Osteoporosis clinic
Treatment clinic osteoporosis
Our Center has an Outpatient Clinic for Osteoporosis and Metabolic Bone Diseases led by Dr. Jacek Borowicz-an internist, a specialist in clinical densitometry (certified by the International Society for Clinical Densitometry), who since the beginning of his career has been involved in the diagnosis and treatment of osteoporosis, disorders of bone mineralization and fusion after fracture injuries and Sudeck’s disease.
Osteoporosis is a systemic disease that leads to bone fractures with mild trauma. It is characterized by low bone density (which is measured by doing densitometry) and disorders of the microarchitecture of bone beams. These factors lead to a decrease in bone strength and, as a result, bone fractures under the influence of small forces. A slightly lower-than-normal reduction in bone density is called osteopenia. Osteopenia usually precedes the onset of osteoporosis by several years.
There are 3 types of osteoporosis:
- Type I peri-menopausal, caused by rapid destruction of bone tissue due to estrogen deficiency. Formation is normal, but the prevalence of bone resorption causes a rapid decline in bone mineral density and strength, resulting in fractures.
- Type II characteristic of elderly people caused by hyperparathyroidism and slowing down of new bone formation by osteoblasts, making bone-destroying osteoclasts predominant.
- Type III secondary osteoporosis, which develops due to the existence of other diseases.
Osteoporosis outpatient clinic Warsaw Mokotów, Ursynów , Służew
The consequences of osteoporosis are fractures resulting from low-force trauma. Fractures occur in the wrist, vertebral bodies, neck of the femur (“hip fracture”), humerus, and ribs. The incidence of fractures increases with age. The lifetime risk of fracture in a woman over 40 is 40% including forearm 16%, hip 15%, spine 32%.
Wrist and vertebral fractures occur earliest, with hip fractures increasing later. Subsequent fractures occur up to 75 times more often in people who have already suffered one fracture and have low bone density. In the elderly, fractures cause irreversible cardiovascular, respiratory, urinary and gastrointestinal complications. Hip fractures are the most serious problem, as the mortality rate within the first year is 20% in women and about 60% in men! All hip fracture patients require third-party care for the rest of their lives.
The vast majority of people we diagnose with osteoporosis are surprised by the diagnosis. Osteoporosis is most often detected incidentally during densitometric examinations done “out of convenience” in apparently healthy people who are at risk, or during forearm screening performed at promotional events.
In the early stages of the disease, when there are no fractures yet, the vast majority of patients do not feel any discomfort. The patient does not feel osteoporosis as well as other, often dangerous diseases, such as hypertension and elevated cholesterol.
It is not uncommon for the first noticeable symptom of a disease to be a fracture upon injury, just as the first noticeable symptom of hypertension is a stroke, and atherosclerosis is a heart attack or ischemic stroke.
Some patients whose disease progresses rapidly experience slight pain in the spine or long bones. Sometimes it is possible to see features of osteoporosis on an ordinary X-ray, but it should be stressed with all emphasis that changes caused by osteoporosis are visible on an ordinary X-ray only when the disease is very advanced. The absence of features of osteoporosis on the radiograph does not prove that the patient is not affected by it.
Specialists dealing with the issue
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