Osteoporosis Treatment in Wichita

Osteoporosis is a condition that weakens bones, making them more prone to fractures and breaks. Often called the “silent disease,” osteoporosis typically has no symptoms until a fracture occurs, underscoring the importance of regular screenings, especially for those at higher risk. At KU Wichita Internal Medicine, we provide comprehensive osteoporosis treatment and management to help you maintain strong, healthy bones and reduce your risk of fractures.

What Are the Risk Factors for Osteoporosis?

Certain factors increase the likelihood of developing osteoporosis:

• Gender: Women are at a higher risk than men due to smaller bone size and hormonal changes after menopause.
• Age: Bone density decreases naturally with age, with significant loss occurring in the first 4–8 years after menopause.
• Race: Caucasian and Asian women are at higher risk due to genetic predispositions.
• Family History: A family history of osteoporosis greatly increases the likelihood of developing the condition.
• Lifestyle Factors:
  • Low body weight.
  • Smoking.
  • Excessive alcohol consumption.
  • Prolonged use of corticosteroids.

What Is a DEXA Scan for Osteoporosis?

A DEXA scan (dual-energy x-ray absorptiometry) is the gold standard for diagnosing osteoporosis. This painless test measures bone density in areas prone to fractures, such as the hips, spine, and forearms.

What to Expect During a DEXA Scan:

• No preparation is needed.
• The patient lies on an exam table while X-rays measure bone density.
• The procedure is painless and takes about 10 minutes.

Interpreting DEXA Results

The results of a DEXA scan are provided as a T-score, which compares your bone density to that of a healthy young adult:

• Normal T-score: Between +1 and -1.
• Low Bone Mass (Osteopenia): Between -1.1 and -2.4.
• Osteoporosis: -2.5 or lower.

Based on your T-score, your doctor will recommend an appropriate treatment plan to prevent fractures and maintain bone health.

How Often Should You Get a DEXA Scan?

Because DEXA scans involve a small dose of radiation, they are typically recommended once every two years. For high-risk patients receiving treatment, your doctor may monitor bone health using alternative methods between DEXA scans.

How Is Osteoporosis Treated?

The primary goal of osteoporosis treatment is to prevent fractures and strengthen bones. At KU Wichita Internal Medicine, we offer personalized treatment plans, including:

1. Diet and Supplements

• A diet rich in calcium and vitamin D supports bone health.
• Calcium and vitamin D supplements may be prescribed to fill nutritional gaps.

2. Medications

• Bisphosphonates: Slow bone loss and help maintain or increase bone density.
• Parathyroid Hormone (PTH) Analogues: Ideal for postmenopausal women at high risk of fractures.
• Selective Estrogen Receptor Modulators (SERMs): Mimic estrogen’s protective effects on bones, especially for postmenopausal women.
• Calcitonin: Helps regulate calcium and bone metabolism, typically prescribed for women 5+ years into menopause.
• Romosozumab (Evenity): Builds bone while reducing bone breakdown.
• Denosumab (Prolia): An injectable option for those who can’t tolerate bisphosphonates or have a high risk of fractures.

Your doctor will work with you to determine the best combination of lifestyle changes and medications to optimize your bone health.

Why Early Detection Matters

Since osteoporosis often has no symptoms, early detection is critical to preventing fractures and maintaining quality of life. Regular screenings, especially for high-risk individuals, can identify bone loss early and allow for timely intervention.