Welcome to the South Texas Fracture Prevention Clinic
During your first visit, we will review your medical history, the history of your recent fracture, evaluate your risks for another fracture and discuss treatment options. If you are concerned about your bone health or your doctor refers you, the South Texas Fracture Prevention Clinic will help determine your bone health with excellent care. Call (210) 495-9047 today to get started.
Questions Your Doctor May Ask
- Have you had a bone density test before? If so, please let us know when it was done, and bring a copy for our records.
- Have you ever been told you have bone loss, osteoporosis, or osteopenia?
- Do you take calcium or vitamin D supplements?
- Have you had any other broken bones after age 50? South Texas Fracture Prevention
Patient Financial Services & Guidelines
Better Bone Health Diagnostics and Hospital and Doctor Bills
The services provided by the Fracture Prevention Clinic are considered a medical necessity by most insurance providers because of the risk of future fractures. Your insurance will likely cover these expenses. If you are uncertain, please contact your insurance provider to find out which services are covered.
If you do receive a bill, be sure to forward it to your insurance provider to have that portion paid first. Some insurers provide 100 percent of coverage for these preventive services.
Deductibles, co-insurance, copays and other balances are due when you receive services.
An X-ray can help your doctor determine if you have had any fragility fractures of the spine.
Bone Density Scan
If the prior 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 2 years. This will help your doctor confirm a diagnosis of osteoporosis and document the severity of bone loss.
You will need to wear loose-fitting, comfortable clothing without metal fasteners or buttons, preferably clothing with an elastic waist-band or drawstring. Sweats or exercise
clothing is ideal. Bone density tests are non-invasive. This means no needles or instruments are placed through the skin or body. The test usually takes about 15 minutes and
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.
Similar to an MRI, you will lay on the DEXA table while the staff positions you for optimal alignment. A maximum of three scans will be taken to determine your bone health.
Physical Exam, Lab Work and Bone Screening
To understand your current bone health, your doctor will use a combination of the following methods:
Your doctor 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 doctor 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.
Your doctor 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.
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.
The Two Categories of Osteoporosis Medications
Antiresorptive Medications Slow Bone Loss
Antiresorptive medications include bisphosphonates, calcitonin, denosumab, estrogen and estrogen agonists/antagonists. Because your bones are continually losing old tissue and replacing it with new tissue, these medications can help decrease the bone loss that occurs. The goal for patients is to slow bone loss and continue to make new bone at the same pace. These treatments can often help to prevent worsening bone loss and will reduce the risk of fracture.
Anabolic Medications Increase the Rate of Bone Formation
Anabolic drugs increase the rate of bone formation. They are in a distinct category of osteoporosis medications called anabolic drugs. Currently, Teriparatide, or Forteo, (a form of parathyroid hormone), is the only osteoporosis medications approved by the FDA that rebuilds bone. There are other similar medications being researched, but currently they are not available for treatment. The goal of treatment with anabolic medication is to build a healthy “bone bank account” and reduce the risk of breaking bones.
For a more comprehensive list of medications visit the National Osteoporosis Foundation Website.
With osteoporosis, the best defense is a strong offense: A Healthy Diet and Exercise!
Diet and Nutrition
Nutrition and osteoporosis are closely linked. Two key nutrients in preventing osteoporosis are calcium and vitamin D. Calcium is a key building block for your bones, while vitamin D allows your bones to absorb the calcium.
The amount of exercise your bones can handle will vary from person to person. Check with your health care doctor before beginning any exercise regimen! Please read the “Moving Safely” guidelines from the National Osteoporosis Foundation.
You will be scheduled for a follow-up about two weeks after your initial visit. At that time, your doctor will help evaluate your treatment and continue the planning process of care.
- National Osteoporosis Foundation
- National Bone Health Alliance – Medical professionals who strive to reach and maintain bone health to help prevent future fractures.
If you are concerned about your bone health or your doctor refers you, the South Texas Fracture Prevention Clinic will help determine your bone health with excellent care. Call (210) 495-9047 today to get started.
Special thanks to Wake Forest University Fracture Liaison Service for guidance and Authorization to use material.