I have been treating people with osteoporosis since 1995. Over that time, I have seen huge improvements in how we prevent and treat this common condition. Osteoporosis weakens the bones, and for some people, it can lead to life-changing fractures.
Exciting New Research
In April 2025, I attended the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases in Rome. The research shared there was very encouraging. Experts showed how treatments are continuing to improve, and also how we are getting better at spotting people at highest risk of breaking another bone so that treatment can start quickly.
Why Early Treatment Matters
Research has found that the risk of another fracture is greatest within the first 6–12 months after the first one, and remains high for two years. This is why acting quickly makes such a difference.
Doctors can use tools like FRAX (an online calculator of bone fracture risk) and DEXA scans (a special type of bone scan) to guide decisions. In some cases, treatment can even begin without a scan if the risk is clearly high.
New Medicines
Newer medicines have transformed care for people with severe osteoporosis. Some of these treatments help build new bone, while others work by slowing down bone loss. Using them in sequence can now provide a more personalised treatment plan, tailored to each individual. National guidance by NICE has also been written to guide who should have which treatment.
Looking After Your Bones
Medical treatment is only one part of the picture. You can also help protect your bones by:
- Getting enough calcium and vitamin D (through diet and supplements if needed)
- Doing daily weight-bearing exercise (such as walking)
- Avoiding smoking, too much alcohol, or excess caffeine
The Key Message
If you or a loved one has had a fracture related to osteoporosis — particularly of the hip, spine, or pelvis — it’s important to be assessed early. The good news is that treatment options are better than ever, and with the right care, many people can reduce their risk of future fractures and keep their independence.