Metabolic bone disorder is a group of diseases that cause weakness in the bone structure. Osteoporosis is the most common metabolic bone disorder. It tends to occur insidiously and can often go undiagnosed. Individuals with this condition often find themself at risk of fracture. A simple fall or sudden impact could easily result in a fracture. The hips, wrists, and spine are common fracture sites in osteoporosis. 

Paget’s disease of the bone is another form of metabolic bone disorder. This is a condition where there is a disruption to the normal process of bone formation, leading to weakened and deformed bones. Individuals with Paget’s disease tend to experience bone and joint pain, though they might also experience nerve problems due to compression of the nerve from abnormal bones. 

These conditions can lead to fractures and bone deformities. Hence the importance of early detection and accurate diagnosis. 

A Rheumatologist would be able to diagnose these conditions using a combination of history taking, physical examination, and investigations such as blood tests and scans. The appropriate treatment plan can then be formulated to tailor to each individual patient.