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Osteoporosis Treatment in Rowlett, TX

Osteoporosis doesn’t announce itself. There’s no swelling, no redness, no obvious pain. Most people find out they have it after a fracture that shouldn’t have happened, a broken wrist from a minor fall, a hip fracture, or a vertebral compression fracture that causes sudden back pain. By then, significant bone loss has already occurred.

Dr. Frances Lomibao provides osteoporosis treatment in Rowlett, TX for patients across the Dallas-Fort Worth metroplex. As a board-certified, fellowship-trained rheumatologist, she evaluates bone density, identifies fracture risk, and creates treatment plans that protect your bones for the long term.

Call 469-825-4010 Request Appointment

Why a Rheumatologist for Osteoporosis?

Many people associate rheumatologists only with arthritis. But bone health falls squarely within rheumatology. Rheumatologists are trained to interpret DEXA scans, identify secondary causes of bone loss, and prescribe the full range of osteoporosis medications, including those that require infusion.

Dr. Lomibao sees patients whose bone loss hasn't responded to initial treatment, those with complex medical histories, and anyone who wants a specialist's perspective on protecting their bones. She also manages osteoporosis in patients already being treated for autoimmune diseases, where medications like corticosteroids can accelerate bone loss.

How Osteoporosis Develops

Your bones are constantly remodeling. Old bone is broken down and new bone is built in its place. In your 20s and 30s, new bone forms faster than old bone breaks down. After about age 35, that balance shifts. For some people, especially postmenopausal women, the loss outpaces the rebuilding significantly.

The result is bones that become porous, brittle, and fracture-prone. This process is silent. You won't feel it happening, which is why screening matters.

How Dr. Lomibao Evaluates and Treats Osteoporosis

DEXA Scan Review and Risk Assessment

Dr. Lomibao reviews your bone density results (DEXA scan), calculates your FRAX fracture risk score, and evaluates factors like age, weight, medication history, family history, and lifestyle.

Identifying Secondary Causes

Not all bone loss is age-related. Thyroid disorders, vitamin D deficiency, celiac disease, long-term corticosteroid use, and other conditions can drive bone loss. Dr. Lomibao orders targeted bloodwork to rule these out.

Your Treatment Plan

Based on your risk level, she recommends the most appropriate treatment, whether that's lifestyle modifications, oral medications, injectable therapies, or infusion-based treatments, and explains the reasoning behind her recommendation.

Ongoing Monitoring

Follow-up DEXA scans track your response to treatment. Dr. Lomibao adjusts your plan based on how your bones respond and any changes in your overall health.

Osteoporosis Treatment Options

Bisphosphonates

The most commonly prescribed class of osteoporosis drugs. Available as weekly pills or annual IV infusions, bisphosphonates slow bone breakdown. IV infusions are available at Lomibao Rheumatology's on-site infusion lounge.

RANK Ligand Inhibitors

Denosumab is a twice-yearly injection that slows bone resorption. It's an option for patients who can't tolerate bisphosphonates or have kidney concerns.

Anabolic (Bone-Building) Agents

For patients with severe osteoporosis or those who've already fractured, medications like teriparatide or romosozumab actively build new bone rather than just slowing loss.

Calcium, Vitamin D, and Nutrition Guidance

Supplements alone won't treat osteoporosis, but adequate calcium and vitamin D are the foundation. Dr. Lomibao reviews your levels and dietary intake to fill gaps.

Fall Prevention and Exercise

Weight-bearing and resistance exercises build bone strength. Balance training reduces fall risk. These aren't optional add-ons. They're a core part of your treatment plan.

Signs You Should Get Screened for Osteoporosis

You're a Woman Over 65 or a Man Over 70

Screening guidelines recommend DEXA scans starting at these ages, even if you feel perfectly healthy.

You've Lost Height

Losing more than an inch of height can indicate vertebral compression fractures, which often happen without noticeable pain.

You Fractured a Bone From a Minor Fall

A healthy bone shouldn't break from standing height. If you've had a fragility fracture, you likely already have significant bone loss.

You've Taken Corticosteroids for Three Months or More

Prednisone and similar medications are one of the most common causes of secondary osteoporosis. If you're on long-term steroids for asthma, autoimmune disease, or other conditions, bone density monitoring is critical.

Early Menopause or Low Estrogen

Women who experienced menopause before age 45 or had surgical removal of ovaries lose the bone-protective effects of estrogen earlier and should be screened sooner.

Family History of Osteoporosis or Hip Fracture

A parent who fractured a hip significantly increases your own risk. Genetics play a meaningful role in bone density.

Frequently Asked Questions About Osteoporosis

Can osteoporosis be reversed?

You can rebuild some bone density with the right treatment, especially with anabolic agents. The primary goal is stopping further loss and preventing fractures.

How often do I need a DEXA scan?

Typically every 1-2 years, depending on your risk level and whether you’re on treatment. Dr. Lomibao sets the appropriate monitoring schedule for your situation.

Are osteoporosis medications safe long-term?

Most are, with appropriate monitoring. Dr. Lomibao discusses the risks and benefits of each option, including when it makes sense to take a “drug holiday” from bisphosphonates.

I have osteopenia. Do I need treatment?

Not always. It depends on your FRAX score, age, and other risk factors. Some patients with osteopenia benefit from medication. Others do well with lifestyle changes and monitoring alone.

Does Dr. Lomibao manage steroid-induced osteoporosis?

Yes. This is especially relevant for her patients on long-term corticosteroids for autoimmune conditions. She proactively monitors bone health and intervenes when needed.

Protect your bones before a fracture forces you to. Call Lomibao Rheumatology and Wellness Care at 469-825-4010 to schedule an osteoporosis evaluation in Rowlett, TX.

Lomibao Rheumatology

Address: 6842 Lakeview Parkway, Suite 100 Rowlett, TX 75088

Phone: (469) 825-4010

Email: scheduling@lomibaorheumatology.com