Fragility is a state of being delicate or
breakable and this type of fracture is a break in the
bone resulting from a fall from standing height or less. In most people, a fall
of this kind should not result in a broken bone. A fragility fracture is often
an indicator that there is an underlying weakness of the bones, known as
does this happen?
There are several reasons why bones can
weaken as you get older. These include chronic diseases affecting your lungs,
bowels and kidneys, and certain medications such as steroids. Being
underweight, smoking, decreases calcium intake, vitamin D deficiency and
lack of physical activity can contribute. If you have
gone through the menopause, your bones will be more fragile and may break more
can I do to prevent further fractures?
If you have ever had a broken wrist, spine
or hip bone after a fall from standing and you are not on bone protective
medication, your chance of breaking a bone next time you have an injury is high
compared to the rest of the population. If you break a long bone such as your
hip or multiple bones, your chance of returning home to your previous level of
function can become much lower.
In order to increase your chances of
staying well, kindly arrange routine appointment with your doctor for an
assessment of your bone health. This might include blood tests to replace any
deficiencies in minerals or vitamins, an assessment of your risk of falling and
an assessment of your bone strength using the FRAX (Fracture Risk Assessment
Tool) score or a DEXA scan. At the end you may be offered treatment if required
in the form of medication, physiotherapy, or home modifications as well as
regular follow up to assess your progress.
will my bone strength be assessed?
Your risk of having another fracture can be
calculated using a FRAX tool. This looks at various risk factors, including the
ones described above.
have a low score, you do not need
have a medium score, you will be
referred for a scan of your bones called a DEXA. This is a scan used to
diagnose osteoporosis and will determine whether to start bone protective
have a high score, you may be
started on bone protection without a scan.
there anything else I can do to make my bones stronger?
Having a good diet with plenty of calcium
and vitamin D will help strengthen your bones, as well as maintaining a healthy
weight and exercising regularly, if possible. Cutting down on smoking are
advised; if you need any further help with this, contact your doctor who will
be able to guide you further.