling with bone health issues that limit your mobility? We provide personalized care to help you strengthen your bones and regain your freedom

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Don’t wait to be seen. If you’re experiencing a critical injury or any pain, find immediate availability and talk to a specialist to start on the path to pain-free movement.

What Is Osteoporosis? Understanding Your Bone Density

Osteoporosis is a silent condition that causes bones to become weak and brittle. It occurs when the body loses too much bone, makes too little bone, or both, leading to a “honeycomb” effect inside the skeletal structure.

  • Early Signs: Often there are none, which is why it is called a silent disease. Early detection usually requires a DXA scan.
  • Advanced Signs: A loss of height over time, a stooped posture (kyphosis), or a fragility fracture, a break that occurs from a minor fall or even a strong sneeze.

Who Is at Most Risk for Osteoporosis?

Understanding your risk factors is the first step in fracture prevention. We use advanced diagnostics to create your bone health blueprint based on the following:

  • Biological Factors: Women (especially post-menopause), individuals with small body frames, and those with a family history of hip fractures.
  • Medical Factors: Long-term use of corticosteroids, thyroid issues, malabsorption disorders, and cancer medications for breast and prostate cancers.

We utilize DXA bone density, Trabecular Bone Score, and FRAX® scores to calculate your 10-year fracture risk and determine the exact timing for medical intervention.

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Specialized Care for Osteopenia and Metabolic Bone Disease

We treat the entire spectrum of bone density issues. While osteoporosis is the most well-known, it is often the end stage of a process that begins much earlier. Understanding these related conditions is the first step in a proactive treatment plan.

  • Osteopenia: Think of osteopenia as the warning track for osteoporosis. It means your bone density is lower than average, but not yet at the level of a disease. If we catch bone loss at this stage, we can often prevent it from ever progressing to osteoporosis through targeted lifestyle changes and early-stage medical monitoring.
  • Paget’s Disease of Bone: This condition interferes with your body’s normal recycling process, in which new bone tissue gradually replaces old bone tissue. Over time, the disease can cause affected bones to become fragile and misshapen.
  • Osteomalacia: Often confused with osteoporosis, this condition involves the softening of the bones, typically due to a severe Vitamin D deficiency. While osteoporosis is a problem of bone quantity (thinning), osteomalacia is a problem of bone quality.
  • Secondary Bone Loss: Sometimes, bone thinning isn’t caused by aging, but by an underlying medical issue or a side effect of a medication. Our team screens for secondary causes such as hyperthyroidism, celiac disease, or the long-term use of certain anti-seizure or acid-reflux medications.
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Protecting Your Bones Through Physical Medicine & Lifestyle

Medication isn’t the only answer to bone health. Our Physical Medicine department focuses on the support system around your bones to prevent injury.

  • Weight Management: Reducing excess body weight lessens the mechanical stress on your frame, particularly your spine and hips.
  • Targeted Physical Therapy: On-site therapists design weight-bearing and resistance training programs that signal your bones to stay dense.
  • Fall Prevention: We focus on core stability and balance training to reduce the likelihood of a fall before a fracture can occur.

Recognizing the Need for Specialty Intervention

You should seek a consultation with our osteoporosis and bone health specialists if:

  • You have suffered a fracture after age 50 from a minor trip or fall.
  • Your DXA scan shows a T-score of -2.5 or lower.
  • Your Frax score is abnormal
  • You are beginning a medication regimen (like prednisone) known to cause bone loss.
  • You have a significant family history of osteoporosis or stooped posture.
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Meet Our Osteoporosis and Bone Health Doctor

Coren Smith

Seth Coren, MD

Specializing in:
Joint Replacement & Revision, Robotic Joint Replacement, Hip, Knee, Shoulder

Frequently Asked Questions (FAQs)

Osteoarthritis is a disease of the joints (wear-and-tear of cartilage), while osteoporosis is a disease of the bone itself (loss of density). Many patients suffer from both simultaneously.

While you cannot cure it, modern anabolic medications can actually increase bone mineral density, effectively reversing some of the loss and significantly lowering fracture risk.

Most insurance providers, including Medicare, cover DXA scans every two years for women over 65 and men over 70—or earlier if specific risk factors are present—though Medicare may cover bone density scans on a yearly basis if you are currently undergoing treatment.

Brisk walking is a great start because it is weight-bearing. However, for maximum bone-building benefits, we often recommend incorporating resistance training or balance exercises as well.

Like all medications, there can be side effects. Our specialists perform a thorough health screening to match you with the medication that has the best safety profile for your history.

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