Catherine Burt Driver, MD
Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Osteopenia facts
- What is osteopenia?
- What causes osteopenia?
- What are osteopenia symptoms and signs?
- How widespread is osteopenia?
- Why is osteopenia important?
- When should I see my doctor for osteopenia?
- How is osteopenia diagnosed?
- Who should be tested for osteopenia?
- What is the treatment for osteopenia?
- What follow-up is needed after treatment of osteopenia has been initiated?
- Can osteopenia be prevented?
- What is the prognosis of osteopenia?
- Find a local Doctor in your town
What causes osteopenia?
Osteopenia has multiple causes. Common causes and risk factors include
- genetics (familial predisposition to osteopenia or osteoporosis, a family history of early bone loss, and other genetic disorders);
- hormonal causes, including decreased estrogen (such as in women after menopause) or testosterone;
- excess alcohol;
- thin frame;
- certain medications (such as corticosteroids, including prednisone) and antiseizure medications;
- malabsorption due to conditions (such as celiac sprue);
- and chronic inflammation due to medical conditions (such as rheumatoid arthritis).
What are osteopenia symptoms and signs?
Osteopenia does not cause pain unless a bone is broken (fractured). Interestingly, fractures in patients with osteopenia do not always cause pain. Osteopenia or osteoporosis can be present for many years prior to diagnosis for these reasons. Many bone fractures due to osteopenia or osteoporosis, such as a hip fracture or vertebral fracture (fracture of a bone in the spine), are very painful. However, some fractures, especially vertebral fractures (fractures of the bony building blocks of the spine), can be painless and therefore osteopenia or osteoporosis may go undiagnosed for years.
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