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Treatment before it gets worse.

The last thing you want is another fracture. Our services include diagnosis and a comprehensive treatment plan that’s critical to your recovery.



Osteoporosis (primary and secondary, female and male): Osteoporosis is systemic disease characterized by low bone mass and poor bone quality. The most common causes of osteoporosis is being a post-meopausal woman not on estrogen replacement. However, there are other causes of osteoporosis such as hypogonadal elderly men, chronic [...]


Steroid-induced Osteoporosis

Steroid-induced osteoporosis: Chronic use of the often necessary glucocorticoids (e.g. prednisone) is attended by a loss of bone mineral density (BMD) as well as a loss of bone quality). Even small doses (e.g. 2.5 mg/day) used for long periods of time can lead to fractures. There [...]



Osteomalacia: Osteomalacia (adult rickets) is a not uncommon metabolic bone disease that can lead to chronic bone pain and fractures, especially of the hip, pelvis, humerus. Osteomalacia has many causes including severe vitamin D deficiency, low serum phosphorus levels, malabsorption, and chronic kidney disease. Once the causes [...]


Osteogenesis Imperfecta

Osteogenesis Imperfecta: Osteogenesis Imperfecta is a hereditary disorder of collagen formation. There are 4 forms of Osteogenesis Imperfecta, and, in adults, the dominant form, Type I, is accompanied by multiple fractures in long bones during childhood and adolescence, becoming less frequent with age. Osteogenesis Imperfecta can [...]


Paget’s Disease

Paget’s Disease: Paget’s Disease is a disorder of bone remodeling that features large and multinucleated osteoclasts (cells in bone that control bone resorption). Increase osteoclast activity is accompanied by a increase in osteoblast (bone cells that form new bone) activity but the bone that is formed [...]


Renal Disease

Renal (kidney) associated bone diseases: Individuals with chronic kidney failure may develop a variety of metabolic bone diseases ranging from high bone turnover bone disease (e.g secondary hyperparathyroid bone disease) to low bone turnover bone disease (e.g. osteomalacia or adynamic bone disease).Anyone of these bone diseases [...]


Kidney Stones

Kidney stones: Because of Dr. Miller's Nephrology and metabolism background, he has a strong interest in the causes of kidney stones. Kidney stones develop for a reason: either excess urine calcium, oxalic acid, uric acid; or inadequate urine citric acid. Each of these urinary metabolites can [...]


Bone Densitometry (DXA)

Bone Densitometry (DXA): DXA application has been the single most important advancement in the management of low bone mineral density (BMD) in 30 years. DXA measures the BMD of the hip, spine, or forearm and a specific term, called the “T-Score” can be used to diagnose [...]


Delayed-healing Fractures

Delayed Fracture Healing : Either non-union or delayed healing of bone fractures are not uncommon problems that the Orthopedic surgeon deals with and leads to prolonged patient recovery. While there are a few metabolic bone diseases that may be a cause of delayed healing (over-active parathyroid [...]


Renal Tubular Acidosis

Renal Tubular Acidosis (RTA): RTA is either a genetic or acquired disorder of the kidney, where the kidney cannot adequately eliminate H+ ions leading to a metabolic acidosis. RTA is often associated with kidney stone development due to associated high urine calcium or low urine citric [...]



Hypophosphatemia: The word hypophosphatemia means a low serum phosphorus concentration. If hypophosphatemia is chronic and is also accompanied by phosphaturia (phosphorus in the urine), it may be due to either the kidney’s reduced capacity to excrete acid (called renal tubular acidosis) or to the presence of [...]



Hypophosphatasia: Hypophosphatasia (HPP) is a hereditary disorder of bone metabolism that ranges from severe defects in tooth development and bone fractures that may be fatal in childhood; to the adult variety which may be either asymptomatic or accompanied by diffuse muscle pain and fractures of the [...]

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