Disease of elderly females most commonly it is usually asymptomatic. The first manifestation could be a fracture, acute are chronic back pain, loss of height. This condition occurs due to loss of bone strength. The fractures occurs eighter spontaneously or with minimal injury at unusual sites like vertebra, hips, ribs, fore arm bones.

The risk factors to this disease are old age, immobility, malnutrition, malabsorption states, smoking, alcohol intake, some endocrinal causes (thyroid and parathyroid abnormalities, diabetes, cushing’s disease) , rheumatologic diseases (rheumatoid arthritis, lupus), drugs(steroids, antiepileptics, heparin, drugs used to suppress acid production in digestive tract).

It can be diagnosed by DEXA scan which esses bone mineral density. Treatment of Osteoporosis includes consumption of diet rich in calcium and vitamin D, lifestyle modifications like stoping smoking, curtailing alcohol consumption, good excerise help in maintaining bone strength.

Along with these measures drugs like bisphosphonates, teriparatide help in resuming bone strength and decrease fracture risk.