The Private Medical Center, in association with the Competence Center for Osteology focuses on another feature. Osteoporosis is the most common bone disease worldwide. In Germany alone, approximately 8 million people are affected by the illness – primarily women after menopause and the elderly. The number of new cases every year is estimated at 885.000. The recognition of risk factors, precautions and preventive measures are our main focuses.

In principle, though, osteoporosis can occur at all age groups and in women and men equally in case of specific risk factors (diet, lifestyle, hereditary predisposition, particular diseases and medication) being present.

Osteoporosis, through an increased bone resorption and/or reduced bone formation, leads to bone loss, structural changes of the bone and therefore reduced bone strength.

The consequences are bone fractures that could have been prevented by a timely detection and treatment of the osteoporosis. Fractures of the vertebral body, femoral neck fractures and hip fractures are particularly severe, as they are not only causing pain, but often cause substantial limitations in everyday life or even the need for care.



Risk factors for osteoporosis and bone fractures

II Age and gender
II Hereditary predispositions (osteoporosis occurring in the family)
II Diet and lifestyle (lack of exercise, underweight, deficiency of calcium or vitamin D, smoking, drinking etcetera)
II Other specific diseases (rheumatic diseases, diabetes mellitus, thyroid diseases, chronic inflammatory intestinal disease, chronic obstructive pulmonary disease etcetera)
II Intake of bone-damaging medication (cortisone/prednisolone, anti-oestrogens, anti-androgens, proton pump inhibitors, epilepsy medication etcetera)
II Present bone fractures
II Danger of falls

In case of such risk factors, it might be necessary to consider an osteoporosis workup – for early detection and therapy as well as improved prevention.



Determining osteoporosis risk factors

II Risk questionnaire
II Doctor-patient conversation
II Clinical examination

Bone density measurement (DXA method)

II X-ray based examination of the lumbar spine and the hip/femoral neck with minimal radiation exposure
II Usually clarifies if patient has fallen ill with osteoporosis
II Only in combination with other risk factors, a statement regarding the use of medicinal treatment is meaningful!

Possible X-ray examination

II Of the thoracic and lumbar spine in the event of suspected vertebral body fractures (e.g. in cases of height reduction >4 cm or of acute back pain)
II In certain cases, other procedures can be employed (e.g. computer tomography – CT, magnetic resonance imaging – MRT)

Laboratory tests

II Blood and urine sample
II Key information on causes and risk factors of osteoporosis (e.g. deficiency of calcium or vitamin D)
II Exclusion of other bone diseases
II Foundation for the choice of the suitable treatment

Comprehensive doctor-patient conversation

II Discussion of results
II Advice on diet & lifestyle and other individual risks
II Prevention counselling
II Treatment planning – including introduction and supervision
II Physiotherapy and rehabilitation
II Agreement on therapeutic goals and follow-up procedures

At Orthopädiezentrum Schmargendorf, we offer the complete range of osteoporosis treatments as well as tailored treatment options.



Additional information online sources might be helpful for you:

II Dachverband Osteologie
Patient guidelines of German-speaking, scientific osteoporosis associations

II German Osteoporose Screening Center
Information on osteoporosis-related risks and diagnosis

II Kuratorium Knochengesundheit e.V.
Extensive information on osteoporosis

II Netzwerk Osteoporose
Organisation für Patientenkompetenz e.V. – also in Turkish, Polish and Russian

II International Osteoporosis Foundation
Information on osteoporosis across the world in English