Osteoporosis Treatment in San Francisco
Strengthen your bones. Prevent fractures. Live with confidence.
Osteoporosis is a silent disease that weakens bones until a fracture reveals the damage. Affecting an estimated 10 million Americans (and millions more with low bone density), it’s one of the most underdiagnosed and undertreated conditions in medicine. As rheumatologists, we specialize in the metabolic and inflammatory pathways that drive bone loss, and we bring a depth of expertise that goes far beyond a standard DEXA scan and a calcium prescription.
Why Concierge Rheumatology for Osteoporosis?
Most osteoporosis care is reactive: a fracture happens, then treatment begins. Our concierge approach is the opposite. We identify bone loss early through comprehensive risk assessment, build a prevention or treatment plan tailored to your fracture risk, and monitor your response over time with direct communications to your physician. Whether you’re managing steroid-induced bone loss, postmenopausal osteoporosis, or secondary causes like celiac disease or hyperparathyroidism, we provide the sustained, attentive care this condition demands.
Conditions & Symptoms We Treat
- Postmenopausal osteoporosis
- Age-related bone loss in men and women
- Osteopenia and early bone density loss
- Secondary osteoporosis caused by medications, hormonal disorders, or GI conditions
Our Approach
Risk Stratification
We use clinical history, and lab work to determine your true fracture risk and take a proactive approach to prevention.
Root Cause Investigation
Bone loss is often secondary to other conditions such as vitamin D deficiency, thyroid dysfunction, celiac disease, or chronic steroid use. We investigate and treat the underlying cause.
Fall Prevention & Lifestyle
We integrate weight-bearing exercise guidance, balance assessment, calcium and vitamin D optimization, and fall prevention strategies into your care plan.
What Patients Ask Us
Answers to the most common questions about osteoporosis diagnosis, treatment, and care.
Q: What is osteoporosis?
Osteoporosis is a condition in which bones become weak and brittle due to loss of bone mass and structural deterioration. It significantly increases the risk of fractures, especially in the hip, spine, and wrist. It is often called a ‘silent disease’ because bone loss occurs without symptoms until a fracture happens.
Q: What causes osteoporosis?
Bone is living tissue that is constantly being broken down and rebuilt. Osteoporosis occurs when the body loses too much bone, makes too little bone, or both. Risk factors include aging, menopause, family history, low body weight, smoking, excess alcohol, certain medications (especially corticosteroids), and medical conditions like rheumatoid arthritis, celiac disease, and hyperthyroidism.
Q: Can a rheumatologist treat osteoporosis?
Yes. Rheumatologists are among the most qualified specialists to manage osteoporosis because they understand bone metabolism, inflammatory conditions that accelerate bone loss, and the medications used to treat it — including complex therapies like romosozumab and teriparatide that require specialized knowledge.
Q: How does concierge medicine help with osteoporosis management?
Osteoporosis requires long-term monitoring, medication sequencing, and attention to secondary causes. A concierge model provides the time to investigate root causes thoroughly, the continuity to track your lab trends over years, and the attention to adjust treatment promptly when needed.
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