Understanding Osteoporosis
Osteoporosis is a condition characterized by loss of bone density and strength, increasing the risk of fractures. Bone loss occurs gradually and often without symptoms, with many patients diagnosed only after a fracture—most commonly involving the spine, hip, or wrist.
The Arthritis Center of Nebraska provides comprehensive osteoporosis care, including on-site DEXA bone density scanning, allowing for timely diagnosis, risk stratification, and early intervention.
Osteoporosis and Inflammatory Arthritis
Patients with inflammatory arthritis, such as rheumatoid arthritis, are at increased risk for osteoporosis and fractures due to:
- Chronic systemic inflammation
- Reduced physical activity related to joint pain
- Use of long-term corticosteroids
- Accelerated bone loss associated with autoimmune disease
Rheumatologists are uniquely positioned to address both inflammatory disease control and bone health, reducing fracture risk through coordinated management.
How Osteoporosis Affects the Bones
As bone breakdown exceeds bone formation:
- Bones become thin and porous
- Structural integrity is compromised
- Low-impact falls or minor trauma may result in fractures
Vertebral fractures may occur silently and contribute to height loss, chronic pain, and functional decline.
On-Site DEXA Scanning
DEXA (dual-energy X-ray absorptiometry) is the gold standard for diagnosing osteoporosis and assessing fracture risk. On-site DEXA scanning allows:
- Immediate evaluation and interpretation
- Earlier treatment decisions
- Improved care coordination
- Reduced delays in diagnosis
This streamlined approach supports proactive fracture prevention, particularly in high-risk patients.
Our Treatment Approach
Osteoporosis management is individualized and may include:
- Bone-targeted medications to reduce fracture risk
- Calcium and vitamin D optimization
- Fall-risk assessment and prevention strategies
- Evaluation for secondary causes of bone loss
- Ongoing monitoring with repeat DEXA when indicated
Why See a Rheumatologist?
Rheumatologists specialize in osteoporosis care for patients with:
- Inflammatory or autoimmune disease
- Steroid-associated bone loss
- Complex fracture risk profiles
- Prior fragility fractures
Early referral enables timely diagnosis, initiation of therapy, and long-term monitoring to reduce fracture risk.
Coordinated Long-Term Care
Osteoporosis is a chronic condition requiring ongoing assessment. Our clinic works closely with primary care providers and other specialists to deliver coordinated, evidence-based care focused on preserving bone strength and maintaining independence.