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London Osteoporosis and Bone Health Practice
Midlands and London Osteoporosis Clinic
The diagnosis and treatment of Osteoporosis by Consultant Physician Dr. Balakrishnar Manivannan MB, BS (Hons), FRCP(London) in the Midlands and London.
Appointments line 0333 577 1633 or Click here to email
Dr Manivannan has wide experience in diagnosing and treating osteoporosis in patients over the age of 50 years in both women and men.
He established and continues to provide -an innovative and cost effective Fracture Liaison and Osteoporosis practice for the NHS.

At the Midlands and London Osteoporosis Practice, your evaluation for Osteoporosis will include-

1. A full profile of blood tests to rule out secondary causes of osteoporosis- analysed at a fully accredited pathology laboratory. (Do you want to know more about secondary causes of osteoporosis –please read our Blog)
2. A DEXA bone densitometry assessment scan undertaken by a qualified radiographer registered with the Health Professions Council of the UK and reported by a Consultant Radiologist (medical specialist in x rays and scans) registered with the General Medical Council (UK) and accredited by the Royal College of Radiologists.
3. With results of blood tests and DEXA scan - a full consultation with Dr Manivannan. This will include
  • A detailed clinical review focussing on medical and lifestyle factors and in appropriate cases a focussed clinical examination
  • Full interpretation of the blood test results and DEXA scan result in the context of the individual patient
  • An analysis of future fracture risk
  • Individualised tailor made recommendations on treatment
  • Discussion on merits and side effects/problems of different groups of drugs; and their interaction with any other drugs patient would be already taking for other existing medical problems
  • A detailed and comprehensive letter to patient and his/her GP ) and recommendations regarding follow up and future review
4. Patients will be invoiced the consultation fee by us. They will be invoiced separately by the scan centre and the laboratory for the scan and blood tests.
Consultation Fees
Consultation fees All locations
Initial consultations £225
Follow up consultations £150
We accept payment by cheque or cash on the date of consultation. We will issue a receipt immediately.

Patients with private health insurance are requested to obtain pre-authorisation from their insurer. Some insurers will expect the patient to settle a part of the invoice and we kindly request the patient to clarify this with their insurer, and pay this part (if any) on the date of consultation.