Osteoporosis Overview
Osteoporosis is a condition which causes the bones to become weak and at higher risk for  fracture (break). It is estimated that about 10 million Americans already have osteoporosis, with nearly 34 million at risk. Research suggests that about half of all women older than 50 will break a bone because of osteoporosis at some point in their life. While this occurs more frequently in women, it is estimated that up to one in four men break a bone. Fracturing a bone can lead to significant adverse consequences, especially when you’re older. Commonly, osteoporosis related fractures occur in the hip, spine and wrist, which can lead to severe chronic pain, loss of height, or affect posture, causing you to become stooped or hunched. Osteoporosis or osteoporosis-related fractures can ultimately limit mobility which can lead to limiting things you enjoy or causing you to feel isolated or depressed. It has been shown that nearly 20% of seniors who break a hip die within one year from problems related to the broken bone itself or surgery to repair it. While many others who survive need long-term nursing home care.
  Osteoporosis is a silent disease. Most people with osteoporosis have no idea that they have the disease. If you do not have the appropriate screening, with a bone mineral density test (DEXA or DXA) to diagnose osteoporosis, breaking a bone may be the first clue that you have osteoporosis. Perhaps, you notice that you are getting shorter or your upper back is curving forward, which may be an indication that the disease may be advanced.

While osteoporosis is not curable, it is treatable. There are many steps you can take to manage the disease and reduce your chance of breaking a bone. It is important to work with your healthcare provider to learn about your risk for osteoporosis and broken bones.

Risk Factors for Osteoporosis:
  • Age     
  • Gender 
  • Menopause (women)
  • Personal history of broken bones as an adult
  • Family history of broken bones and osteoporosis
  • Tobacco use   
  • Excessive alcohol use
  • Dietary calcium and vitamin D
  • Lack of exercise
  • Inactivity
  • History of an eating disorder (i.e. anorexia nervosa)
  • Irregular menstrual periods
  • Low testosterone levels (men)
  • Certain medications
  • Various medical conditions
Factors that may accelerate bone loss
Screening for Osteoporosis

A bone density test is the only test that can diagnose osteoporosis. This test estimates the density  (or strength) of your bones. It also estimates your chance of breaking a bone. Various organizations recommend a bone density test of both the hip and spine by a central DEXA machine to diagnose osteoporosis. DEXA stands for dual energy x-ray absorptiometry. Other radiographic studies, such as peripheral DXA, x-ray, MRI or ultrasound cannot definitively diagnose osteoporosis, nor estimate a risk for fracture at this time.

Your healthcare provider may suggest an x-ray of your spine if you:

Lose 1/2 inch or more in height in one year - Have stooped / hunched posture - Develop back pain -
-Experience a height loss of 1 ½ inches or more from original height
Aside from pharmaceutical medications, it is imperative to maintain proper lifestyle and dietary habits to enhance bone health. It is important to get the proper amounts of both calcium and vitamin D in your diet. For adults 50 years old or older, it is recommended to get 800 to 1,000 IU of vitamin D per day. However, many experts recommend 1,000 to 2,000 IU per day, with a maximum of no more than 4,000 IU per day. Eating fruits and vegetables is also good for bone health, while eating poorly, smoking, drinking too much alcohol or not exercising can cause bone loss and osteoporosis. There are many factors to consider in choosing the right osteoporosis medicine. These will be discussed and assessed at your visit.


Treatment of Osteoporosis

Treatment decisions for osteoporosis are determined after reviewing your medical history (including all risk factors), physical examination, bone density test and any other tests related to your bone health. Most people with osteoporosis need to take medication to reduce the risk of fracture and slow the progression of the bone loss. It may also be beneficial to have a consultation with a physical therapist to teach safe exercises to improve your strength, balance and posture. All treatments whether medication or physical therapies are directed to prevent falls and broken bones.

Factors that increase risk of falling and fracture.
Criteria & Classification of Osteopenia & Osteoporosis
Reccomended Daily Allowence for calcium
Primary hyperparathyroidism is an endocrine disorder in which the parathyroid glands (located in the neck, near or attached to the back side of the thyroid gland) produce too much parathyroid hormone (PTH). They produce parathyroid hormone, which controls calcium, phosphorus, and vitamin D levels within the blood and bone. When calcium levels are too low, the body responds by increasing production of parathyroid hormone. This increase in parathyroid hormone causes more calcium to be taken from the bone and more calcium to be reabsorbed by the intestines and kidney. When the calcium level returns to normal, parathyroid hormone production slows down.

One common disorder of the parathyroid glands is known as, primary hyperparathyroidism, is caused by swelling of one or more of the parathyroid glands. The swelling is usually due to a non-cancerous tumor (adenoma) that leads to the release of too much parathyroid hormone, which raises the level of calcium in the blood. The term "hyperparathyroidism" means too much parathyroid hormone. The disease is most common in people over 60, but can also be seen in younger adults. Women are more likely to be affected than men. Radiation to the head and neck increases your risk. Rarely, the disease is caused by parathyroid cancer.

Most cases of  primary hyperparathyroidism have no apparent symptoms. Some symptoms that are associated with primary hyperparathyroidism are loss of height (osteoporosis), depression, fatigue, increase incidence of fractures, kidney stone formation, loss of appetite, muscle weakness or pain, and nausea. 

Primary hyperparathyroidism has now become much more prevalent largely due to the use of multiple electrolyte panels blood assays (Comprehensive metabolic Panel) because calcium determinations are now more routinely obtained.

Edgewater Office
109 W. Knapp Avenue
Edgewater, FL 32132



Mon-Thur 8:30am - 5:00pm
Fri 8:30am - 2:00pm
386-427-4544
Lake Mary
925 Williston Park Point,
Suite 1003
Lake Mary, FL 32746


Mon - Thurs 8:30am - 5:00pm
407-691-3200
Deland Office
1431 Orange Camp Rd.
Suite 115
Deland, Fl. 32724

Nurse (Diabetes)
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Nurse (Endo General)
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Office Administrator
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Lake Mary
407-691-3200
Edgewater
386-427-4544
DeLand
386-427-4544
Edgewater Office
109 W. Knapp Avenue
Edgewater, FL 32132



Mon-Thur 8:30am - 5:00pm
Fri 8:30am - 2:00pm
386-427-4544
Lake Mary
925 Williston Park Point,
Suite 1003
Lake Mary, FL 32746


Mon - Thurs 8:30am - 5:00pm
407-691-3200
Deland Office
1431 Orange Camp Rd.
Suite 115
Deland, Fl. 32724

Nurse (Diabetes)
Email Me

Nurse (Endo General)
Email Me

Office Administrator
Email Me