The DXA Difference

More than a scan. The information you actually need.

DXA (Dual-Energy X-ray Absorptiometry) is the gold standard for measuring bone density. It's a quick, painless, non-invasive scan that uses very low levels of X-rays to determine how dense your bones are.

The scan typically measures bone density at the hip and spine—the most common sites for osteoporotic fractures. Results are reported as a T-score, which compares your bone density to that of a healthy 30-year-old adult.

  • T-score of -1.0 or above: Normal bone density
  • T-score between -1.0 and -2.5: Low bone density (osteopenia)
  • T-score of -2.5 or below: Osteoporosis

A DXA scan takes about 10-15 minutes and requires no special preparation. It's the essential first step in understanding your bone health and fracture risk.

Most DXA scans are limited by insurance rules, not by what's best for your bone health. At The Bone Health Clinic, we do things differently.

We don't let insurance companies dictate what we measure. Instead, we perform the most comprehensive DXA evaluation available—because better information leads to better decisions.

Why Our DXA Is Different

A standard DXA often looks at only one or two areas. That approach can miss critical information about fracture risk, bone quality, and silent vertebral fractures.

At The Bone Health Clinic, your DXA is designed to give you a complete picture of your skeletal health—not just a number.

What We Measure

Our comprehensive DXA evaluation may include:

  • Spine DXA – to assess central bone density and treatment response
  • Hip DXA – the gold standard for fracture risk assessment
  • Forearm DXA – especially important in hyperparathyroidism, prior wrist fracture, or when spine or hip data are limited
  • Trabecular Bone Score (TBS) – evaluates bone quality, not just bone density
  • Vertebral Fracture Assessment (VFA) – detects silent spinal fractures that often go undiagnosed

This level of detail allows us to identify risk earlier, personalize treatment, and avoid false reassurance.

Why DXA Quality, Consistency, and Expertise Matter

DXA is operator-dependent. How the scan is performed—and how it is interpreted—directly affects accuracy.

Consistency Is Critical

When tracking bone density over time or establishing a baseline, consistency and reliability matter more than a single number.

  • DXA machines are not interchangeable
  • A scan performed on one machine cannot be directly compared to a scan done on a different machine
  • Small technical differences can appear as bone loss or gain when none has actually occurred

"It's like stepping on a different scale every year—your weight may look different even if nothing has changed."

Because we make important treatment decisions based on these measurements, having your DXA performed on the same machine, using the same technique, with expert oversight is essential.

That's why we strongly recommend establishing and following your DXA measurements at The Bone Health Clinic.

Expertly Performed. Expertly Interpreted.

Your scan is performed by a specially trained DXA technologist, ensuring precision and consistency.

But we don't stop there.

We do not let the machine "do the work."

Every scan is:

  • Individually reviewed
  • Interpreted in clinical context
  • Personally explained to you

We take the time to help you understand what your results mean, why they matter, and what to do next.

Beyond Bone Density: The Importance of TBS

Bone density alone doesn't tell the whole story.

Trabecular Bone Score (TBS) is an advanced measurement derived from your spine DXA that evaluates bone quality and microarchitecture.

Think of it this way:

Bone Density

How much bone you have

Trabecular Bone Score (TBS)

How well that bone is built

Two people can have the same bone density but very different fracture risk based on TBS.

Why TBS Changes Management

TBS helps us:

  • More accurately assess fracture risk
  • Identify patients whose bone density appears acceptable but whose bone quality is compromised
  • Make more precise treatment decisions
  • Avoid under-treating patients who appear low risk based on density alone

Certain conditions—such as diabetes, chronic steroid use, inflammatory disease, hormonal disorders, or prior fractures—can negatively affect bone quality even when bone density appears normal. In these cases, TBS often reveals higher fracture risk that would otherwise go unrecognized.

Why Start Your DXA at The Bone Health Clinic

Getting your DXA done correctly the first time matters.

  • Avoid incomplete or misleading results
  • Establish a high-quality baseline for future comparison
  • Make confident, informed decisions about prevention or treatment
  • Ensure care guided by clinical expertise—not insurance limitations

At The Bone Health Clinic, your DXA is not just a test.
It is the foundation of your bone health strategy.

This is what informed bone health care looks like.

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