1. Whether You Need it or Not
Part of the aging process includes a certain amount of bone loss. This loss is determined by both lifestyle and genetics. Everyone over 60 years of age should be tested for osteopenia, which is an indicator of the beginning stages of the degenerative bone disease. If you receive this diagnosis, often early treatment can prevent any further damage. It's worth it to get tested.
2. The Ankle Test
A simple test is done in the doctor's office using a set of bone density measuring calipers. These tools are set on the ankle and can gauge the necessity of a more involved bone density scan using x-rays. The caliper test is often available at health screening fairs for little or no charge. By taking this first step, you may learn that you are at risk for osteoporosis and can take the necessary steps to get a more conclusive test. Early treatment can help prevent brittle bones and breaks.
3. Lie Down
The densitrometry test, or DEXA scan, is like an MRI in that you lie down on a large machine that scans your whole body. Unlike a bone scan, you do not have to have an injection for the x-ray machine to determine the calcium and mineral content of your bones. While smaller, mobile testing machines are available to scan specific areas of your body, such as hip and wrists where bone degeneration often begins, the DEXA scan is the most reliable. It does emit a small amount of radiation, but the test lasts no longer than 10 minutes.
4. Test Again
Menopausal women should be tested for bone density every two years. Your doctor can compare tests and watch for improvement if you've been taking medication. Anyone who has received a diagnosis for osteoporosis, regardless of age or gender, should be retested as well. Check with your insurance carrier for instructions on how to get these expensive tests covered. Many companies have varying degrees of coverage depending on your initial diagnosis.
5. Get a Second Opinion
Doctors don't always agree on what the tests say or what they predict about your level of bone density. The readings from the MRI can be interpreted differently. Gynecologists who deal with women's issues every day will see the low level of bone density as more normal in menopausal women, while a general practitioner may become alarmed at the results, leading to different treatments. It is appropriate to take your x-rays to a couple of doctors before beginning a drug treatment, which could have lasting side effects.
