Osteoporosis Treatment in Wakad, Pune

Osteoporosis is a systemic skeletal disease characterised by low bone mass and micro-architectural deterioration of bone tissue, resulting in increased bone fragility and susceptibility to fractures. It is called the 'silent disease' because it progresses without obvious symptoms until a fracture occurs — often from a minor fall or even routine activities like bending or coughing. The most common sites for osteoporotic fractures are the spine (vertebral compression fractures), hip, and wrist. In India, osteoporosis affects an estimated 50 million people, with post-menopausal women being the most vulnerable group. At Star Ortho & Women Care, we emphasise early detection and proactive management to prevent the devastating consequences of osteoporotic fractures.

Several factors increase the risk of developing osteoporosis. The most significant is oestrogen deficiency following menopause, which accelerates bone loss. Age is a major factor, with bone density naturally declining after the age of 30. Family history of osteoporosis or hip fractures increases individual risk. Lifestyle factors including physical inactivity, inadequate calcium and vitamin D intake, smoking, and excessive alcohol consumption contribute significantly. Certain medical conditions such as hyperthyroidism, rheumatoid arthritis, and coeliac disease, as well as prolonged use of corticosteroids, also increase risk. We recommend bone density screening for all women over 50, post-menopausal women, anyone who has suffered a fragility fracture, and individuals with significant risk factors.

The gold standard for diagnosing osteoporosis is the DEXA (Dual-Energy X-ray Absorptiometry) scan, which measures bone mineral density at the hip and spine. The result is expressed as a T-score: normal bone density is indicated by a T-score of -1.0 or above, osteopenia (low bone mass, a precursor to osteoporosis) by -1.0 to -2.5, and osteoporosis by -2.5 or below. We also evaluate contributing factors through blood tests including serum calcium, vitamin D levels, thyroid function, parathyroid hormone (PTH), and bone turnover markers. Spine X-rays may reveal vertebral compression fractures that have occurred silently. This comprehensive assessment allows Dr. Kalekar to determine your fracture risk and create a personalised management plan.

Our osteoporosis management combines pharmacological treatment with lifestyle strategies for comprehensive bone health. Calcium supplementation (1000–1200 mg daily) and vitamin D supplementation (to maintain serum levels above 30 ng/mL) form the foundation. Weight-bearing exercises such as walking, stair climbing, and resistance training are prescribed to stimulate bone formation. For patients with established osteoporosis, medications such as bisphosphonates (alendronate, zoledronic acid) are prescribed to reduce bone resorption and fracture risk. In severe cases, anabolic agents may be considered. Fall prevention strategies — including home safety modifications, balance exercises, and review of medications that cause dizziness — are critical for reducing fracture risk in elderly patients.

Indian women face unique challenges with osteoporosis. Early menopause, widespread vitamin D deficiency (despite abundant sunlight), dietary calcium inadequacy in many traditional diets, and culturally related physical inactivity contribute to high rates of osteoporosis. Studies suggest that Indian women may develop osteoporosis 10–20 years earlier than their Western counterparts. Post-menopausal Indian women should prioritise regular bone health check-ups, adequate sun exposure, dietary calcium enrichment through foods like ragi, sesame seeds, dairy, and green leafy vegetables, and regular weight-bearing physical activity. At our clinic, we provide culturally relevant nutritional counselling and practical lifestyle advice alongside medical treatment.

Common queries about osteoporosis and bone health.

• What is osteoporosis? A condition of reduced bone density leading to increased fracture risk — often symptomless until a fracture occurs.
• Who is at risk? Post-menopausal women, individuals over 50, those with family history, sedentary lifestyle, or prolonged steroid use.
• How is bone density measured? Via a DEXA scan — a painless, non-invasive test reporting T-scores.
• Can osteoporosis be reversed? Bone density can be significantly improved with treatment, though lost bone is not fully restored.
• What foods help? Calcium-rich foods (milk, curd, paneer, ragi), vitamin D sources, and protein-rich foods.