As already mentioned several times, it is important to take prophylactic measures of osteoporosis, as early detection of osteoporosis is often difficult. Therefore, osteoporosis often remains unrecognized for a long time and is diagnosed only when the first consequences become apparent as a result of the imbalance between bone formation and degradation. However, early detection would be important in order to minimize the consequences of this disease.
There are different diagnostic methods for osteoporosis. Some methods are listed below with advantages and disadvantages, but the listing is not exhaustive.
First of all, there is no meaningful biochemical test that could diagnose osteoporosis. Specific laboratory values are usually used in secondary diagnostics and play a role especially in the field of secondary osteoporosis, as they always occur as a result of a specific underlying disease.
The measurement of bone density (= osteodensitometry) can be used, for example, for further diagnosis of the radiological suspicion of osteoporosis.
Especially in high-risk patients, for example, in patients with familial bias, late onset of the rule, early onset of menopause, ovariectomy - patients, etc., this form of investigation should be made unconditionally. This also includes patients who come to the doctor with specific complaints and who are at special risk, for example in the form of inadequate calcium or vitamin D intake. In a special way, this also includes patients with (visible) physical inactivity and underweight.
In order for bone density measurement to provide meaningful results and for the physician to diagnose changes in bone density, an annual check-up is usually necessary.
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