text: Metabolic bone disease is the term used to describe a range of disorders resulting from mineral, vitamin or bone density abnormalities. Kayal Orthopaedic Center surgeons are committed to comprehensive care for patients dealing with osteoporosis and other metabolic bone diseases. Osteoporosis is one of the most common metabolic bone conditions, and is the cause of nearly 1.5 million annual U.S. fractures.
  Diagnosis of MBD
  Providing support through diagnosis, education and treatment, our NJ orthopedic team first conducts comprehensive metabolic testing that may include:
  Cutting-edge bone density testing (DXA or Dual Energy X-ray Absorptiometry)
  X-rays, CT scans and other radiological imagery
  Biochemical testing (blood and urine tests)
  Depending upon test results, Dr. Robert A. Kayal, MD and his colleagues create a tailored, long-term care plan designed to minimize disease impact and reduce symptom severity. Metabolic bone diseases include, but are not limited to:
  Osteoporosis: Reduced bone mineral density leading to fragility fractures and deformity over time.
  Hyperparathyroidism: Occurs when parathyroid glands produce too much PTH (parathyroid hormone). Leads to an imbalance between phosphorous (too much) and calcium (too little), and results in weakened, fragile bones.
  Osteomalacia: Softening of the bones due to lack of vitamin D or inability to metabolize vitamin D. Leads to fractures, muscle weakness and bone pain.
  Rickets: Similar to adult osteomalacia, rickets involves weakening, softening and deformity of the bones due to vitamin D deficiency. Most often impacts children ages 6 months to two years of age, since the bones are growing quickly during this period.
  Paget's disease: Disruption of the bone recycling process, leading to deformity and fragility.
  Fibrous Dysplasia: Childhood disease that destroys normal bone composition and replaces it with fibrous tissue. Patients experience bone pain, and less commonly, deformity and fractures.
  Osteopetoris: Meaning "stone bone," this disorder is rare and inherited. The opposite of osteoporosis, osteopetoris bones become harder and denser. In extreme cases, osteopetoris can lead to deformity and stunted growth—and may even cause blindness and deafness due to the nerve strain caused by extra bone mass.
  Metabolic bone disease can be treated using a variety of disciplines, including physical therapy, nutritional therapy, endocrinology intervention, and more. In some cases, prescription drugs and fracture management make up a significant portion of the treatment process. Your Kayal Orthopaedic Center surgeon, in cooperation with recommended endocrinology and nutritional experts, will develop a treatment plan that addresses current symptoms and future disease management.
  Emphasizing continuity of care for long-term health improvement, our New Jersey bone specialists help you manage metabolic disease now—and in the future. From periodic testing and bone density scans to medication re-evaluations and new therapies, we remain on the cutting edge of care for all ages and all disease types.
  Schedule your MBD Appointment Today!
  If you or someone you love is experiencing pain, deformity or frequent fractures due to NJ metabolic bone disease, schedule an appointment with our team of orthopaedic specialists today. With offices in Ridgewood and Franklin Lakes, we are conveniently located—and provide most testing on-site. Contact our friendly staff to learn more. It is truly our pleasure to care for you!