Osteoporosis

Osteoporosis is a disease of progressive bone loss associated with an increased risk of fractures. The term osteoporosis literally means porous bone. The disease often develops unnoticed over many years, with no symptoms or discomfort until a fracture occurs. Osteoporosis often causes a loss of height and dowager’s hump (a severely rounded upper back).

Osteoporosis can be prevented with lifestyle changes and sometimes medication; in people with osteoporosis, treatment may involve both. Lifestyle change includes exercise and preventing falls; medication includes calcium, vitamin D, bisphosphonates and several others. Fall-prevention advice includes exercise to tone deambulatory muscles, proprioception-improvement exercises; equilibrium therapies may be included. Exercise with its anabolic effect, may at the same time stop or reverse osteoporosis. Osteoporosis is a component of the frailty syndrome.

Symptoms

Osteoporosis itself has no specific symptoms; its main consequence is the increased risk of bone fractures. Osteoporotic fractures are those that occur in situations where healthy people would not normally break a bone; they are therefore regarded as fragility fractures. Typical fragility fractures occur in the vertebral column, rib, hip and wrist.

Three people demonstrating what osteoporosis looks like

As osteoporosis progresses, the vertebrae weaken and narrow, which can make the patient shorter and cause a severely rounded upper back (“dowager’s hump”).

Osteoporosis

A vertebral compression fracture has a wedged-shaped appearance. The front of the vertebra has cracked and shortened while the back remains intact.

Procedures

Kyphoplasty

Service Providers

Henry Small, M.D.

Dr. Small is a board certified orthopedic surgeon. He has 23 years of experience.

Vivek P. Kushwaha, M.D.

Dr. Kushwaha has been honored with the Memorial Hermann Hospital Award for “Most Efficient Surgeon” and was commended as one of “America’s Top Physicians” by The Consumer Research Council of America.