The Osteoporosis Center at Rogue Valley Physicians
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Rogue Valley Physicians of Medford Oregon
The Osteoporosis Center

Physician Portal

Schedule a Patient
What Test Should You Order
When Should a Patient be Tested
Risk Factors for Osteoporosis
Insurance Coverage
Prevention

Medford Oregon Osteoporosis Center

Schedule a Patient

Download a scheduling form here. (PDF)

PDFs: You will need Adobe Acrobat Reader to view and print PDF forms. If you do not have this program, you may download it for free here.

You can also call our scheduling department at 541-282-2213.

Medford Oregon Osteoporosis Center

What Test Should You Order

Standard DXA scan: DXA with Vertebral Fracture Screening.
This is the recommended study. Standard scanning is performed of the Lumbar spine and Hips. If the patient has height loss, we will also perform a screening x ray of the spine for silent fracture.  Silent vertebral fracture significantly changes the risk of future fracture.

DXA only: 
Standard scanning is performed of the lumbar spine and hips.

DXA of wrist:
Ordered for:
Patients with no insurance or no coverage for the scan
Patients over 300 lbs.
Patients who cannot be evaluated due to hip issues

DXA with Reflex Consult: Standard DXA scan with consult for patients with <-3.0 T-score. Consult includes report evaluation, education of condition and treatment options.

Consultation: Explanation of DXA report, and education of condition, treatment options and lifestyle changes.

Pediatric Bone Evaluation: Ordered to evaluate nutrition or seizure disorders, or unexplained fractures. Patient is 18 or under. Evaluated using age specific protocols. This is not a standard DXA scan, so be sure to request this for any patient 18 or less. 

Medford Oregon Osteoporosis Center

When Should A Patient Be Tested

Bone density testing is strongly recommended if your patient:

  • Is a post-menopausal woman and not taking estrogen.
  • Is over 65.
  • Is underweight for their height.
  • Started menopause before the age of 45.
  • Is a heavy drinker.
  • Has a personal or maternal history of hip fracture or smoking.
  • Is a post-menopausal woman who is tall (over 5 feet 7 inches) or thin (less than 125 pounds).
  • Is a man with clinical conditions associated with bone loss.
  • Is a man 75 years of age and older.
  • Has type 1 (formerly called juvenile or insulin-dependent) diabetes, liver disease, kidney disease or a family history of osteoporosis.
  • Has high bone turnover, which shows up in the form of excessive collagen in urine samples.
  • Has a thyroid condition, such as hyperthyroidism.
  • Has a parathyroid condition, such as hyperparathyroidism.
  • Has experienced a fracture after only mild trauma.
  • Has had x-ray evidence of vertebral fracture or other signs of osteoporosis.
  • Has one of the these medical conditions:
  • Cancer
  • Chronic hepatic or renal disease
  • Chronic lung disease
  • Cushing’s disease
  • Endocrine disorders
  • Genetic abnormalities
  • Hyperthyroidism
  • Inflammatory bowel disease
  • Kidney disease
  • Multiple sclerosis
  • Paget’s disease of bone
  • Rheumatoid arthritis
  • Rickets and osteomalacia
  • Vitamin D deficiency
  • Takes one of these medications:
    • Oral glucocorticoids (steroids)
    • Cancer treatments (radiation, chemotherapy)
    • Thyroid medicine
    • Antiepileptic medications
    • Gonadal hormone suppression
    • Immunosuppressive agents

Diseases That Cause or Contribute to Secondary Osteoporosis

Citation
U.S. Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General. U.S. Department of Health and Human Services, Office of the Surgeon General, 2004

Medford Oregon Osteoporosis Center

Risk Factors For Osteoporosis

Risk factors:

  • Gender – Women have less bone tissue and lose bone faster than men because of the changes that happen with menopause.
  • Age – The older your patient, the greater your risk of osteoporosis.
  • Body size – Small, thin-boned women are at greater risk.
  • Ethnicity – Caucasian and Asian women are at highest risk. African American and Hispanic women have a lower but significant risk.
  • Family history – Fracture risk may be due, in part, to heredity. Patients whose parents have a history of fractures also seem to have reduced bone mass and may be at risk for fractures.

Risk factors due to lifestyle choices:

  • Sex hormones – Abnormal absence of menstrual periods (amenorrhea), low estrogen level (menopause), and low testosterone level in men can bring on osteoporosis.
  • Anorexia nervosa – Characterized by an irrational fear of weight gain, this eating disorder increases your risk for osteoporosis.
  • Calcium and vitamin D intake – A lifetime diet low in calcium and vitamin D makes a person more prone to bone loss.
  • Medication use – Long-term use of glucocorticoids and some anticonvulsants can lead to loss of bone density and fractures.
  • Lifestyle – An inactive lifestyle or extended bed rest tends to weaken bones.

Medford Oregon Osteoporosis Center

Insurance Coverage

Generally insurance carriers cover DXA screening when indicated by a referring physician or on an annual basis if they have been diagnosed with osteoporosis.

DXA screening is also covered if risk factors are present, which for most females is menopause.

For males screening is usually not covered unless they have had some bone breakage. It is however recommended in all males 75 years of age and older.

Medicare and most other insurance carriers will pay for an exam every two years if your patient has been diagnosed with osteopenia, a condition where bone mineral density is lower than normal. Osteopenia is considered by many doctors to be a precursor to osteoporosis.

It’s never too late — or too early — to do something about osteoporosis.

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