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We will be closed on November 22nd and 23rd for Thanksgiving. We will reopen November 26 at regular business hours. If you are experiencing an emergency please call 911.
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We will be closing at 12:00pm on December 24st, 2018 for Christmas Eve. We will reopen December 26 at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on December 25th, 2018 for Christmas Day. We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.
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We will be closing at 12:00pm on December 31st, 2018 for New Years Eve. We will reopen January 2nd at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on January 1st, 2019 for New Years Day. We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on February 18th, 2019 for President's Day. We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on May 27, 2019 for Memorial Day. We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on July 4th, 2019 for Independence Day. We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on August 12th, 2019 for Victory Day.We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on September 2nd, 2019 for Labor Day. We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.
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We will be closed on October 14th, 2019 for Columbus Day. We will reopen tomorrow at regular business hours. If you are experiencing an emergency please call 911.

Fracture Prevention Program

Understanding Fracture Prevention

Many individuals who suffer bone fractures, and some without fractures, experience decreased bone mineral density or bone strength. Like high blood pressure, the loss of bone strength is not immediately apparent, but can be determined by relatively simple testing. Treatments are now available to prevent further bone loss and in many cases to restore bone strength. This reduces the risk of subsequent fractures.

Analyzing Bone Density

Bone mineral density or bone strength, is measured with a type of low energy x-ray called a DEXA scan. The scan is entirely noninvasive and takes approximately 15 minutes to complete. The measurement of an individual’s bone mineral density is compared to values of the normal population to determine the extent of bone loss. Patients under active treatment should have follow-up DEXA scans at 1-2 year intervals.

In instances of reduced bone mineral density, it is advisable to establish the cause. This is done by medical history, a brief physical examination, and laboratory studies from blood and urine tests.

Estimation of the Risk of Subsequent Fractures

Information obtained from the medical evaluation, DEXA scan, and laboratory tests make it possible to estimate the risk of subsequent fractures. We are using an online computerized assessment program called FRAX. FRAX is the World Health Organization’s fracture risk assessment measurement which provides a risk assessment reflecting specific personal features.

Treatment Options

Many patients can be treated with supplementary calcium, vitamin D, and weight bearing exercise programs. For other patients, several medications are available that can decrease bone loss, build bone strength, and reduce the risk of subsequent fractures.

What to Do

Following a fracture, especially one resulting from minimal trauma, or other indications of decreased bone strength, your orthopaedic surgeon may refer you for a metabolic bone assessment. You and your orthopaedic surgeon will be informed of the results of testing, the extent of the decreased bone mineral density, if any, and treatment recommendations.

We will communicate with your primary care physician and you may choose that s/he manage the treatment program.