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Warning-sign checks

Osteoporosis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Get emergency help after a fall or injury if you have severe hip or groin pain, cannot stand or put weight on a leg, or the leg appears shortened or turned outward.

    Emergency assessment is also needed for severe back pain with new leg weakness, numbness around the genitals or buttocks, or loss of bladder or bowel control.

    These symptoms can indicate pressure on spinal nerves, which is uncommon but time-sensitive.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical assessment for new, unexplained back pain, particularly if it began after a small movement, cough, lift, or fall.

    A spinal fracture may need pain treatment and further evaluation.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you have lost height, developed a rounded upper back, or had a fracture after a minor fall.

    It is also reasonable to ask about bone health if you use long-term corticosteroids like prednisone or hydrocortisone , went through early menopause, or have another major risk factor.

Every sign above is quoted from the sofidex article on Osteoporosis. If you are not sure, err upward — it is always reasonable to be checked.