My mother was just diagnosed with osteoporosis. Now I'm wondering if maybe Dad doesn't have this problem, too. What sort of symptoms would a man have if he had osteoporosis?

Osteoporosis is a condition caused by decreased bone density that results in brittle bones. Fractures, especially vertebral compression fractures of the spine and hip fractures are a common problem with osteoporosis.

In many people, this disease is asymptomatic or silent with no obvious symptoms. A gradual loss of height and/or rounded upper back may be the first signs of a problem. Some older adults complain of back pain. In other cases, bone fracture is the first indication of osteoporosis.

Measurements of bone mineral density (BMD) can be used to look for osteoporosis. In men, hip BMD can be used to predict the risk of hip fracture. BMD is tested using a special scanning device. Results are given as a T-score. A T-score less than -2.5 is defined as the cut off for osteoporosis in men.

If you have concerns about your father, these can be addressed by his primary care physician. A history will be taken, a physical exam performed, and risk factors will be assessed.

Baseline testing can then be ordered if needed. This is the best way to find out for sure if your father is at risk or in need of prevention or treatment for this potentially disabling disease.

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