A recent survey found that only 1% of men consider bone health a concern, despite the serious consequences of weakened bones.
Women are typically screened for osteoporosis through bone density tests, while men often remain unaware of their risk until they suffer a major fracture.
The survey was conducted by the Wexner Medical Center at Ohio State University between May 2 and May 5 and was reported by EurekAlert.
Osteoporosis in Men: The Silent Disease
Dr. Paul Lewis, an interventional radiologist at Wexner Medical Center who frequently treats patients with spinal and hip fractures, explained: “It’s a silent disease that stays quiet until a fracture occurs, and that’s when the noise begins.”
The National Spine Health Foundation in the U.S. estimates that two million men have osteoporosis—a condition in which bones become porous and gradually lose density and strength, increasing the risk of fractures even from minor falls.
Additionally, 16 million men suffer from osteopenia, a condition where bone mineral density is below normal levels but not low enough to qualify as osteoporosis.
Declining testosterone levels contribute to weaker bones, making it essential for men to increase awareness of osteoporosis as they age. Dr. Lewis recommends that men begin discussions about bone health with their doctors by age 30 to allow sufficient time for prevention.
Men’s Health Concerns
The survey revealed that cancer is the top health concern for men (32%), followed by heart disease (30%). Other major worries include obesity (18%) and sexual health (8%). Amid these pressing concerns, many men are often surprised to discover they have osteoporosis.
Dr. Lewis emphasized, “Fractures can be fatal for older adults, which is why prevention is critical.” He added, “If you don’t engage in resistance exercises by your 30s or 40s, you could lose up to 3% of your bone mass annually.”
Bone density can be improved through regular exercise, proper nutrition, and avoiding smoking. “If we maintain an active lifestyle for longer periods, we expect less bone loss over time,” said Lewis.
Treatment Options for Osteoporotic Fractures
For individuals who suffer spinal fractures due to osteoporosis, interventional radiologists can perform kyphoplasty or vertebroplasty:
- Kyphoplasty: A small balloon is inserted into the fractured vertebra and inflated to create a cavity, which is then filled with bone cement (polymethyl methacrylate) to stabilize the fracture and relieve pain.
- Vertebroplasty: Bone cement is injected directly into the fractured vertebra, providing immediate stabilization and pain relief.
Both procedures aim to reduce pain, restore vertebral height, and enhance spinal stability, allowing patients to regain mobility and function. They are performed under light sedation with fluoroscopic guidance and offer a shorter recovery time compared to open surgery.
