Early Signs of Osteoporosis in Women and When to See a Specialist

May is not only Osteoporosis Awareness Month, it is also Women’s Health Month, providing an opportunity to bring important attention to a condition that is often overlooked, but common and critical to manage for healthy longevity in women. This article focuses on osteoporosis in women, signs of osteoporosis in women, and how to manage this condition.

Osteoporosis is often called a “silent disease”—and for good reason. It develops slowly over time, often without symptoms, until a fracture occurs. At Ortho Central’s Bone Health Clinic, we’re working to change that by emphasizing early screening and proactive care, especially for women with risk factors starting as early as age 45.

What Is Osteoporosis?

Osteoporosis is a condition that weakens bones, making them brittle and more likely to fracture. While it’s commonly associated with postmenopausal women—affecting 1 in 2 women—it’s important to know that it also impacts 1 in 4 men. Despite its prevalence, many people aren’t diagnosed until after their first fracture, often in the emergency room.

“The unfortunate truth is that osteoporosis has no early symptoms. We often catch it too late—after bones have already been compromised,” said bone health specialist and leader of our Bone Health Clinic, Amanda Boyd, PA-C.

Why Early Screening Is Crucial

The best way to detect osteoporosis before a break occurs is through a DEXA scan (dual-energy X-ray absorptiometry). This low-dose X-ray measures bone density at key points in the body, such as the hips, spine, and sometimes the forearm.

The U.S. Preventive Services Task Force recommends women start screening at age 65, but Amanda stresses that adults with risk factors should start earlier—ideally between ages 45 and 50.

“I’ve diagnosed osteoporosis in former athletes and very active individuals,” Amanda said. “Sometimes you can’t outrun genetics.”

Risk Factors for Osteoporosis

You may be at higher risk if you have any of the following:

• Family history of osteoporosis
• Smoking
• Excessive alcohol use (more than 3 drinks a day)
• Long-term steroid use
• History of adult fracture or non-healing fractures
• Autoimmune diseases like rheumatoid arthritis
• Endocrine disorders

Even if you’ve always lived a healthy lifestyle, your bone density may still be low—another reason why screening is essential.

How to Strengthen and Protect Your Bones

While medication may be needed for those already diagnosed with severe osteoporosis, many patients can benefit from conservative lifestyle changes, especially if caught early:

Calcium and Vitamin D

• For those 50+, aim for 1,200 mg of calcium daily, ideally from food (like dairy, leafy greens, or fortified products).
• Use a calcium calculator to see if you’re hitting your target.
• Supplement if necessary.

Optimize vitamin D levels to help absorb calcium effectively.

Weight-Bearing Exercise

Engage in safe, regular activities that stress the bones in a healthy way. Focus on:

• Stability exercises
• Walking or light jogging
• Strength training
  These activities help stimulate bone growth and maintain balance, reducing fall risk.

When Lifestyle Changes Aren’t Enough

If osteoporosis is detected at a later stage or bone density is severely compromised, lifestyle changes alone may not be enough. Medications may be necessary to rebuild bone mass and prevent further fractures. Fragility fractures, once they begin, can become a domino effect, severely limiting independence and mobility.

“Our goal is to keep patients strong, independent and able to live the life they love,” says Amanda.

Build Better Bones Today

Whether you’re 45 and curious about your risk or in your 60s and looking to stay ahead of the curve, early detection is key. A simple DEXA scan can provide peace of mind—or the information you need to take action. Give our clinic a call at 405-515-8094.