Looming changes in the management of "osteoporosis": A preview for clinicians

Normally, strong muscles make strong load-bearing bones, and persistently w eak muscles make weak ones. We now have a general understanding of how and why that happens. Unexpectedly that understanding also affects our understa nding of the nature, pathogenesis and study of disorders currently classifi ed as "osteopaenias" and "osteoporoses". Such things promise to change how we view, study and manage those disorders. At present, those things incite discussions among authorities that in time should lead to a new accepted "w isdom" about those disorders. Many clinicians who manage patients on a dail y basis would probably like to know what issues that process concerns. Beca use of the importance of those issues to so many millions of this planet's present and future six billion souls. and because of their bearing on the r elated research, one could argue that clinicians and researchers are entitl ed to know about those issues. For that reason this article summarizes some of them, of course as I seem them. It is understood that other times. places and people would resolve any ques tions about those issues, and that any new accepted wisdom that depends upo n their resolution should lie in the future.