Bone & Mineral Health

Programs cover osteoporosis/osteopenia, osteomalacia, metabolic bone disease, vitamin D/calcium disorders, Paget’s disease, and secondary fracture prevention. India provides rapid DEXA, targeted labs, and therapies (bisphosphonates, denosumab, teriparatide) with integrated fall-prevention and rehab—coordinated end-to-end by MediHeal International.

• Adults with low-trauma (fragility) fractures, height loss, or vertebral compression fractures.
• Postmenopausal women and men ≥50 with high FRAX risk or low DEXA T-scores (≤−2.5).
• Patients with chronic steroid use, hyperparathyroidism, malabsorption, CKD-mineral bone disorder, or vitamin D deficiency.
• Individuals with bone pain, muscle weakness, or biochemical abnormalities (calcium, phosphate, ALP, PTH).

• Up to 50–90% lower overall costs vs Western markets with access to endocrinology, orthopedics, imaging (DEXA), and rehab.
• High-volume centers, quick appointments, and itemized, transparent packages for evaluation through treatment.

• Match to centers offering DEXA, comprehensive lab panels, endocrine/orthopedic review, and rehab under one roof.
• Obtain itemized quotes (DEXA sites, lab lists, drug brands/doses, physio sessions, follow-up cadence).
• Coordinate visas, airport transfers, nearby lodging, interpreters, and tele-follow-ups for long-term outcomes.

• Diagnostics— DEXA (hip/spine ± forearm), vitamin D, calcium, phosphate, ALP, PTH, thyroid profile; rule out secondary causes.
• Medical Therapy— Antiresorptives (bisphosphonates, denosumab) and anabolics (teriparatide/abaloparatide) with calcium/vitamin D repletion.
• Prevention & Rehab— Fall-risk assessment, balance training, nutrition, hip protectors where indicated, and home safety planning.
• Surgical Coordination— Orthopedic fixation pathways for fragility fractures and structured secondary fracture prevention.

1. Pre-arrival

   • Share prior DEXA reports, fracture history, medication list (including steroids), and recent labs if available.
   • Receive a written plan: evaluation bundle (DEXA sites, lab panels), likely therapies, visit count, and itemized costs.

2. In-clinic Evaluation

   • DEXA hip/spine ± forearm; targeted labs to distinguish osteoporosis from osteomalacia or hyperparathyroidism.
   • FRAX or similar risk stratification; nutrition and lifestyle counseling.

3. Treatment Initiation & Education

   • Start pharmacotherapy (as indicated) with calcium/vitamin D; review dosing technique and adherence.
   • Fall-prevention plan, physio sessions, and fracture-prevention education.

4. Follow-up & Continuity

   • Tele-reviews for symptom checks and lab monitoring; repeat DEXA at 12–24 months based on risk.
   • Written handover to home-country clinician for ongoing management.

1. Outpatient regimens

   Most therapies are ambulatory; clinical review at 6–12 weeks for tolerance and labs.

2. Monitoring

   DEXA typically every 1–2 years; earlier reassessment after fractures or major therapy changes.

3. Post-fracture pathways

   Early mobilization, pain control, and secondary fracture prevention started during admission or soon after.

• Accurate diagnosis (DEXA + targeted labs) enabling tailored therapy and fewer missed secondary causes.
• Reduced fracture risk and improved function via medication, nutrition, and fall-prevention programs.
• Substantial cost savings with coordinated, time-efficient evaluation for international travelers.

• Request itemized quotes specifying DEXA sites, lab lists, drug brands/doses, brace needs, and follow-up cadence.

• Medical visas support chronic disease evaluation and treatment; up to two attendant visas are common.
• Plan 3–7 days in-country for evaluation, therapy initiation, and education; tele-follow-ups for dose adjustments thereafter.

• Bring prior DEXA/lab reports, fracture records, surgery notes, and full medication/supplement list.
• List of allergies/intolerances and prior dental history if antiresorptives are expected.
• Arrange safe home setup (fall-proofing) and discuss exercise preferences for adherence.

• Balance and strength training (hip/core), gait aids if needed, and home-safety modifications.
• Dietician-guided calcium/vitamin D intake and protein adequacy; adherence tracking.
• Tele-physio and scheduled reviews; DEXA/lab reminders at agreed intervals.