It could be the first sign of osteoporosis, warning you that your bones are losing density, and it’s time to start thinking about it. What follows are bones that are more fragile, with a greater risk of fractures in the future. There are cases in which osteoporosis is not completely silent and can manifest with bone pain, especially in the back, particularly in the lumbar area, which is often underestimated if not ignored altogether (especially by us women who endure pain better than men). It might also be confused with pain due to ‘osteoarthritis (“joint pain”), which is also related to a lack of estrogen. The best thing to do is to talk to your doctor immediately and evaluate together whether it is appropriate to do a Bone Mineral Density (BMD).