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Stronger Bones for a Stronger You

Understanding Osteoporosis & Bone Health

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Bone Health & Osteoporosis

Bones are living, active tissues that constantly break down and rebuild. As we age — or due to hormonal, nutritional, or medical factors — this balance can be disrupted, causing bones to become weak, porous, and more prone to fractures. This condition is known as osteoporosis.

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Recognizing the Warning Signs

Osteoporosis often develops silently, without noticeable symptoms, until a fracture occurs. It is especially common in postmenopausal women, older adults, individuals with hormonal disorders, and those with vitamin D or calcium deficiency.

Our Approach to Bone Health

Dr. Bharani Bellam specialises in early detection, prevention, and management of osteoporosis and related bone disorders. Her comprehensive and evidence-based approach focuses not only on treating existing issues but also on helping you maintain lifelong bone strength and mobility.

Symptoms

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Osteoporosis is often called a “silent disease” because many people may not experience symptoms until significant bone loss has occurred. However, signs can include:

  • Frequent or unexpected fractures (wrist, hip, spine)
  • Back pain or persistent aches
  • Loss of height over time
  • Stooped or hunched posture (kyphosis)
  • Weak grip strength
  • Decreased mobility or balance issues

Vitamin D or calcium deficiency may present with:

  • Muscle cramps
  • Bone pain
  • Fatigue
  • Weakness


If you’ve had a fracture after a minor fall or feel at risk, early screening is crucial.

If you are experiencing any of these symptoms, a thyroid evaluation is recommended.

Diagnosis & Treatment Approach

The first step is a detailed assessment, including:

  • Thyroid hormone levels (TSH, T3, T4)
  • Thyroid antibodies
  • Ultrasound of the thyroid
  • Fine-needle aspiration (if needed)
  • Evaluation of symptoms, family history, and overall hormonal health


    • This helps identify the underlying cause and severity of your thyroid condition.


Based on your diagnosis, Dr. Bharani designs a customised treatment plan that may include:

  • Thyroid hormone replacement therapy for hypothyroidism
  • Anti-thyroid medications for hyperthyroidism
  • Radioactive iodine therapy (if required)
  • Surgical referral for large nodules or cancer suspicion
  • Lifestyle and nutrition guidance for autoimmune thyroid conditions

Thyroid levels can change over time, which makes regular follow-ups essential. Monitoring may include:

  • Repeat hormone tests
  • Adjustments to medication dosage
  • Ultrasound tracking of nodules
  • Symptom monitoring



Beyond medication, long-term thyroid health depends on:

  • Balanced nutrition
  • Vitamin D and iodine assessment
  • Managing stress and sleep
  • Addressing associated issues like cholesterol imbalance or weight fluctuations

Dr. Bharani ensures that all interconnected hormonal and metabolic factors are taken into account.

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