Understanding your Fracture Risk

Low Risk

  • This means you have a less than 10% chance of a broken bone in the next 10 years
  • Prescription osteoporosis medication is not recommended
  • BMD test in 5-10 years unless significant change in health status that could lead to bone loss, e.g. starting prednisone

Moderate Risk

  • This means you have a 10-20% chance of a broken bone in the next 10 years
  • Further investigation: possible secondary causes, may involve blood tests or referral to a specialist such as a rheumatologist or endocrinologist
  • BMD test in 1-3 years

High Risk

  • This means your risk of having a broken bone in the next 10 years is greater than 20%
  • If you are at high risk, the recommendation from the Osteoporosis Canada Clinical Practice Guidelines is prescription osteoporosis medication. Many options are available that can reduce the risk of fracture by about 50%.
    • Maintaining bone density and preventing fracture means the medication is working.
    • Medications include bisphosphonates, denosumab, romosozumab, hormone therapy, SERMs, parathyroid hormone
  • You are automatically at high risk if you have had a hip fracture, spine fracture, two or more other fractures or are have had a fracture and are on steroid medication.
  • BMD test in 1-3 years to ensure medication is working