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Bone Diseases

Your bones are important for providing structure to your body and protecting your internal organs. Conditions that can affect your bones include:

  • Low bone density (osteopenia) or osteoporosis — Conditions that weaken your bones and increase your risk of fractures
  • Paget’s disease — A disorder in which the body removes old bone tissue faster than it can be replaced with new bone
  • Osteogenesis imperfecta — A condition that makes the bones more brittle, which causes frequent bone breaks
  • Osteonecrosis — Death of the bone tissue that occurs when not enough blood flows to the bones
  • Bone infections — Infections of the soft tissue located inside certain bones
  • Cancer of the bones — Tumours that occur when bone cells begin growing out of control

Symptoms

Bone diseases may lead to:

  • Pain in the bones, back, or hips
  • Stiff or swollen joints
  • Warmth or redness near a particular bone
  • Broken bones (fractures)
  • Misshapen bones, such as a bowed arm or leg
  • Loss of height
  • Hunched posture
  • A curved spine
  • Numbness or tingling in your limbs

Bone disorders don’t always cause symptoms. For example, many people with osteoporosis don’t know they have the condition until they break a bone.

Causes & Risk Factors

Injuries often cause bone problems. For example, you may experience damage to a nearby blood vessel when you break a bone, which can cause osteonecrosis.  Osteonecrosis is death of bone tissue due to lack of blood supply which causes tiny breaks in the bone that become larger over time.

Genetics can also play a role in bone disease. If you have a family history of a bone-related medical condition, you may be more likely to develop that disease.

You may have a greater risk of developing bone disease if you:

  • Have a slender build
  • Don’t get enough calcium, vitamin D, or protein from your diet
  • Don’t get a lot of exercise
  • Drink a lot of alcohol
  • Smoke cigarettes
  • Have a hormone imbalance
  • Have certain medical conditions, such as gout, pancreatitis, blood disorders, anorexia, lupus, or rheumatoid arthritis
  • Frequently take corticosteroids, anti-seizure medications, antidepressants, or proton pump inhibitors
  • Have undergone chemotherapy or radiation treatments
  • Have had an organ transplant

Women also tend to develop osteoporosis at higher rates. In particular, the disease becomes more common right before menopause. However, men more frequently develop osteoporosis after the age of 70.

Reference Articles

Diagnosis

Bone problems are often diagnosed with X-rays. Other imaging tests such as MRIs or CT scans may also help your doctor identify changes to your bones.

Doctors can check your bone density with a bone scan. This test can diagnose osteopenia (bone loss) and osteoporosis. Experts recommend that women who are 65 or older or who have certain risk factors undergo regular screening to check their bone density.

Complications

When a bone disease affects the tissue located within a joint, it can also cause joint problems like arthritis. This can cause the joints to swell, stiffen, or become painful.

Treatment

Your treatment will depend on which condition you have, how severe your symptoms are, how old you are, and which bones are affected.

Medications and physical therapy can help treat many bone diseases. If your symptoms prevent you from moving like you normally would or completing daily activities, walking aids such as crutches, a cane, or a walker may help.

When bone disease is severe, surgery may be needed. For example, you may need to have a joint replacement if your bones become too damaged in a location such as your hip or knee.

Prevention

Lifestyle changes, including the following, can help keep your bones healthy:

  • Drink less alcohol
  • Quit smoking
  • Eat foods that contain calcium and vitamin D, including fortified milk, milk substitutes, dark green leafy vegetables, and fatty fish
  • Get some physical activity each day, focusing on activities like walking that require you to put weight on your bones

If you are at risk of experiencing low bone density, your doctor may recommend taking medications that help keep your bones strong and prevent osteopenia or osteoporosis.

Prevention

Lifestyle changes, including the following, can help keep your bones healthy:

  • Drink less alcohol
  • Quit smoking
  • Eat foods that contain calcium and vitamin D, including fortified milk, milk substitutes, dark green leafy vegetables, and fatty fish
  • Get some physical activity each day, focusing on activities like walking that require you to put weight on your bones

If you are at risk of experiencing low bone density, your doctor may recommend taking medications that help keep your bones strong and prevent osteopenia or osteoporosis.

 
 
 

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