Bone Density Test
Bone density testing has been oversold - Dr. Steven Cummings

image by: BruceBlaus
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Patients With Normal Bone Density Can Delay Retests, Study Suggests
Bone loss and osteoporosis develop so slowly in most women whose bones test normal at age 65 that many can safely wait as long as 15 years before having a second bone density test, researchers report in a new study.
The study, published in Thursday’s issue of The New England Journal of Medicine, is part of a broad rethinking of how to diagnose and treat the potentially debilitating bone disease that can lead to broken hips and collapsing spines.
A class of drugs, bisphosphonates, which includes Fosamax, has been found to prevent fractures in people with osteoporosis. But medical experts no longer recommend the medicines to prevent osteoporosis itself. They no longer want…
Resources
A Perfect Storm for Broken Bones
A “perfect storm” threatens to derail the progress that has been made in protecting the bone health of Americans. As the population over 50 swells, fewer adults at risk of advanced bone loss and fractures are undergoing tests for bone density, resulting in a decline in the diagnosis and treatment of osteoporosis, even for people who have already broken bones.
Were Women’s Bone Scans Bone Scams?
Women are in such danger of osteoporosis they need regular bone scans. That was conventional medical “wisdom” since the first lucrative bone drug surfaced over a decade ago. But a recent article in the New England Journal of Medicine reveals that the warnings don’t apply to 90 percent of women who have been getting the scans — and the bone drugs the scans were designed to sell — for no reason. How did this happen?
Bone Density Test
Healthcare providers measure bone density in the hip and spine for several reasons. First, people with osteoporosis have a greater chance of fracturing these bones. Second, broken bones in the hip and spine can cause more serious problems, including longer recovery time, greater pain and even disability. Bone density in the hip and spine can also predict the likelihood of future breaks in other bones.
Are Bone-Density Scans As Crucial as Thought?
In the last several years, millions have heeded the advice, hoping to find out early whether they are at high risk for fractures. But what many women don't know -- and their doctors don't tell them -- is that the test is far from definitive. Results can cause undue alarm and even lead to unnecessary medication.
Bone Density Chart: Understand Your Bone Density Scores
Focusing too closely on the DEXA bone density scores can be a mistake. Many doctors admit that the DEXA T-score is not a perfect predictor for bone health or fracture risk.
Can Prunes Reverse Bone Loss?
Several studies suggest that eating prunes every day could help prevent or even reverse bone loss and osteoporosis.
Cracks in the Test: Doctors Improve Osteoporosis Screens
Current screens for osteoporosis are flawed, but doctors are repairing their methods.
I’m Doing Something Silly To Protect My Bone Density
For my last annual check-up, I had a bone density scan and got a nasty surprise. Like far too many women my age, I’ve got osteoporosis.
Older Women and Bone Tests
Bottom line: A DXA test might be something you need quite rarely…or pretty often. Without the first screening to assess your bone density, there’s no way to tell. But if your first test brings happy results and you have no other risk factors, you can probably put off the second test for years.
Repeated Bone Scans Shed Little Light On Fracture Risk
Many women have heard that they should be concerned about bone health as they age because there's a risk for crippling fractures. But repeated bone scans that are supposed to help assess the risk do a crummy job of predicting who's actually going to break a bone.
Patients With Normal Bone Density Can Delay Retests, Study Suggests
Bone loss and osteoporosis develop so slowly in most women whose bones test normal at age 65 that many can safely wait as long as 15 years before having a second bone density test, researchers report in a new study.
Choosing Wisely
A bone-density test gives out a small amount of radiation. But the harmful effects of radiation can add up, so it is best to avoid it when you can.

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