27th February 2025

A 72-year-old gentleman has been taking oral alendronate 70 mg once weekly after he sustained a low-impact right-sided Colles’ fracture.

A 72-year-old gentleman has been taking oral alendronate 70 mg once weekly after he sustained a low-impact right-sided Colles’ fracture. At his 5-year medication review, he reports that he tolerates this medication well; however, is complaining of generalised back pain for the past few months.

Examination reveals point tenderness at the midline lower thoracic level. A plain film radiograph shows T12 vertebral height loss. 

What is the most appropriate action to take at this point?

Select the SINGLE most appropriate option from the list below. Select ONE option only.