How is osteoporosis different in older adults?

Osteoporosis reduces the strength of bone, often without pain until a fracture occurs. With ageing, bone loss may occur alongside reduced muscle power, slower reactions, poorer balance, vision changes or medicines that cause dizziness. These factors can make a fall more likely and can make recovery from a hip, spine or wrist fracture more demanding.

A clinician may therefore assess more than bone density. They may ask about falls, walking confidence, height loss, back pain, nutrition, kidney health and current medicines. This broader review helps separate bone treatment from practical steps that protect mobility and independence.

Keep scheduled appointments and take prescribed treatment as directed. Use strength and balance exercises recommended for your abilities; a physiotherapist can adapt them if pain, weakness or a walking aid is present. Eat regularly and discuss calcium and vitamin D needs with a clinician. Check footwear, lighting, stairs, bathroom supports and vision. A medication review is worthwhile when dizziness or unsteadiness is new.

Seek prompt assessment after a fall with new hip, groin, back or wrist pain, or when pain persists after a minor impact. Urgent care is needed if you cannot bear weight, have severe pain, a visibly shortened or twisted limb, or new weakness or numbness. Sudden back pain with noticeable height loss also deserves medical review.

Ask how your fracture risk is assessed, whether you need a falls and balance review, and which exercise level is safe. Ask how long treatment is planned, how side effects will be monitored, and what to do if swallowing, kidney or dental problems affect treatment choices.