By vgreene, 13 March, 2015 If hx of low-trauma fx at/after age 50,<sup>28,29</sup>↓ ht,<sup>30</sup> or recent/ongoing glucocorticoid<sup>31</sup> tx: consider vertebral imaging<sup>32</sup>
By vgreene, 13 March, 2015 Estimate 10-yr fx probability w/ US-adapted FRAX if appropriate<sup>27</sup>
By vgreene, 13 March, 2015 Modify lifestyle prn, including wt-bear/muscle-strength exercise,<sup>26</sup> balance training, smoking cessation
By vgreene, 13 March, 2015 If hx low-trauma fx at/after age 50,<sup>20,21</sup>↓ht,<sup>22</sup> or recent/ongoing glucocorticoid<sup>23</sup> tx: consider vertebral imaging<sup>16</sup> in addition to BMD
By vgreene, 13 March, 2015 √ DXA central-skeletal BMD<sup>14</sup> based on age, regardless of risk factors
By vgreene, 13 March, 2015 Eval/counsel on osteoporosis/fx risk;<sup>13</sup> √ DXA BMD<sup>14,15</sup> +/- vertebral imaging<sup>16</sup>
By vgreene, 13 March, 2015 Exercise: wt-bear/muscle strengthen<sup>19</sup> + fall/fx risk prevention<sup>13</sup>
By vgreene, 13 March, 2015 Vit D intake: 800–1,000 IU/day for ≥50 yo; supplement if needed,<sup>17</sup> correct deficiency<sup>18</sup>