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Osteoporosis

What is Osteoporosis? Symptoms, Causes and How It’s Diagnosed

Posted on Wed Aug 12, 2026

Osteoporosis is a condition that causes bones to become weaker and less dense, increasing the risk of fractures. It develops gradually over many years and often has no obvious symptoms until a bone breaks.

Because bone loss happens silently, many people do not realise they have osteoporosis until they experience a fracture after a minor fall or even normal daily activity.

The good news is that osteoporosis can often be identified before fractures occur through a Bone Health Assessment using a DEXA bone density scan.

What causes osteoporosis?

Healthy bone is constantly being broken down and rebuilt throughout life. As we age, bone is lost more quickly than it is replaced. Over time this reduces bone mineral density and weakens the structure of the bones. Several factors can increase the likelihood of developing osteoporosis, including:

  • Increasing age
  • Menopause
  • Early Menopause
  • Family history of osteoporosis
  • Family history of osteoporosis
  • Certain medical conditions affecting bone health
  • Low body weight
  • Smoking
  • Excess alcohol consumption
  • Long-term steroid medication
  • Nutritional deficiencies, including calcium and vitamin D

Not everyone with these risk factors develops osteoporosis, but they may increase the need for assessment.

What are the symptoms of osteoporosis?

One of the biggest challenges with osteoporosis is that there are often no symptoms in the early stages. Some people only discover they have osteoporosis after experiencing a fracture. Possible signs include:

  • Loss of height
  • A stooped posture
  • Back pain caused by compression fractures
  • Bones that break more easily than expected

Who is at higher risk?

  • Women after menopause
  • Adults aged over 50
  • Early Menopause
  • Family history of osteoporosis
  • Long-term corticosteroid use
  • Low body weight
  • Inflammatory conditions such as rheumatoid arthritis
  • Nutritional deficiencies affecting bone health

Osteoporosis and menopause

Menopause is one of the most significant risk factors because falling oestrogen levels accelerate bone loss. A baseline bone density assessment can help identify early changes.

Difference between osteoporosis and osteopenia

Osteopenia means bone density is lower than expected but has not yet reached the level used to diagnose osteoporosis.

How is osteoporosis diagnosed?

The standard method for assessing bone mineral density is a DEXA scan.

  • Measures bone mineral density
  • Helps diagnose osteoporosis
  • Identifies osteopenia
  • Assesses fracture risk
  • Monitors changes over time

Can osteoporosis be prevented?

  • Weight bearing exercise
  • Adequate calcium
  • Sufficient vitamin D
  • Discuss medication risks
  • Avoid smoking
  • Limit alcohol
  • Maintain a healthy body weight
  • Bone density assessment where appropriate

When should you consider a Bone Health Assessment?

  • Aged over 50
  • Post-menopause
  • Previous fragility fracture
  • Family history
  • Long-term steroid medication
  • Concern about bone health

Bone Health Screening at Oryon

What is osteoporosis?

Osteoporosis is a condition in which bones become weaker and more fragile due to reduced bone density.

What causes osteoporosis?

Common causes include ageing, menopause, family history, low body weight, smoking, steroid use and certain medical conditions.

Can osteoporosis be cured?

It cannot usually be reversed completely but can often be managed.

Is osteoporosis painful?

Usually not until a fracture occurs.

How is osteoporosis diagnosed?

Is osteoporosis more common in women?

Yes, particularly after menopause.