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Posts for tag: Osteoporosis

By Mark Fisher MD
October 20, 2021
Category: Rheumatologist
Tags: Osteoporosis  

Bones are living tissues that are in balance under normal circumstances with break down and formation of bone. Osteoporosis develops when the rate of new or fresh bone production is exceeded by bone loss; and also abnormal bony architecture develops. This formula leads to higher risks for bone fracture with very little trauma or injury. Coughing or bending over or lifting modest weights can lead to fractures. Typically, fractures related to osteoporosis occur in the spine, wrist, or hip. Working closely with your Rheumatologist in Camden County, NJ, Mark Fisher MD FACR, weight-bearing exercises, a healthy diet, and medications can help to strengthen weak bones and reduce the risks for further bone loss and fractures. It is so important to manage this condition successfully because hip and spinal fractures in this condition can be associated with a 25% risk of mortality within 1 year- Not a benign condition!

Causes of Osteoporosis

Your body is constantly renewing your bones, making new ones and breaking down old ones. When you are younger, your body can produce new bone more quickly and maintain a fair balance with the rate of bone loss, resulting in preservation of bone mass and strength.

We usually reach our peak bone mass in our early 30’s. After this, bone loss accelerates.

Peak bone mass varies with different ethnic and racial groups. There are genetic differences amongst these groups and families which can lead to higher risks for bone loss and osteoporosis. Having a higher peak bone mass means that you will have more bone mass remaining when bone loss acceleration begins. This has an impact on bone health and osteoporosis as you grow older.

Osteoporosis can occur in women and men regardless of race, but studies have shown that Asian and Caucasian postmenopausal women, have the highest risk.

Symptoms of Osteoporosis

Bone loss does not typically present with any symptoms! Pain develops when fractures occur!

Some signs for osteoporosis are:

  • A hunched posture and protruding abdomen
  • Loss of height of 2 inches or more
  • Back pain due to a collapsed or fractured vertebrae or other bones

Once you experience any of these osteoporosis warning signs, consult with your Rheumatologist Mark Fisher MD FACR in Camden County, NJ, for accurate and prompt diagnosis. Early treatment can significantly help to slow down the progression of this condition and reduce the risks for fractures and deformities and other medical problems.

Complications of Untreated Osteoporosis

The most severe complications of untreated osteoporosis include hip and spine fractures. Hip fractures, in particular, are typically a result of falls and could lead to disability and increased mortality risk. In addition, spinal and other bone fractures can occur even without injury. Sometimes a person has a fracture and this is the cause of the fall.

Management of Osteoporosis

While there is no cure, we must all remember there are very effective and successful treatment strategies for patients with this potentially devastating but very treatable condition. Successful therapy is always best when instituted early. A DEXA or bone density study is the best tool we have along with appropriate laboratory studies for the proper assessment of this condition.

For More Information on Osteoporosis and its management, please contact Mark Fisher MD FACR , a board certified specialist in Rheumatology. You Can Be Helped!!

Dial (856) 547-8004 to reach Mark Fisher, MD, in Camden County, NJ, and schedule your visit with our Rheumatologist, Dr. Mark Fisher.

By Mark Fisher MD
January 24, 2019
Category: Rheumatologist
Tags: Osteoporosis  

How your doctor in Camden County, and Southern New Jersey can help osteoporosis.

You have probably heard a lot about osteoporosis in the press and conversations. As you are getting older, you may be concerned if it may be affecting you. It is important to know that there is a lot you can do to prevent osteoporosis, and importantly, you should know that there are effective treatments to help your bones stay strong. Dr. Mark Fisher in Haddon Heights, New Jersey offers several effective solutions to treat osteoporosis. He serves residents of Haddon, Heights, Hammonton, and Camden, Gloucester, and Burlington Counties, New Jersey and he can help you feel better too!

What is osteoporosis? It is a medical condition which is caused by the loss of more bone than the body can produce. Low bone density can lead to higher risks for fractures and negative impacts on many other health and medical conditions. Osteoporosis can be a very threatening and morbid condition to those affected, and this problem must be treated very seriously and actively managed to the best of our abilities with due diligence. Recognition of this condition and keen awareness is key and paramount to doing this successfully.

 Dr. Mark Fisher, Rheumatologist in Haddon Heights, NJ, is a specialist who actively cares for people with this condition and is very proactive and concerned about the proper assessment and management of osteoporosis and fracture risk and prevention in his patients.

There are 2 million fractures yearly in the U.S.

There are 54 million Americans with either low bone density or osteoporosis. Half of all women and a quarter of men over the age of 50 years will have a bone fracture in their lifetime. The risk for a hip fracture is equal to the risks combined for developing breast, uterine, and ovarian cancers. These risks for osteoporosis are seen across all racial groups with the greatest risks for bone loss noted in White and Asian women and less in Afro-American and Latino women. It is important to understand that this disease is seen in all such groups, and should be actively assessed and recognized in all women regardless of racial or ethnic backgrounds. 

Achieving maximum peak bone mass as menopause is reached is important and this can lower risks for osteoporosis. Eating disorders such as anorexia and bulimia can also increase risks for bone loss. In addition, there are several other medical disorders and risk factors that result in osteoporosis. 

You can help prevent or minimize bone loss by having a healthy diet and including regular exercise. Remember to:

Eat plenty of protein from lean meats, nuts, and legumes
Eat calcium-rich foods like low-fat dairy, salmon, or vegetables
Get enough vitamin D3 with at least 1000 IU from sunlight or supplements
Resistive Exercise with weights, weight bearing, and balancing exercises
If you think you might have osteoporosis or are concerned about possible bone loss, it is important to seek out the help of an expert. Your Rheumatologist Dr. Mark Fisher is a Board Certified Rheumatologist by the American Board of Internal Medicine. Your doctor may recommend medications called bisphosphonates and other new medications to help improve your bone density and reduce further bone loss and reduce your risks for fractures. 

Osteoporosis can be very subtle with no early symptoms, but you don’t have to let it affect your life. To find out more about osteoporosis treatment call Dr. Mark Fisher in Haddon Heights, New Jersey, serving residents of Haddon Heights, and all of South Jersey, Hammonton, Burlington, Camden, and Gloucester County, NJ. Call now 856-547-8004, and protect your health!

By Mark Fisher MD
June 25, 2018
Category: Rheumatologist
Tags: Osteoporosis  

What your doctor in Haddon Heights wants you to know.

As you get older, you may be thinking more about your health. Your body changes as you get older, along with your health. You may Osteoporosisdevelop medical conditions often associated with age. One of these conditions is osteoporosis, caused by a greater rate of bone loss than bone formation in the body leading to a decrease in bone mass or density. 

Dr. Mark Fisher in Haddon Heights wants to share the facts about osteoporosis. He proudly serves the residents of Haddon Heights, and all of South Jersey, Hammonton, and Camden County, NJ, and he can help you too. He is a Board certified Rheumatologist by the American Board of Internal Medicine.

Osteoporosis can be very subtle and appear with no signs or symptoms that you are losing bone mass until you have osteoporosis. There are a few signs and symptoms you may recognize, including:

  • A stooped posture and inability to stand up straight
  • A loss of 2 or more inches in height over the years
  • Back and spine pain caused by collapsed vertebra due to fractures and these can be painless in 30% of patients.
  • A DEXA or bone density scan is the best study to detect this condition

Your bones will also fracture more easily. Typical fracture sites include the spine especially the mid-back area, hips, shoulders, ankles, and wrists. Symptoms only occur when there is an active fracture and is otherwise a silent disease making recognition more challenging. Awareness is the key.

There is increased risk of developing osteoporosis in women, older age groups, white more than non-white races, Asian descent, small body frame less than 127 pounds, early menopause, or have a family history of osteoporosis or fractures. Increased alcohol and caffeine intake and unstable gait or balance are other risks factors for osteoporosis and fractures.

Menopause often initiates the onset of osteoporosis because lowered levels of hormones in women begin to accelerate bone loss. Excessive thyroid and parathyroid hormone states can also cause loss of bone at elevated levels. Other medical conditions can also increase bone loss and increase fracture risk in patients, especially those requiring steroids for various conditions.

There are many steps you can take to try to prevent or minimize bone loss and the effects of osteoporosis by changing your diet and doing resistive exercise. Your diet should include adequate amounts of:

  • Protein from various sources including lean meats, soy, nuts, and legumes
  • Calcium with at least 600 to 1200 mg. from various sources including low-fat dairy, green vegetables, soy, or canned salmon or sardines
  • Vitamin D3 with at least 1000 IU from various sources including sunlight and oral supplements

You should also take steps to get adequate exercise to keep your bones strong. Great exercises to prevent osteoporosis include strength training, weight-bearing and balancing exercises.

For more detailed information about osteoporosis please visit the Osteoporosis page on Dr. Fisher’s website and blogs at

If you notice some of the signs and symptoms of osteoporosis, it’s time to visit an expert. Call Dr. Mark Fisher in Haddon Heights, NJ, serving the residents of Haddon Heights, Hammonton, and Camden County, and all of South Jersey. Awareness and early recognition are the best ways to intervene and treat early and have a successful management of this disease.

Call today! 856-547-8004


Reuters reports that the incidence of hip fractures in older women in the U.S. is rising after more than a decade of decline, according to a large new study of Medicare recipients.

Researchers analyzed Medicare claims data from 2002 to 2015, from more than 2 million women age 65 or older. They found that hip fracture rates declined each year from 2002 to 2012, the researchers found. But starting in 2013, hip fracture rates leveled off and were higher than expected.

Increases in fracture rates were prominent in women ages 65 to 69, which had risen by 2.5 percent, and in women ages 70 to 74, which had risen by 3.8 percent, from 2014 through 2015.

The net results is more than 11,000 additional estimated hip fractures over the time periods 2013 to 2015.

The U.S. Preventive Services Task Force (USPSTF) recommends that women age 65 or older get screened for osteoporosis with a type of X-ray called a DEXA scan to measure bone loss. Postmenopausal women under age 65, with risk factors for osteoporosis, should also be screened. Risk factors include a family history of osteoporosis, diseases such as rheumatoid arthritis, the use of certain medications, and smoking and drinking alcohol.

Osteoporosis screening by DEXA or bone density exams is critical since there is a 25% mortality risk over 1 year and 25% risk of functional limitation after hip fractures. This is a TREATABLE DISEASE and prevention is key!!

By Mark Fisher MD
December 29, 2016
Category: Rheumatologist
Tags: Osteoporosis  

The International Osteoporosis Foundation says osteoporosis affects about 200 million women worldwide. This unfortunate condition osteoporosis causes about 8.9 million fractures a year and occurs mainly in women over the age of 50. Learning to protect yourself from osteoporosis can help you lead a normal and healthy life. Find out more about osteoporosis with Dr. Mark Fisher in Haddon Heights, NJ.

What is osteoporosis? 
Osteoporosis is a medical condition affecting the bones. When a patient suffers from osteoporosis, the bones become brittle and easily broken. The hip, spine and wrist are most prone to osteoporosis development. Additionally, women are more at risk for the condition than men though both sexes can develop it. Older individuals are also more prone to osteoporosis than younger people.

Do I have osteoporosis? 
Osteoporosis does not normally produce symptoms in its earliest stages. As the disease progresses, you may begin experiencing a more stooped posture, shrinking or loss of height, and back pain. You may also notice that your bones fracture much more easily. If you believe you are suffering from osteoporosis, you should consult with Dr. Fisher as soon as possible to prevent further injuries.

Protecting Yourself from Osteoporosis in Haddon Heights, NJ 
Preventing osteoporosis begins early in your life by committing to a healthy and active lifestyle. Your diet should be high in calcium and you should avoid smoking and heavy drinking. It is never too late to begin leading a healthier and more active lifestyle in order to prevent osteoporosis. If you have already developed the condition, you may find exercise will help strengthen your body to help prevent fractures. Your doctor can help you determine the best course of action to either protect yourself from or live with osteoporosis. There are very effective medications available both orally and by injection to reduce bone loss and the risks of fractures.

For more information on osteoporosis, please contact Dr. Fisher in Camden County, NJ. Call (856) 547-8004 to schedule your examination with Dr. Fisher today!

Camden County, NJ Rheumatologist
Mark Fisher, MD 713 Station Ave
Haddon Heights, NJ 08035
(856) 547-8004