Osteoporosis is a common and serious comorbidity in patients with rheumatoid arthritis (RA), increasing the risk of fractures and disability. Chronic inflammation, glucocorticoid therapy, and reduced mobility accelerate bone loss in RA. Early diagnosis through bone mineral density (BMD) assessment using DEXA scans is essential for risk stratification. Management includes optimal control of RA inflammation, adequate intake of calcium and vitamin D, and use of anti-resorptive or anabolic agents such as bisphosphonates or denosumab. Weight-bearing exercise, smoking cessation, and minimizing steroid exposure further reduce fracture risk. A multidisciplinary, patient-centered approach ensures effective prevention and management of osteoporosis in RA.
Senior Orthopaedic & Joint Replacement Surgeon, Max Hospital, Delhi
Dr. Vinay Aggarwal is a highly experienced Senior Orthopaedic and Joint Replacement Surgeon at Max Hospital, Delhi. He specializes in complex joint replacement and reconstruction surgeries, with a strong focus on improving patient mobility and quality of life. Over his career, he has performed numerous successful procedures using advanced surgical techniques and cutting-edge technology. Dr. Aggarwal is also actively involved in clinical research and training, sharing his expertise with young orthopaedic professionals. His commitment to excellence and compassionate care has earned him wide recognition among patients and peers alike.