BACKGROUND :.  Osteoporosis   can be measured by  Bone Mineral Density(BMD).Supplementing,Calcium Vitamin D &Ibandronic acid  can reduce bone mass to an extent OBJECTIVE:  To assess  the effect of change of bone mineral density  with calcium , Vitamin D &Ibandronic acid in patients with osteoporosis and to  document the overall pain score by the Visual Analogue Scale ( VAS) METHODS:  Prospective study , over 9 months, where 201  patients were screened, and  detected were treated and followed up by the BMD score.      RESULTS :  among the patients screened ,100 patients had osteoporosis and 29 had osteopenia,  and were treated with Calcium ,Vit D3 &Ibandronic acid .Statistically significant improvement in mean  T score of BMD documented, with overall pain reduction CONCLUSION : Appropriate  timely supplementation  of Calcium ,Vit D &Ibandronic acid   can  improve the BMD and to an extent reduce overall pain.