How to manage Osteoporosis in Post-menopausal women ? (A step-by-Step guide)

In this enlightening talk, Dr. Om J Lakhani dives deep into the guidelines for the management of postmenopausal osteoporosis. Going beyond the basics, he provides a comprehensive step-by-step approach tailored for postmenopausal women. Dr. Lakhani simplifies the complex topic, ensuring it's easily understandable for all viewers. The discussion blends general guidelines with his own expert recommendations, offering a unique and well-rounded perspective.
📌 Timestamps:
00:00 - Introduction and greeting
01:00 - Step 1- Baseline assessment
11:32 - Step 2- Risk assessment and classification based on Low, Moderate, High, and very high risk
14:50 - Step 3- First Line Treatment
20:20- Step 3B- Bone turnover marker based assessment and treatment
23:57- Step 4- Follow-up
29:13- What to do if there is deterioration of BMD on treatment ?
30:00 - Take home messages
Topics covered:
Initial assessment
Calculating FRAX score
Essential baseline tests (calcium, vitamin D, etc.)
Clinical assessments (Cushing's, medications, diabetes, etc.)
Vertebral fracture risk
Lifestyle measures (exercise, calcium, vitamin D)
Risk assessment (low, high, very high risk)
First line management options
Risk based approach vs BTM approach
Role of bone turnover markers (CTX, P1NP)
Interpreting bone markers to guide treatment
Follow up with BTM and DEXA
Significant change in BMD and least significant change
Managing declining BMD on treatment
Key takeaways:
Do proper baseline assessment before starting treatment
Denosumab/bisphosphonates are first line, teriparatide for very high risk
Reassess DEXA every 2 years, change therapy if significant decline in BMD
Useful for endocrinologists, physicians, orthopedic surgeons, gynecologists, and rheumatologists managing osteoporosis patients.
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[@MrJasimjan]

Excellent sir, very useful and clinically applied

[@venkateshd1081]

Excellent, very useful

[@EndocrinologyIndia]

Thank you