Trabecular bone score

Many people are told they have osteopenia or osteoporosis based on one measurement, the T-score, but bone health is far more complex than bone density alone.

In this episode, we're gonna explore DEXA, full body DEXA, EchoLight REMS, fragility score, trabecular bone score, bone quality, and fracture risk.

Because the goal isn't just to identify that bone density is low, the goal is to understand what's happening in the person in front of you, what factors may be contributing, and how to create a root cause personalized strategy.

'Cause the test gives us data, but the practitioner creates meaning.

So it also shouldn't let us ignore concerns on the DEXA, right? So we have to use these in combination with each other.

It's just another piece of information, and sometimes that in- additional information helps us to see things.

The other tool worth understanding is the Trabecular Bone Score, TBS, and it is, uh, derived from the texture of the lumbar spine DEXA image.

Gives us additional information about the quality of the trabecular structure inside the bone.

So today, we're going to look beyond the number.

We're going to talk about conventional DEXA, full-body DEXA, Echolite REMS, fragility score, trabecular bone score, bone density, bone quality, and fracture risk.

Because we as practitioners need to understand what each tool can tell us, what each tool can miss, and why no imaging test should ever be interpreted without the person attached to it, we need to discuss this.

Many people are told they have osteopenia or osteoporosis based on one measurement, the T-score.

But bone health is far more complex than bone density alone.

In this episode, we're going to explore DEXA, full-body DEXA, Echolite REMS, fragility score, trabecular bone score, bone quality, and fracture risk.

Because the goal isn't just to identify that bone density is low.

The goal is to understand what's happening in the person in front of you, what factors may be contributing, and how to create a root-caused personalized strategy.

It only tells you density.

It doesn't tell you quality unless you get TBS or 3D Shaper, but even those aren't that great.

So you know density, but you don't know the starting point of your bone metabolism.

And if you are going to go on a drug or if you're going to choose a natural approach, it doesn't matter.