Bone Health Assessment

We start with an in-depth medical history. Key areas include family history of osteoporosis or fractures, any low-trauma fractures, and medicines that may affect bone density (e.g. steroids, aromatase inhibitors). We also review comorbidities such as thyroid disorders, inflammatory conditions, or early menopause.

Lifestyle factors—diet (including calcium and protein), vitamin D, alcohol intake, smoking, and physical activity—are explored as they strongly influence bone and muscle health. This stage helps identify risk factors and screen for secondary causes of bone loss.

Because muscle and bone are tightly linked, we include screening for sarcopenia (loss of muscle mass/strength). This may involve grip strength, gait speed, or sit-to-stand testing, and body-composition analysis where available.

Identifying early sarcopenia supports tailored advice on protein intake, resistance training, balance work, and falls-prevention—measures that protect bone, joints, and independence.

The REMS scan is a painless, ultrasound-based test performed at the lumbar spine and femoral neck. Using radiofrequency analysis, it provides precise, radiation-free measurements of bone mineral density and bone quality, with immediate results.

Unlike DXA, REMS can reduce artefacts from degenerative change, often giving a clearer representation of fracture risk.

We review your bone density metrics and Fragility Score in clear, accessible terms and set them in the context of your overall health. You’ll have ample time for questions so you leave confident about what the results mean and what to do next.

Together we create a tailored plan. This may include optimising calcium and vitamin D, weight-bearing and resistance exercise, balance/falls strategies, and support for modifiable risks (e.g. smoking, excess alcohol). If indicated, we’ll discuss pharmacological options or referral to a specialist. The emphasis is shared decision-making so you can actively protect and improve bone and muscle health.