Being diagnosed with osteoporosis, or its early stage, osteopenia, can raise a lot of questions. One of the most common is: Which specialist should I see for treatment? Both endocrinologists and rheumatologists care for patients with osteoporosis, but their approaches differ. Knowing which doctor is right for you can help you get answers sooner and protect your bones more effectively. For this, you need to know the difference between the two.
Who is an Endocrinologist?
Endocrinologists specialize in the body’s hormone system, which plays a significant role in bone strength. Since bone is living tissue that’s constantly broken down and rebuilt, hormones are critical in keeping it healthy.
Key hormones that affect bone include:
- Estrogen and Testosterone: Decline with age, increasing risk of bone loss.
- Parathyroid Hormone (PTH): When overactive, it pulls calcium from bones.
- Thyroid Hormone: Too much can weaken bones.
- Cortisol: High levels, either from stress, disease, or steroid medication, can reduce bone density.
When to see an endocrinologist for osteoporosis:
- Bone loss is connected to menopause or low testosterone.
- Presence of thyroid, parathyroid, or adrenal disorders.
- Long-term steroid use (e.g., prednisone).
- Other endocrine conditions, such as diabetes, can also affect bone health.
- Ongoing fractures or very low bone density despite standard treatment.
Endocrinologists are often considered the first-line specialists for osteoporosis because they can uncover hidden hormonal causes and design a long-term management plan.
Who is a Rheumatologist?
Rheumatologists focus on diseases of the joints, muscles, and bones, especially those caused by inflammation or autoimmune activity. Chronic inflammation accelerates bone breakdown, making these specialists essential for patients whose osteoporosis is tied to autoimmune disease.
When to see a rheumatologist for osteoporosis:
- Osteoporosis is linked to conditions like:
- Rheumatoid Arthritis (RA)
- Ankylosing Spondylitis
- Lupus (SLE)
- Psoriatic Arthritis
- Long-term immune-suppressing or steroid medications.
- Persistent, widespread skeletal pain alongside bone loss.
How to Decide?
Your physician is the best place to start. They know your medical history and can guide you to the right specialist.
In general:
- If bone loss is linked to hormones, aging, or metabolism, start with an endocrinologist.
- If bone loss is linked to autoimmune disease or steroid use, a rheumatologist may be best.
Remember: both specialists are trained in osteoporosis treatment, from prescribing medications like bisphosphonates and denosumab to considering anabolic therapies. What matters most is choosing a doctor whose expertise aligns with the root cause of your bone loss.
Key Takeaway
You don’t have to make this decision alone. The most important step is seeking care early so your bones can be protected and future fractures prevented. By understanding the unique role of each doctor, you can confidently move forward knowing you’re on the right path.
Contact Hilltop Endocrinology
At Hilltop Endocrinology, we specialize in diagnosing and treating osteoporosis from the hormonal and metabolic perspective, helping patients uncover hidden causes of bone loss and guiding them to proper treatment. If your physician recommends an endocrinologist, then Dr. Kehinde Folawewo, can help you with a cure. Get in touch with us today.
Additional Reads:
Do You Need an Endocrinologist for Hypothyroidism?
