Fracture Liaison Service - Osteoporosis and Bone Health
Osteoporosis and Bone Health Management
A Best Practice, Evidence-based Program
The Fracture Liaison Service continually strives to assist you in reaching and maintaining bone health to help prevent future fractures. If you are 50 years old or older and have had a fracture, or if your provider feels that you will benefit from a bone health evaluation, our Fracture Liaison Service could be a resource to help you. Our goal is to help our patients to minimize the risk of another fragility fracture.
Contact us at 336-716-8735.
To understand your current bone health, your provider will use a combination of the following methods:
- Medical History
Your provider will ask you questions in order to obtain a thorough and accurate medical history. In particular, you will be asked questions relating to any personal history of fracture, family history of fracture and other risk factors for osteoporosis. It is important to let your provider know the medications you have been taking during the last 10 years because some are known to increase an individual’s risk for low bone mass and fractures.
- Physical Examination
Your provider will give you a limited physical exam with emphasis on the spine. Many fragility fractures go unnoticed by patients. Loss of height is sometimes an excellent marker for the presence of vertebral fragility fractures.
- Laboratory Tests
Some lab tests are specific to bone health. We will check your medical records to see if any of these have been performed in the last six months. If so, we will not repeat the tests. If not, we will need to perform the lab work.
An X-ray can help your provider determine if you have had any fragility fractures of the spine.
- Bone Density Scan
If the above tests indicate probable loss of bone density, we will make arrangements for you to have a bone density scan if one has not been done in the past year. This will help your provider confirm a diagnosis of osteoporosis and document the severity of bone loss. With most types of bone density tests, a person remains fully dressed. The test usually takes less than 15 minutes. Bone density tests are non-invasive and painless. This means that no needles or instruments are placed through the skin or body. A central DXA uses very little radiation. You are actually exposed to 10 to 15 times more radiation when you fly roundtrip between New York and San Francisco.