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Osteoporosis | MedlinePlus Skip navigation Official websites use .gov A .gov website belongs to an official government organization in the United States. Secure .gov websites use HTTPS A lock ( Lock Locked padlock icon ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites. You Are Here: Home → Health Topics → Osteoporosis URL of this page: https://medlineplus.gov/osteoporosis.html Osteoporosis On this page Basics Summary Start Here Diagnosis and Tests Prevention and Risk Factors Treatments and Therapies Learn More Related Issues Specifics Genetics See, Play and Learn Videos and Tutorials Test Your Knowledge Research Statistics and Research Clinical Trials Journal Articles Resources Find an Expert For You Children Men Women Older Adults Patient Handouts Summary What is osteoporosis? Osteoporosis is a disease in which your bones become weak and are likely to fracture (break). The disease can develop when your bone mineral density and bone mass decrease. It can also happen if the structure and strength of your bones change. Osteoporosis is called a "silent" disease because it doesn't usually cause symptoms. You may not even know you have the disease until you break a bone. This could happen with any bone, but it's most common in the bones of your hip, vertebrae in the spine, and wrist. What causes osteoporosis? Your bones are made of living tissue. To keep them strong, your body breaks down old bone and replaces it with new bone. Osteoporosis develops when more bone is broken down than replaced. You lose bone mass and changes happen in the structure of your bone tissue. This can happen as you get older. Other risk factors can also lead to the development of osteoporosis or increase your chance of developing the disease. Who is more likely to develop osteoporosis? Anyone can develop osteoporosis, but you are more likely to develop it if you have one or more risk factors: Your sex. Osteoporosis is more common in women, especially after menopause (postmenopausal). Your age. Your risk increases as you get older. It is most common in people over age 50. Your body size. It is more common in people who are slim and thin boned. Your race: White and Asian women are at highest risk. African American and Mexican American women have a lower risk. White men are at higher risk than African American and Mexican American men. Family history. Your risk of osteoporosis may be higher if one of your parents has osteoporosis or broke their hip. Changes to hormones . Low levels of certain hormones can increase your chance of developing osteoporosis. Diet. A diet that is low in calcium and/or vitamin D or does not include enough protein can raise your risk. Long-term use of certain medicines, such as: Corticosteroids Proton pump inhibitors (which treat GERD ) Medicines to treat epilepsy Having other medical conditions, such as: Endocrine diseases Certain digestive diseases Rheumatoid arthritis Certain types of cancer HIV Anorexia nervosa, a type of eating disorder Your lifestyle. Certain lifestyle factors can contribute to bone loss, such as: Smoking tobacco Long-term heavy alcohol use Physical inactivity or prolonged periods of bedrest What are the symptoms of osteoporosis? Osteoporosis usually doesn't cause symptoms. You may not know that you have it until you break a bone. How is osteoporosis diagnosed? Health care providers often diagnose osteoporosis during routine screening for the disease. The U.S. Preventive Services Task Force recommends screening for: Women age 65 and older Postmenopausal women under age 65 who have factors that increase the chance of developing osteoporosis For men, it isn't clear yet whether regular screening is helpful. More research is needed to know for sure. To find out if you have osteoporosis, your provider: Will ask about your medical history and whether you have ever broken a bone May do a physical exam, which could include checking for: A loss of height and/or weight Changes in your posture Balance and gait (the way you walk) Your muscle strength Will likely order a bone density scan May do a fracture risk assessment, which is a short questionnaire that helps estimate your risk of breaking a bone in the next 10 years Will likely order a bone density scan May do a fracture risk assessment, which is a short questionnaire that helps estimate your risk of breaking a bone in the next 10 years What are the treatments for osteoporosis? The goals for treating osteoporosis are to slow or stop bone loss and to prevent fractures. Your provider may recommend: A healthy, balanced diet that includes enough calcium, vitamin D, and protein Lifestyle changes such as quitting smoking and limiting alcohol Regular physical activity including weight-bearing exercise (like walking), strength training, and balance exercises Fall prevention to help prevent fractures Medicines, such as: Medicines that slow down bone loss Medicines that help rebuild bone In addition to managing your osteoporosis, it's important to avoid activities that may cause a fracture. These can include movements that involve: Twisting your spine, like swinging a golf club Bending forward from the waist, like sit ups and toe touches You can also help reduce the risk of breaking a bone by preventing falls. Can osteoporosis be prevented? To help keep bones strong and help prevent osteoporosis, the best thing to do is to eat a healthy diet rich in calcium and vitamin D. Getting regular physical activity, limiting alcohol, and not smoking can also help. NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases Start Here Osteoporosis (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Diagnosis and Tests Bone Density Scan (National Library of Medicine) Also in Spanish Bone Mineral Density Tests: What the Numbers Mean (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Prevention and Risk Factors Calcium and Vitamin D: Important for Bone Health (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Exercise for Your Bone Health (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Healthy Bones at Every Age (American Academy of Orthopaedic Surgeons) Preventing Another Broken Bone (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Treatments and Therapies Osteoporosis Treatment (Endocrine Society) Osteoporosis Treatment: Medications Can Help (Mayo Foundation for Medical Education and Research) Also in Spanish Red Clover (National Center for Complementary and Integrative Health) Vertebroplasty and Kyphoplasty (American College of Radiology; Radiological Society of North America) Also in Spanish Related Issues Bone Density: MedinePlus Health Topic (National Library of Medicine) Also in Spanish Osteoporosis and Your Spine (Bone Health and Osteoporosis Foundation) Pelvic Fractures (Merck & Co., Inc.) Also in Spanish Recovering from Fractures (Bone Health and Osteoporosis Foundation) Specifics Glucocorticoid-Induced Osteoporosis (American College of Rheumatology) Also in Spanish Genetics Hajdu-Cheney syndrome: MedlinePlus Genetics (National Library of Medicine) Juvenile primary osteoporosis: MedlinePlus Genetics (National Library of Medicine) Osteoporosis-pseudoglioma syndrome: MedlinePlus Genetics (National Library of Medicine) Videos and Tutorials Osteoporosis (Medical Encyclopedia) Also in Spanish Test Your Knowledge Test Your Bone-Health Diet Knowledge (Medical Encyclopedia) Also in Spanish Test Your Osteoporosis Knowledge (Medical Encyclopedia) Also in Spanish What's Your Osteoporosis Risk? (Medical Encyclopedia) Also in Spanish Statistics and Research FastStats: Osteoporosis (National Center for Health Statistics) Clinical Trials ClinicalTrials.gov: Osteoporotic Fractures (National Institutes of Health) Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine) Article: Effect of a teaching intervention based on planned behavior theory on... Article: The effects of abaloparatide on acetabular bone mineral density and proximal... Article: The effect of OsteoStrong compared to dynamic multicomponent exercise on bone... Osteoporosis -- see more articles Find an Expert National Institute of Arthritis and Musculoskeletal and Skin Diseases Also in Spanish Children Kids and Their Bones (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Men Osteoporosis in Men (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Women Osteoporosis (Department of Health and Human Services, Office on Women's Health) Also in Spanish Pregnancy, Breastfeeding, and Bone Health (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Also in Spanish Older Adults Exercising with Chronic Conditions (National Institute on Aging) Also in Spanish Osteoporosis in Aging: Protect Your Bones with Exercise (National Institutes of Health) Also in Spanish Patient Handouts Bone mineral density test (Medical Encyclopedia) Also in Spanish Calcium, vitamin D, and your bones (Medical Encyclopedia) Also in Spanish Exercise, lifestyle, and your bones (Medical Encyclopedia) Also in Spanish Medicines for osteoporosis (Medical Encyclopedia) Also in Spanish Osteoporosis (Medical Encyclopedia) Also in Spanish What causes bone loss? (Medical Encyclopedia) Also in Spanish Topic Image MEDICAL ENCYCLOPEDIA Bone mineral density test Calcium, vitamin D, and your bones Compression fractures of the back Exercise, lifestyle, and your bones Hump on upper back (dorsocervical fat pad) Lumbar MRI scan Lumbosacral spine x-ray Medicines for osteoporosis Osteoporosis Osteoporosis Thoracic spine x-ray What causes bone loss? Show More Show Less Related Health Topics Bone Density Calcium Fractures Vitamin D National Institutes of Health The primary N