Wednesday, May 4, 2011

Bone density testing; preventative testing is a must for wellness

Back in the day, bone density testing was performed only when someone broke a bone. But with new technology, our bone density can be tested using advanced x-ray techniques. The purpose of a bone density test is simple; it helps determine if you're a candidate for osteoporosis in the future or if osteoporosis is present, allowing your doctor to make a determination. The x-ray screening enables your doctor to determine how much calcium/bone minerals reside in your bones. The results then help determine which course of action you need to take in order to protect/prevent against bone loss in the future. My resource for this blog is http://www.mayoclinic.com/health/bone-density-test/MY00304/DSECTION=why-its-done. Visit this site to learn more in depth information regarding osteoporosis. For this blog, I've condensed the information as provided.


 

When our bones aren't strong, we sustain fractures much more easily and we fall prey to osteoporosis in our future. The bone density test performs three major results:

*Determines the risk of broken bones

*Monitors bone loss treatment

*Confirms a diagnosis of osteoporosis

*Identifies decreases in bone density


 

Those who are at greatest risk (both men and women) fall into the following categories:

Women – Over 50, post-menopause, not taking estrogen/hormone therapy treatment, have experienced a broken bone. While women usually range over 65 years old for osteoporosis, collectively I've provided this definition of those who are more at risk for this condition (i.e. suffered a broken bone after 50 years of age). Southeast Asian women have a greater risk of this disease. African American/Hispanic women have a lower risk but still are considered at risk.

Men – Over 50 who have experienced broken bones or have been advised that they are a potential candidate for osteoporosis. Usually men over 70 are at greatest risk, but if you've experienced broken bones or have received a diagnosis of potential osteoporosis then you are even more at risk. African American/Hispanic men are considered at risk for this disease.

Everyone – Under 125 lbs/average height, family history of osteoporosis or hip fractures and a history of fractures after 40 years old. Also, some medications are related to bone density loss (i.e. steroids) so check with your doctor or pharmacist if you have a family history that makes you susceptible to ensure you're medication doesn't add to the potential risk of bone loss.

Frequency of testing

It appears that in order to monitor bone density there needs to be approximately two years between testing. However, if you break a bone request a bone density test at that time (if it hasn't been already recommended) so you can have your condition monitored. Some (but not all) insurance policies will pay for this type of testing (but check with your health care provider before testing).

*Central devices – Commonly used in an office visit to test your bone density.

*Insurance – Not all health providers cover this testing; make sure to check with your health care provider prior to testing. However, many hospitals and other organizations will host free "health fairs" where testing is free. Many drug stores offer testing inside their facilities. These are usually low cost and affordable. Also contact your local hospital to see when they are offering their next "free screening/testing" and sign up now.

Preparation for testing

Make sure to let your doctor know if you have recently received any oral contrast or nuclear medical testing (tests that included injections of radioactive tracers) before performing a bone density test. The results might affect the accuracy of your bone density testing.

Quick tip for wellness: (In general) Women/men over 50 with any family history of osteoporosis or who have suffered from fractures should be tested every two years.


 

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