Endocrinology

The Montefiore Approach

Endocrinology and metabolic bone disease is an essential component within the Department of Orthopedic Surgery at Montefiore. Bone is a living tissue that responds to many nutritional and environmental factors. Health of the bone is therefore vital to overall musculoskeletal care. Our knowledge and expertise within the field ensures the highest quality care for even the most complicated cases.

We are dedicated to the diagnosis and management of metabolic bone conditions, from more common conditions like osteoporosis to lesser known ailments, such as hyperparathyroidism. Working together, our goal is to help patients realize optimal bone health and avoid fractures, healing delays, and other preventable skeletal events.

As an academic medical center, we are constantly striving for innovations in bone health and metabolic bone disease treatment. We work to develop novel and cutting-edge techniques for the advancement of care within our own health system and beyond.

  • Our Patient-Centered Care

    The experience of our patients and their loved ones—not simply their ailments—demands our full attention. Your dedicated care team will be there to discuss your condition, answer questions, assess treatment options, and develop a treatment strategy that is best for you.

  • Our Expertise

    Osteoporosis is a very common and often undertreated condition that can lead to substantial bone weakening and, potentially, fragility fractures. At Montefiore, we believe that optimal outcomes are achieved through thorough evaluations, accurate diagnoses, and intelligent patient-specific treatment plans developed through years of clinical experience. Our experts endeavor to prevent future fractures and, if a fracture has already occurred, to address the underlying cause in order to ensure timely and optimal healing.

Conditions We Treat

Montefiore treats a vast spectrum of conditions, a selection of which you will find listed below. In addition to these, we have experience treating many other conditions. Please contact us today to schedule a consultation so that we can review and discuss your specific healthcare needs.

Some Common Conditions

  • Osteoporosis
  • Glucocorticoid-induced osteoporosis
  • Osteoporosis associated with aromatase inhibitor therapy for breast cancer
  • Osteoporosis associated with androgen deprivation therapy
  • Osteomalacia
  • Disorders of calcium metabolism and parathyroid gland
  • Paget’s disease
  • Osteogenesis imperfecta
  • Vitamin D deficiency

Our Treatments

Treatment plans are tailored to the individual needs of a patient’s specific metabolic condition. Using advanced laboratory testing and analysis, we determine the cause of the injury or condition. From there, we plan the most appropriate course of action.

Highlighted Treatments

  • Antiresorptive Therapy

    Fragility fractures caused by osteoporosis can have devastating consequences on patients and their families, causing pain and immobility, as well as potential complications like blood clots, infections, and even untimely death.

    Antiresorptive therapies are used to increase bone strength in individuals with osteoporosis. They include several classes of agents: bisphosphonates, estrogens, selective estrogen receptor modulators (SERMs), and monoclonal antibodies, such as denosumab. Available in oral and injectable forms, these agents are proven to prevent fractures and treat osteoporosis.

    After a detailed evaluation of each patient’s medical conditions, prior treatment history, contributing factors, personal preferences, benefits, and risks, our experts will help each patient choose the most appropriate treatment for them.

  • Anabolic Therapy

    Fragility fractures caused by osteoporosis can have devastating consequences on patients and their families, causing pain and immobility, as well as potential complications like blood clots, infections, and even untimely death.

    Until recently, antiresorptive therapy was the only treatment option available for osteoporosis. Newer anabolic agents have now become available for patients who cannot tolerate antiresorptive therapy.

    Our experts guide patients on whether and when they might need anabolic therapy, and help to monitor them during treatment to ensure a safe and optimal response.

  • Surgery for Parathyroid Condition

    Disorders of the parathyroid gland are relatively common. While most cases are mild and can be managed non-surgically, in more severely affected patients, the resulting elevated calcium levels or osteoporosis might require a surgical approach.

    Our physicians will carefully evaluate each patient on a case-by-case basis to determine who may benefit from surgery and who can be safely monitored. If surgical intervention is deemed necessary, our physicians will help coordinate further care with expert head and neck surgeons who are dedicated to the management of parathyroid disorders.