What characterizes osteoporosis until a fragility fracture occurs?

Osteoporosis is often referred to as a "silent disease" because it typically does not present with any symptoms until a fragility fracture happens. This means that individuals can have weakened bones due to osteoporosis without experiencing any noticeable signs or symptoms. As a result, many people may be unaware that they have the condition until a fracture occurs, which indicates that their bone density has significantly decreased.

While it is true that some symptoms may emerge after a fracture, the primary characteristic of osteoporosis leading up to such an event is its asymptomatic nature. This is why routine screening and assessment of risk factors, especially in populations at higher risk, are important for early detection and intervention before serious complications arise. Understanding this characteristic helps in emphasizing preventive measures in at-risk individuals, highlighting the necessity of lifestyle modifications, dietary adjustments, or pharmacological treatments to reduce the risk of fractures.