Skip to content
Dr. Avinash PunshiConsultant Physician · Rheumatologist
Home
About
Services
Outcomes
Patient Education
Contact
0301-2399339
Book Appointment
Home
About
Services
Outcomes
Contact
Patient Education
Rheumatoid Arthritis
Osteoarthritis
Osteoporosis
Gout
Lupus (SLE)
Joint Pain & Autoimmune
Call 0301-2399339
Book Appointment
  1. Home
  2. Patient Education
  3. Osteoporosis
Patient Education

Osteoporosis

The silent bone-thinning disease — preventable and treatable when detected on time.
On this page
Overview
Symptoms
Causes
Diagnosis
Treatment Options
Lifestyle Advice
FAQs
Related
Book a consultation

Overview

Osteoporosis is a progressive condition that weakens bone density and structure, dramatically increasing the risk of fractures — particularly of the hip, spine and wrist. Because it develops silently over years, screening is essential for women after menopause and men over 65. Modern therapies can not only halt bone loss but actively rebuild bone strength.

Symptoms

  • Often no symptoms until a fracture occurs
  • Loss of height over time
  • Stooped posture or curved upper back
  • Sudden back pain from a vertebral compression fracture
  • Fractures from minor falls

    • Causes

  • Post-menopausal oestrogen decline in women
  • Age-related bone loss in both sexes
  • Long-term steroid use or certain medications
  • Calcium and vitamin D deficiency
  • Family history, low body weight, smoking and heavy alcohol use

    • Diagnosis

    • DEXA scan (Bone Mineral Density measurement) — the gold standard
    • FRAX 10-year fracture risk assessment
    • Blood tests for calcium, vitamin D and thyroid function
    • Vertebral imaging if compression fractures are suspected

    Treatment Options

  • Bisphosphonates to reduce bone breakdown
  • Denosumab injections for high-risk patients
  • Anabolic agents (Teriparatide, Romosozumab) for severe cases
  • Adequate calcium and vitamin D supplementation
  • Fall-prevention strategies and posture training

    • Lifestyle Advice

  • Weight-bearing exercise — brisk walking, dancing, resistance training
  • Ensure daily calcium intake through diet or supplementation
  • Get sufficient safe sun exposure or supplement vitamin D
  • Stop smoking and limit alcohol
  • Make the home fall-safe — good lighting, secure rugs, grab bars
    • FAQ

    Common questions about Osteoporosis

    Related articles

    Osteoarthritis

    The most common form of arthritis — modern care can preserve movement and delay surgery for years.

    Read the guide

    Rheumatoid Arthritis

    A chronic autoimmune condition that attacks the joints — treatable, especially when caught early.

    Read the guide

    Joint Pain & Autoimmune

    When joint pain is more than 'wear and tear' — the specialist evaluation that makes the difference.

    Read the guide
    In the consultation

    How this condition is managed in clinic

    A look inside daily practice — explaining diagnoses, reviewing imaging, and guiding patients of every age through their care plan.

    X-RAY REVIEW WITH PATIENT
    JOINT EXAMINATION
    EVIDENCE-BASED COUNSEL
    DEXA BONE-DENSITY REVIEW
    FAMILY CONSULTATION
    ANATOMY WALK-THROUGH

    Ready to feel better?

    Book a consultation with Dr. Avinash Punshi and take the first step toward lasting relief.
    Book Appointment
    Call 0301-2399339
    Dr. Avinash Punshi
    Consultant Physician & Rheumatologist
    Compassionate, evidence-based rheumatology care across Karachi — helping patients live free of joint pain, longer.
    Quick Links
    Services
    Patient Education
    Legal

    OPD Timings

    • Doctor Ziauddin Hospital
      Clifton Campus, Block 2
      Mon · Wed · Fri·1:00 – 4:00 PM
      Fees Rs. 2,500
    • Ziauddin Hospital
      Kemari Branch
      Wednesday·12:00 – 2:00 PM
    • Ziauddin Hospital
      North Nazimabad, Block 2
      Tue · Thu · Sat·1:00 – 3:00 PM
      Fees Rs. 2,500
    • Rim Trauma Hospital
      PECHS Block 6, Shahrah-e-Faisal
      Tue · Thu · Sat·4:30 – 6:00 PM
      Fees Rs. 2,000
    • South City Hospital
      Shahrah-e-Firdousi, Clifton
      Tue · Thu·6:30 – 8:30 PM
      Fees Rs. 3,500
    • Islamabad Diagnostic Centre
      Rafiq Plaza, Lucky Star
      Mon · Wed · Fri · Sat·7:30 – 10:00 PM
      Fees Rs. 2,000
    • Islamabad Diagnostic Centre
      Rafiq Plaza, Lucky Star
      Tue · Thu·9:00 – 10:00 PM
      Fees Rs. 2,000
    Saturday appointments are subject to confirmation before your visit.

    Appointments: Mr. Vishal · +92 301 2399339

    © 2026 Dr. Avinash Punshi. All rights reserved.

    Consultant Physician & Rheumatologist · Karachi, Pakistan

    Scroll to Top