Thank you for your post in which you request information about how to get a specialist review.  Just to say, that I’m really sorry that this response is not going to reach you in time for your GP appointment (this morning). 

Probably the first thing that you and your doctor will need to determine is the key problem or priority at this stage since this will influence the choice of specialist. For example if your overriding difficulty is with managing pain then a referral to a pain clinic would be most appropriate. However, if a specialist opinion is needed to guide the management of your osteoporosis then you would usually be referred to a rheumatologist. This would often be for further investigations to understand the causes of bone loss or to help with decisions about osteoporosis drug treatments.
 
Sometimes your doctor will seek guidance from a different type of specialist, such as gynaecologist or endocrinologist if you have (or might have) underlying medical conditions affecting your bones.

It will also depend on how services are organised in your area as some rheumatology clinics offer a more coordinated approach and can refer a patient directly to another service.

I do hope you are able to make progress with this and your appointment goes well this morning.


Best wishes

Helpline Nurses
National Osteoporosis Society