Bone Density Testing and Trabecular Bone Score (TBS)
in Rochester, NY

*Medicare reimburses for bone density testing every two years. Other insurances usually follow Medicare guidelinesA specialized test, called a bone mineral density (BMD) test, measures the density of bone in various parts of the body. Testing used at EWBC to measure bone density is the DXA* (Dual Energy X-Ray Absorptiometry) scan. This test measures the bone mineral density of the spine and hip. Once you have your test, your results are sent to the physician who ordered it. Bone Density testing is available in Brighton, Carthage, Geneseo, Greece and Victor.

For more information, check out the National Osteoporosis Foundation website at

To schedule a Bone Density Test (DXA) call (585) 442-3922


  • There is no pain associated with the test. You will be lying on your back for about 10-15 minutes. If you can’t safely lie on your back, are not able to transfer onto the table or if your weight (350 lbs.) exceeds the table limit, we may scan your forearm instead from a chair.
  • Bone densitometry uses only minimal radiation. The amount is so small that the technologist stays in the room with you. The dose is about 1/10 of a chest x-ray. If you think you may be pregnant, please let your doctor and technologist know
  • You may eat as you normally would. PLEASE DO NOT TAKE VITAMINS, CALCIUM SUPPLEMENTS, TUMS OR ROLAIDS on the day of your appointment or we will have to reschedule your bone density appointment.
  • Please continue to take all prescription medications.
  • Wear comfortable clothing, but please refrain from wearing underwire bras or any clothing with metal snaps or zippers around the waist.
  • No special preparation is required for bone density testing. As stated above, PLEASE DO NOT TAKE VITAMINS, CALCIUM SUPPLEMENTS, TUMS OR ROLAIDS on the day of your appointment or we will have to reschedule your bone density appointment. Please continue to take all prescription medications.
  • The complete exam should take about 15-20 minutes.
  • During a bone density exam, all you need to do is lie on your back and the technologist will perform the exam.
  • As you are lying on a padded cushion, scans are taken of your spine and hip to determine your density.

Your results are sent to your referring physician within a week of your appointment. Your results will be available on the EWBC patient portal..

This test measures your bone mineral density (BMD). The lower your bone mineral density is, the greater the risk of a fracture.
The test is used to:

  • Detect low bone density before a person breaks a bone
  • Predict a person’s chances of breaking a bone in the future
  • Confirm a diagnosis of osteoporosis when a person has already broken a bone
  • Determine whether a person’s bone density is increasing, decreasing, or remaining stable
  • Monitor a person’s response to treatment

EWBC provides Trabecular Bone Score (TBS) for eligible DXA patients

Osteoporosis is a condition in which the bones become increasingly porous, brittle and subject to fracture, owing to loss of calcium and other mineral components. It sometimes results in pain, decreased height and skeletal deformities that are common in older persons, primarily postmenopausal women. Osteoporosis is also associated with long-term steroid therapy and certain endocrine disorders.

  • The most common bones to break or fracture are those of the spine, hip and wrist — bones can break even from a minor injury.
  • Women can lose up to 20% of their bone mass in five to seven years after menopause.
  • This condition decreases one’s bone strength without causing any signs or symptoms.

  • Postmenopausal women under age 65 with one or more risk factors for osteoporosis
  • Men age 50-69 with one or more risk factors for osteoporosis
  • Women age 65 or older without risk factors
  • Men age 70 or older without risk factors
  • A woman or man after age 50 who has a broken bone and a history of fractures
  • Women going through menopause with certain risk factors

(Source:National Osteoporosis Foundation)

  • Adequate calcium and vitamin D intake
  • Regular exercise
  • Appropriate levels of estrogen in women and testosterone in men
  • Nutritious diet
  • Avoid smoking and excessive alcohol use
  • Talk to your healthcare provider about bone health
  • Have a bone density test if appropriate according to your risk factors for osteoporosis and take appropriate medication

  • Gender — Women are more likely to develop this disorder, although men are also susceptible.
  • Age — The longer you live, the more susceptible you become to the disease.
  • Heredity— Individuals with a family history of osteoporosis or fractures are more likely to develop the disorder.
  • Body Size — Small boned, thin women and men are at more risk, but bigger bone size is no guarantee that you will not get osteoporosis.
  • Ethnicity — Caucasians, Asian and Hispanic/Latino decent are at a higher risk.
  • Hormone Levels — Early menopause can increase a woman’s likelihood of developing the disease.
  • Diet — Inadequate calcium and vitamin D intake, as well as excessive protein, sodium and caffeine intake, are harmful to bone health.
  • Exercise — Individuals who are less physically active are at higher risk.
  • Lifestyle Choices — Smoking and excessive alcohol consumption are not healthy for your body, especially your bones.
  • Certain Diseases and Conditions — Anorexia nervosa, rheumatoid arthritis and gastrointestinal diseases may contribute to osteoporosis.

National Council for Aging Care.
Osteoporosis Defined: Causes, Symptoms and Treatments

Trabecular Bone Score (TBS)

This page is intended as an educational resource only. It is not a substitute for professional care.
Please see your physician if you have any concerns about your own health.