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Osteopenia: Causes, Symptoms, and Treatments

Learn about osteopenia, its causes, symptoms, and treatment options. Discover how to protect bone health and prevent progression to osteoporosis.

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Written by Dr. Shaik Abdul Kalam

Reviewed by Dr. Siri Nallapu MBBS

Last updated on 28th Aug, 2025

Osteopenia: Causes, Symptoms, and Treatments

Introduction

Osteopenia is a condition where your bones become weaker than normal but are not yet fragile enough to be classified as osteoporosis. While it doesn’t always cause symptoms, it increases the risk of fractures if left unmanaged. The good news is that with early detection and the right lifestyle changes, you can strengthen your bones and prevent further bone loss.

In this article, we’ll discuss what osteopenia is, its causes, symptoms, and treatments, along with simple tips to keep your bones healthy.

What Is Osteopenia?

Osteopenia means your bone mineral density (BMD) is lower than normal but not low enough to be osteoporosis. Bones naturally lose density as we age, but certain factors can speed up this process. If osteopenia progresses, it can lead to osteoporosis, making bones more prone to fractures.

Consult a General Physician for the best advice

Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

Dr. Sandhya Chandel

General Physician/ Internal Medicine Specialist

16 Years • MBBS, MD (Int. Med.), IDCCM

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

94%

(125+ Patients)

700

700

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

450

Causes of Osteopenia

Several factors contribute to osteopenia, including:

1. Ageing – Bone density peaks around age 30 and gradually declines afterward.
2. Hormonal Changes – Low estrogen (in women after menopause) and low testosterone (in men) can weaken bones.
3. Poor Nutrition – Lack of calcium and vitamin D weakens bones over time.
4. Sedentary Lifestyle – Lack of weight-bearing exercise reduces bone strength.
5. Smoking & Excessive Alcohol – These habits interfere with bone formation.
6. Certain Medications – Long-term use of steroids or some thyroid medications can affect bone health.
7. Family History – If close relatives have osteoporosis, your risk increases.

Symptoms of Osteopenia

Osteopenia usually doesn’t cause noticeable symptoms until a bone fracture occurs. Some people may experience:

  • Mild bone pain (though this is rare)
  • Height loss (due to spinal compression)
  • Weakness or frequent fractures (especially in the wrist, hip, or spine)

Since symptoms are often silent, a bone density scan (DEXA scan) is the best way to diagnose osteopenia.

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How Osteopenia Affects Your Health

If left untreated, osteopenia can progress to osteoporosis, increasing the risk of fractures, even from minor falls. Hip and spine fractures can lead to long-term pain, reduced mobility, and a lower quality of life. The key is early detection and preventive care.

Treatment and Management of Osteopenia

The goal is to slow bone loss and strengthen bones. Here’s how:

1. Dietary Changes

  • Calcium-rich foods: Dairy (milk, yogurt, cheese), leafy greens (spinach, kale), almonds, and fortified foods.
  • Vitamin D sources: Sunlight, fatty fish (salmon, tuna), eggs, and fortified cereals.
  • Protein intake: Helps maintain bone structure (lean meats, beans, lentils).

2. Exercise for Stronger Bones

  • Weight-bearing exercises: Walking, jogging, dancing, and stair climbing.
  • Strength training: Lifting weights or using resistance bands.
  • Balance exercises: Yoga or tai chi to prevent falls.

3. Lifestyle Adjustments

  • Quit smoking – Smoking reduces bone density.
  • Limit alcohol – Excessive drinking weakens bones.
  • Maintain a healthy weight – Being underweight increases fracture risk.

4. Medications (If Needed)

If your bone loss is significant, your doctor may prescribe:

  • Calcium and Vitamin D supplements
  • Bisphosphonates (medications that slow bone loss)

When to See a Doctor

If you’re at risk (postmenopausal women, older adults, or those with a family history), consider a bone density test. Early detection helps prevent complications.

Book a Consultation or Test with Apollo 24|7

If you’re concerned about osteopenia or need a bone density scan, you can easily schedule a consultation or test through Apollo 24|7. Early intervention can make a big difference in maintaining strong bones!

Final Thoughts

Osteopenia is a warning sign that your bones need extra care. With the right diet, exercise, and lifestyle changes, you can protect your bone health and reduce the risk of fractures. If you suspect you might have osteopenia, don’t wait; get checked and take steps to keep your bones strong for years to come!

Consult a General Physician for the best advice

Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

Dr. Sandhya Chandel

General Physician/ Internal Medicine Specialist

16 Years • MBBS, MD (Int. Med.), IDCCM

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

94%

(125+ Patients)

700

700

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

450

Consult a General Physician for the best advice

IMAGE
Dr. Syed Ismail Ali, General Practitioner

Dr. Syed Ismail Ali

General Practitioner

7 Years • MBBS

Hyderabad

Apollo 24|7 Clinic, Hyderabad

609

Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

Dr. Sandhya Chandel

General Physician/ Internal Medicine Specialist

16 Years • MBBS, MD (Int. Med.), IDCCM

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

94%

(125+ Patients)

700

700

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

450

Consult a General Physician for the best advice

IMAGE
Dr. Syed Ismail Ali, General Practitioner

Dr. Syed Ismail Ali

General Practitioner

7 Years • MBBS

Hyderabad

Apollo 24|7 Clinic, Hyderabad

609

Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

Dr. Sandhya Chandel

General Physician/ Internal Medicine Specialist

16 Years • MBBS, MD (Int. Med.), IDCCM

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

94%

(125+ Patients)

700

700

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

450

Get Your Health Assessed

2043(₹4750)57% off

323(₹750)57% off

280(₹700)60% off

1850(₹4625)60% off

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