Osteoporosis is a silent killer as in most cases the only way a person knows about the condition is after suffering from fractures. And if you are experiencing any symptoms of osteoporosis then undergoing diagnosis is the first step. Dr Raghavendra KS Consultant Joint Replacement & Spine Surgeon Fortis Hospital Kalyan lists the step by step procedure for testing and treatment of osteoporosis to help you out have a better idea of the condition. Also read must-know facts about bone loss and osteoporosis. Step 1: Identify patients at risk for osteoporotic fractures by clinical assessment and bone mineral density test.