Am I at Risk for Osteoporosis? Here’s What to Know

Osteoporosis is a condition that weakens bones and increases the risk of fractures—especially in the hip, spine, and wrist. While it’s often thought of as something that happens only in very old age, bone loss can begin much earlier, especially for women after menopause and men over 50.

So, how do you know if you’re at risk for osteoporosis? And what can you do about it?

Let’s take a closer look.

What Is Osteoporosis?

Osteoporosis means “porous bones.” It happens when your body loses more bone than it builds, causing bones to become brittle and fragile. Often called a “silent disease,” many people don’t realize they have it until they break a bone from a simple fall—or even from coughing or sneezing.

Who’s Most at Risk for Osteoporosis?

Your risk increases with age, but several other factors can make you more vulnerable to bone loss:

Age and Gender

• Women over 50 are at the highest risk, especially after menopause due to estrogen loss.
• Men over 70 are also at increased risk.

Family History

• If your parent or sibling had osteoporosis or a hip fracture, your risk is higher.

Low Body Weight or Small Frame

• People with thinner builds have less bone mass to lose.

Hormonal Changes

• Low testosterone in men or estrogen in women contributes to bone thinning.

Lifestyle Factors

• Sedentary lifestyle
• Smoking
• Heavy alcohol use
• Low calcium or vitamin D intake

Medical Conditions or Medications

• Long-term steroid use
• Conditions like rheumatoid arthritis, thyroid issues, or digestive diseases

Early Warning Signs to Watch For

Osteoporosis is often painless until a fracture occurs—but these signs may suggest bone loss is already underway:

• Loss of height over time
• Stooped posture or back pain
• Frequent fractures from mild impact
• Weak grip strength

If you’re experiencing any of these symptoms, it’s time to get evaluated.

How Is Osteoporosis Diagnosed?

A DEXA scan (dual-energy X-ray absorptiometry) is the gold standard test for measuring bone density. It’s quick, painless, and available at the BASS Imaging Center in Walnut Creek.

The scan compares your bone density to that of a healthy young adult and assigns a T-score:

• Normal: T-score above -1
• Low bone mass (osteopenia): T-score between -1 and -2.5
• Osteoporosis: T-score below -2.5

How to Reduce Your Risk

Even if you’re at risk, there are proven ways to protect your bones:

• Eat for bone health: Include plenty of calcium (leafy greens, dairy) and vitamin D (fatty fish, fortified foods).
• Stay active: Weight-bearing and resistance exercises help keep bones strong.
• Don’t smoke and limit alcohol
• Prevent falls: Remove tripping hazards at home and wear shoes with good grip.
• Talk to your doctor about medications: If you’re at high risk, medications like bisphosphonates or Prolia may be recommended.

Get a Bone Health Checkup in Walnut Creek

If you’re over 50, have a family history of fractures, or just want peace of mind, schedule a DEXA scan at BASS Medical Group. Our team provides personalized care and evidence-based strategies to help you stay strong, mobile, and fracture-free.

Request a Bone Density Scan or Talk to a Provider → bassmedicalgroup.com/contact-us

FAQ

Q: At what age should I get a DEXA scan?
A: Women over 65 and men over 70 should get screened, but if you have risk factors (like early menopause or a past fracture), your provider may recommend earlier testing.

Q: Can osteoporosis be reversed?
A: Bone loss can’t be fully reversed, but with proper treatment—like medications, exercise, and lifestyle changes—you can slow progression and lower your fracture risk.