ARFP

Autumn Road Family Practice

501-227-6363

Diagnosis of Osteoporosis

There are several screening methods to test for the presence of osteoporosis, but only one widely accepted test to diagnose osteoporosis, and that is a DXA Bone Density Test.  Some of the screening tests are normal x-ray or even ultrasound of the heel.  If you score 6 or higher on the Osteoporosis SCORE questionnaire you should ask for a bone density test and a complete bone health evaluation.

The DXA test is similar to a x-ray of your hip and lower spine.  The results are expressed as a number known as a T-Score.  Normally the bones are the strongest about age 30, and the T-Score compares your bone density now to the average normal 30 year old bone density,  A negative number indicates your bones are weaker or less dense than the 30 year old bones.  A T-Score of -2.5 or worse is osteoporosis.

  •  A T-score between - 1.0 and -1.4
    • 10% - 15% below normal bone mass
    • 2.3 times greater risk of spine fracture
    • 2.6 times greater risk of hip fracture
  •  A T-score between -1.5 and - 1.9
    • 15% - 20% below normal bone mass
    • 3 times greater risk of spine fracture
    • 4 times greater risk of hip fracture
  •  A T-score between - 2.0 and - 2.4
    • 20% - 25% below normal bone mass
    • 5 times greater risk of spine fracture
    • 7 times greater risk of hip fracture
  •  A T-score of -2.5 or worse
    •  Bone mass more than 25% below normal
    • 8 times greater risk of spine fracture
    • 11 times greater risk of hip fracture

Unfortunately your first DXA test does not indicate if you are loosing bone or not, only where you are at that time. Help prevent fractures   is a informative site about DXA testing.

If you would like to have testing for osteoporosis, please call 227-6363 to schedule an appointment  with one of our doctors.