Osteoporosis, which affects one in three women and one in twelve men, is no longer seen as an inevitable consequence of ageing aggravated by the menopause. This book explains the significant advances in the diagnosis and management of osteoporosis. Beginning with clear descriptions of the pathogenesis of osteoporosis and secondary osteoporosis, and the development of fractures, the book emphasizes the importance of prevention as well as treatment of this disease. There is a chapter on the beneficial effects of good nutrition and exercise on bone density and a discussion on the adverse effects of smoking. The range of treatments available is covered, and the National Institute for Health and Clinical Excellence's guidelines on the use of bisphosphonates, raloxifene and teriparatide in the prevention of secondary osteoporosis is discussed. A chapter on service provision emphasizes the need for good practice with fracture liaison services being central to secondary prevention and care. With an ageing population, osteoporosis is an increasing problem. This book will give healthcare workers up-to-date information on the best management and care for their patients. It is written by an Osteoporosis Specialist Nurse. It provides clear and concise descriptions of the disease and its management.