Osteoporosis assessment and management
Specialist review of bone density, fracture history, risk factors and treatment options for people with osteoporosis, low bone density or concerns about future fracture risk.
Osteoporosis care is not just about a scan result. A useful assessment looks at the whole picture, including fracture history, age, medication, other health conditions, lifestyle and long-term risk.
What is osteoporosis assessment and management?
Osteoporosis assessment is a specialist review of bone strength and fracture risk. It helps identify why bone density may be reduced, whether treatment is needed and which approach is most appropriate.
A full clinical review
Professor Keen will review your medical history, previous fractures, DEXA scan results, blood tests, medication history and other risk factors that may affect bone health.
This helps build a more accurate picture than scan results alone.
Personalised treatment planning
Management may include lifestyle advice, calcium and vitamin D review, falls risk reduction, medication options, injections, infusions or referral for additional investigations where appropriate.
When a specialist review may be helpful
A specialist osteoporosis consultation may be useful if your diagnosis is unclear, your fracture risk is high or you need help deciding the right treatment plan.
Common reasons for referral
- Osteoporosis or osteopenia on a DEXA scan
- A fracture after a minor fall or low-impact injury
- Loss of height, back pain or suspected spine fracture
- Long-term steroid use or other medication risk factors
- Early menopause or other hormone-related risk factors
Complex situations
- Recurrent fractures despite previous treatment
- Side effects or concerns about osteoporosis medication
- Secondary causes of osteoporosis requiring investigation
- Osteoporosis before planned spinal or orthopaedic surgery
- Need for a second opinion on diagnosis or treatment
What the consultation may include
The aim is to understand your bone health clearly and give practical, evidence-based recommendations for treatment and follow-up.
Previous fractures, family history, medication, medical conditions and lifestyle factors are reviewed.
DEXA results are reviewed in context, including T-scores and fracture risk.
Blood tests or further imaging may be suggested if secondary causes need to be excluded.
You receive clear advice on treatment options, monitoring and long-term fracture prevention.
How osteoporosis may be managed
Treatment depends on your fracture risk, scan results, medical history, previous medication and personal priorities.
Non-drug support
- Dietary advice including calcium intake
- Vitamin D assessment and replacement where needed
- Exercise and strengthening guidance
- Falls risk reduction and balance work
- Lifestyle advice including smoking and alcohol review
Medication planning
- Review of tablet-based osteoporosis medication
- Advice on injections or infusions where suitable
- Consideration of bone-building treatments in selected cases
- Review of treatment duration and monitoring
- Second opinion for complex treatment decisions
Osteoporosis assessment questions
Common questions about specialist osteoporosis assessment and treatment planning.
Do I need a DEXA scan before my appointment?
If you already have a DEXA scan, please bring the report. If not, Professor Keen can advise whether bone density scanning or other investigations are needed.
Can osteoporosis be treated?
Yes. Treatment can help reduce future fracture risk. The most suitable approach depends on your individual risk factors, scan results and medical history.
What should I bring to the consultation?
Please bring scan reports, blood test results, clinic letters, medication details and information about any previous fractures.
Can I ask for a second opinion?
Yes. A specialist second opinion can be helpful if your case is complex, treatment has not worked as expected or you are unsure about medication options.
Book an osteoporosis assessment consultation
If you have osteoporosis, low bone density, a fragility fracture or concerns about future fracture risk, please contact the office to arrange a specialist consultation.
Contact details
For private appointments and general enquiries, please contact Professor Keen's office.