The Bone Health program is a collaboration of the many resources at Care New England bringing you the best of care. The Departments of Orthopedic Surgery & Sports Medicine and Endocrinology, Metabolism and Diabetes team work together along with Nutrition, Physical Therapy and Behavioral Medicine to create a comprehensive and seamless network of experts bringing you the best care in a personalized approach.
Please be advised that this location is a provider-based clinic and both a physician and facility fee will be assessed, which may result in a higher out-of-pocket expense.
The Bone Health Program
100 Butler Drive
Providence, RI 02906
P: (401) 729-2800
F: (401) 921-6161
Bone Density Scanning
101 Dudley Street
Providence, RI 02903
455 Toll Gate Road
Warwick, RI 02886
P: (401) 276-7838
Bone Health evaluations are available in the Warwick and Providence locations. Telehealth visits are also available.
Strong bone is an important part of lifelong healthy living and pain free function. Bone reaches its strongest around age 30 and then it starts to decline. This is intensified by certain medical conditions, medications or lifestyle choices and can affect both men and women. It can reach unhealthy levels resulting in weak bone, osteopenia or osteoporosis. Pain, deformity, broken bones and loss of function are commonly seen. It is never too soon to think about strong bones and healthy living.
Complex, living tissue, our bones provide structural support for muscles, protect vital organs, and store the calcium essential for bone density and strength. Because they are constantly changing, our bones can heal and may be affected by diet and exercise.
From adolescence up until the age of about 35, bone is built and stored efficiently. As one ages, however, bone begins to break down faster than new bone can be formed. This is especially the case after menopause when the ovaries stop producing estrogen - the hormone that protects against bone loss.
Women are four times more likely than men to develop osteoporosis.
Osteoporosis is a condition in which bones lose their density and structural integrity and become fragile and more likely to fracture. Any bone can be affected, but typically, most osteoporotic fractures occur in the hip and spine. These fractures have serious consequences and can require hospitalization and major surgery. Later symptoms of osteoporosis include loss of height, back pain or tenderness, and a curving of the upper back, known as dowager’s hump, in severe cases.
Schedule a bone density test today by calling (401) 276-7838.
Osteoporosis is a complex disease and not all of its causes are known. However, when certain risk factors are present, your likelihood of developing osteoporosis is increased. It's important, therefore, to assess your risk and to take steps that help prevent bone health problems. Learn how osteoporosis is diagnosed and how to keep bones healthy.
The more times you answered 'yes,' the greater your risk for developing osteoporosis. Talk to your doctor about steps you might take to prevent osteoporosis, or, if symptoms have appeared, to help slow further bone loss.
For the name of a physician or for further information, call Women & Infants Health Line at 1-800-921-9299
Make sure you have an adequate amount of calcium and vitamin D in your diet. The recommended daily allowance of calcium is 1200mg-1500mg. Vitamin D helps promote the body's ability to absorb dietary calcium. The main source of dietary calcium and vitamin D is in dairy products. For example, an 8-ounce glass of whole or skim milk contains 300mg of calcium, one-third the recommended daily allowance.
Weight-bearing exercises such as walking or jogging and resistance training 2-3 times a week are beneficial. The advantages of exercise last only as long as you maintain the exercise program. Exercise alone cannot prevent or cure osteoporosis.
Both estrogen and alendronate are recognized as components of osteoporosis prevention and/or treatment. Women who have regular menstrual cycles enjoy the natural hormonal protection of their own body's estrogen. Young women without menses, post-menopausal or women who had their ovaries removed before the age of 50 may wish to discuss the pros and cons of hormone replacement therapy (HRT) with their physician.
Limit your alcohol intake. Alcohol leeches calcium, thus reducing bone strength.
Smoking - If you smoke, quit. Smoking reduces the blood supply to bones, and nicotine slows the production of bone-forming cells.
The DEXA scan is a painless imaging study which measures the density of the bone at different areas of the body and can be completed in a short period of time. It involves a low-dose x-ray that measures calcium and other minerals in the bones. The measurement helps show the strength and thickness of bones.
Recommendations and treatment options will be discussed as part of a comprehensive program customized to fit a patient’s needs. A patient’s physician can work with the team in planning treatment and request ongoing support.
The Hologic Horizon A DEXA scan has the ability to scan patients ranging in age from 18 months and older. It is the only DEXA scan in Rhode Island that is capable of serving pediatric patients. The DEXA scan also has the ability to perform full body composition scans as well as general scans (Axial and Appendicular).
Many patients are referred by the Care New England Department of Orthopedics and Sports Medicine, and all team members are a cohesive unit that share resources, including administrative and intake management functions. Team members from the Department of Orthopedics and Sports Medicine provide second opinions complex situations, and both programs give recommendations for treatment options for patients.
Providers within Care New England can communicate collaboratively throughout all phases of the patient’s care journey. Patients have sometimes multiple morbidities, and physicians need to be able to connect with each other on patients’ needs easily. Using Epic, they can provide information for all network providers, including test results, communications and notes directly to a patient’s providers. Care New England has built and pioneered a multidisciplinary system to share resources that is unlike any other in Rhode Island.
Whether referred by your physician or at your own request, one phone call or referral is all that is required to schedule a comprehensive evaluation by a bone health expert. Labs tests and a DEXA scan can be obtained as a part of your evaluation as needed.
Director of Endocrinology, Diabetes and Metabolism at CNE and Division Director of Obstetrics and Consultative Medicine at Women & Infants Hospital
Executive Chief of Orthopedic Surgery and Sports Medicine, Associate Professor of Orthopedic Surgery, Alpert Medical School of Brown University