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"Early
Diagnosis -
the first step toward preserving your independence"
Our
Physicians:
Jeffrey
L. Janies, M.D.
Charles H. Lawler, M.D.
Shawn C. Kleinpeter, M.D.
Jane B. Peek, M.D.
Lisa C. Gautreau, M.D.
Laurie M. Whitaker, M.D.
Nicole H. Chauvin, M.D.
Diplomats
American Board of Obstetrics and Gynecology
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Osteoporosis
Osteoporosis can
rob you of your independence
Osteoporosis
and associated fractures can rob you of your mobility and your independence.
Osteoporosis is a disease that reduces the strength of your bones, causing
them to become brittle and prone to fractures. Approximately 54% of women
over the age of 50 have osteoporosis and are at risk of an osteoporosis-related
fracture. A woman's risk of hip fracture alone is equal to the combined
risk of developing breast, uterine, and ovarian cancer - and up to 24%
of women who suffer hip fractures die within one year of the fracture.
A bone density test
can provide the information your doctor needs
Bone mineral
density (BMD) tests use small amounts of radiation to determine the density
of the spine, hip, wrist, and other skeletal sites. Your results are compared
with the average BMD of healthy young adults of your sex. This information
can help your doctor diagnose osteoporosis or assess your risk for developing
osteoporosis in the future.
Reason for BMD testing
Your doctor
may recommend a BMD test to:
- Help confirm
a diagnosis of osteoporosis before a fracture occurs
- Detect
low bone mass before osteoporosis develops
- Monitor
the effects of treatment on bone density over time (e.g., at intervals
of at least 12 - 24 months)
Physicians
recommend BMD testing for many different types of patients, including
postmenopausal women with risk factors for osteoporosis who have never
been on therapy for osteoporosis, patients taking steroid medication,
patients with hyperthyroidism, patients who have had a fracture in which
osteoporosis is suspected.
Early diagnosis can
make a difference in your life
With the
results of your BMD test, you and your doctor can determine what lifestyle
changes or treatment measures should be taken, or if additional tests
are appropriate, If osteoporosis is diagnosed, treatments are available
that can increase bone density and reduce the risk of fracture.
How is a bone density
test done?
Depending
on the type of equipment your doctor selects to measure your bone density,
you may be asked to lie on a table while a movable arm passes over the
area to be tested (for example, the arms, spine or hips). Or, you may
simply place your forearm into another type of instrument while you remain
seated. Another technology uses a standard X-ray machine and involves
only the fingers of one hand. All technologies are accurate, simple, painless
and noninvasive, and all tests are completed in a short period of time.
Is bone density test
the same as a bone scan?
No. A "bone
scan" is a procedure requiring an injection of radioactive material.
A bone density test is faster and requires no special preparatory drinks,
medications, or injections.
How much radiation
will I be exposed to?
In most cases
your radiation exposure will be a fraction of what you would receive from
a standard chest X-ray. You may also be interested to know that the radiation
exposure is actually about the same as you would experience on a cross-country
airline flight. As with any medical procedure, be sure to inform your
physician if you are pregnant.
How long does the
test take?
Tests of
areas commonly measured, such as spine, forearm, or hip, can take 2 to
5 minutes each.
What should I wear?
Wear comfortable
clothing, preferably without metal buttons, buckles, or zippers.
If you are postmenopausal,
ask your doctor if a bone density test would be of value to you
Women who
are postmenopausal are at risk for osteoporosis. The presence of any one
of these factors can add to your risk:
- Age (bone
loss increases with advancing age)
- Inactive
lifestyle
- Thin or
small build
- Previous
fracture
- Family
history of osteoporosis
- Early
menopause (before the age of 45)
- Smoking
- Caucasian/Asian
race *
- Certain
medications (including steroids and thyroid hormone)
- Alcohol
abuse
- Inadequate
calcium intake
*
although these races are at increased risk, all races and ethnicities
are at risk for osteoporosis
Note:
You may still have none of these risk factors and still be at risk for
osteoporosis. Some authorities believe that the presence of any of these
factors increases the risk of osteoporosis. However, even if you have
none of these factors, you may still have osteoporosis - only a bone density
test can provide the information your doctor needs to help make a diagnosis.
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