Bone health is considered a relatively new “field” in medicine. Bones at one time were considered to be static lumps of calcium – now we know they are living and dynamic structures that require care like all other parts of our body. For the bones in the body (the musculoskeletal system) to be healthy, there must be a balance between adequate and appropriate nutrition and activity. Often, at least one if not both of these aspects are deficient in our daily lives and our bones suffer for that. However, when our bones suffer, we also suffer – hip fractures, wrist fractures, shoulder fractures and spine-compression fractures are the most common fractures that occur as we get older. These fractures are often referred to as “insufficiency” fractures, because the fracture occurs due to the bone having an insufficient amount of calcium to withstand a fall. Osteoporosis is the name of the condition of the bone that has lost its density due to lack of calcium and other nutrients that are important for bone health. Osteoporosis is not reversible – once you have been diagnosed with osteoporosis you will always have bone whose density is below what is considered normal. The goal of the treatment of osteoporosis is preventative – we want to prevent the further loss of bone and also keep the other parts of the musculoskeletal system strong to prevent falls and injuries. As our practice begins to focus on this significant issue, discussions on bone health will become a normal part of our treatments and recommendations will be made for determining or monitoring bone density and available methods of treatment of osteoporosis.