October 3, 2013
If you screen by DXA alone you fail to identify most of the individuals who will fracture. Over 80% of fracture patients over age 50 have “osteopenia” or “normal” as their Bone...
September 30, 2013
A Hip Fracture over age 70 is Very Bad. About 20% of women and over 30% of men die from their hip fracture. Some consider these to be the lucky ones....
September 20, 2013
This week a patient was delighted to know she had no bone worries – based on her t-score of -2.4 in her hips. Unfortunately she was very wrong! “Osteopenia” is just...
April 17, 2013
The goal of Bone Health Evaluation and Treatment is Fracture Prevention! DXA and Bone Mineral Density (BMD) are useful tools for evaluation. But DXA and BMD are only one out of...
March 21, 2013
Vertebral Fracture Assessment (VFA) identifies many persons with Clinical Osteoporosis who are missed by DXA testing alone. How many? I reviewed my first 941 patients to have VFA with their...
March 19, 2013
The vertebrae (bones in the spine) can gradually crumble or suddenly crunch. The resulting minor ache is often mistaken for arthritis or a pulled muscle. Gradual crumbles are “morphometric” (detected by x-ray)...
March 15, 2013
DXA has been the standard screening test for Osteoporosis in the USA for two decades. DXA is easy to obtain and the computer print-out makes it look very simple to...
February 20, 2013
Increased Fracture Risk is Clinical Osteoporosis. Clinical Osteoporosis is a diagnosis. It is a chronic medical condition that you have for the rest of your life, like high blood pressure....
October 5, 2012
A fragility fracture is a fracture which happens from minor trauma. A stress fracture happens from repeated normal daily activities, like walking or going up or down stairs. This is...
January 23, 2012
The New England Journal of Medicine has just published a study of DXA results. The researchers have interpreted the results as a reason to stop testing women with DXA. The...