Has anyone had a rems bone scan or tbs bone scan?

Posted by jimr33 @jimr33, Nov 11, 2024

I have poor dexa bone scan results, but have heard that rems scans and tbs (trabecular) bone scores can give you a better overall bone health picture. But both, especially rems are pretty new and I wonder if anyone has been able to have one and if their insurance accepts?

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@harrington50

Periodic scans and lab work are the only way that we have to gauge our progress (or regression). I have been scanned for osteopenia/osteoporosis every two years for over 20 years now, and these scans have been helpful for me to manage those conditions. Unfortunately I had a family crisis that took my attention away from myself for about 3 years and my conditioned worsened, resulting in my first compression fracture. So, I disagree, my "diagnosis" was not the result of the fracture, in fact, for years, the scans provided the "diagnostic measurement" that I needed to prevent fractures. I have always controlled my conditions prior to any scans or lab work. Yes, I understand equipment calibrations and other variables influence the results, but I'm not looking for precise diagnostics but rather evidence of progression (or regression) over time related to therapeutic methods employed during those intervals.

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We don’t disagree - my comments were about singular tests compared to each other and the problems inherent to that— as I outlined. Overtime, and with many tests we ascertain more truth in the matter. I think you misinterpreted possibly - your diagnosis of compression fractures is a diagnosis, as evidenced by the compression fracture(s) you were diagnosed with.

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Sharing a great podcast episode that explains REMS v DEXA and many other aspects of OP treatment.

On Spotify;
The Evolution Lab
2/27/25 Episode
Paul Magee - Bone Density, Strength, Fractures, Echolight & DEXA

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