Bone Health Institute Enters 2014

Cedar Valley Bone Health Institute of Iowa is growing.  Added staff and increased hours accomodates increased numbers of patients.  New programs will roll out in early 2014.  BoneDocBlog.com now exceeds...

So, There Is Nothing You Can Do For Me

Recently a patient finished her half hour visit by saying, “so there is nothing you can do for me”.  We had discussed Low Bone Mineral Density (BMD) on her DXA;...

2 Fractures for Each Heart Attack

Friday is the Go Red For Women in Waterloo, sponsored by the American Heart Association.  Heart Disease is now recognized as a major health issue for women, as well as...

ASBMR 2013

The American Society for Bone & Mineral Research 35th Annual Meeting has just concluded.  Of the roughly 2000 attendees, nearly half were form other countries.  Most are PhD researchers dealing...

DXA Alone Misses Most Fracture Victims

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...

Fracture Risk!!!!!!!! Not DXA Alone

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...

What’s That For?

Patients often ask “What’s that for?” when I order blood tests.  They understand that DXA is for Bone Mineral Density (BMD).  They understand Vertebral Fracture Assessment (VFA) when I show...

Fracture Prevention – Not Bone Mineral Density

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...

VFA Adds Acuracy to DXA Testing

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...

VFA – An Additional Standard

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)...