Bone Health

In Office DXA Test

Dr. Richard Muckerman is certified by the International Society for Clinical Densiometry to interpret DXA scans, the most accurate and precise way to measure bone density. St. Louis Women’s Healthcare group proudly offers these scans our office on Thursdays to be performed by Abby Naes, a Certified Densitometry Technologists. Dr. Muckerman will discuss your results with you following your test.

What is Bone Mineral Density?

A bone mineral density (BMD) test is suggested for:

  • Postmenopausal women who have risk factors for developing osteoporosis.
  • All women who are age 65 or older.
  • Women who have hyperparathyroidism.
  • Women who have been taking corticosteroids, such as prednisone, for a long time.
  • Follow-up of how well treatment for osteoporosis is working for women being treated for 2 years or longer.

Maintaining Bone Health

Did you know we offer Reclast & Prolia in the office?

Maintaining your bone health can help you stay strong for your family, friends and the other parts of your active life. Just one annual dose of Reclast annually or a monthly dose of Prolia, along with daily calcium and Vitamin D, helps to increase your bone density. So your bones can be stronger and better protected.

Getting treated with Reclast is simpler than you might think. Reclast is an annual osteoporosis treatment. It’s an infusion given through an IV by a doctor or nurse and takes at least 15 minutes. During your treatment, you can read, relax or listen to music – whatever makes you feel comfortable. It’s a bisphosphonate like Fosamax,® Actonel,® and Boniva,®

But these are not a pill that you have to take every week or month, so unlike pills, Reclast bypasses your digestive system so it’s not associated with stomach irritation. Because Reclast & Prolia bypasses your stomach, you won’t have to wait to eat, or remain upright for a half hour or more. Then you can get back to the things you enjoy, on your schedule.

Our bones normally go through a continual renewal process. Old bone tissue breaks down and new tissue is formed to replace it. With osteoporosis, old bone breaks down faster than new bone is created to replace it.

Reclast and Prolia slow the breakdown of old bone tissue. This gives new bone a chance to catch up and fill in the areas of bone loss.

To help you plan for your Reclast infusion, here are some basics:

Before Your Reclast Infusion Or Prolia Injection:

  • We will order a simple blood test to check your blood calcium and kidney function, to make sure that your medication  is right for you.
  •  We will then arrange for you to receive your treatment in our office.

On Your Treatment Day

  • Eat like you normally would. It’s recommended that you drink two glasses of water within a few hours before receiving medication, to help prevent kidney problems.
  • Prolia is given in a single injection.
  • Reclast IV infusion will take at least 15 minutes.  You might want to bring something to read, or some music to listen to during your infusion. Or if you prefer, you can just sit back and relax.

After Your Treatment

  • You can go back to your normal activities.
  • Be sure to take daily calcium and Vitamin D, as recommended by your doctor.
  • Some common side effects include flu-like symptoms, fever, muscle or joint pain, headache, nausea, vomiting and diarrhea. Most occur within 1-3 days of treatment and typically subside within 14 days.

After discussing Reclast or Prolia with one of our providers. Please contact Pat 636-449-4700 ext 2503  to find out if covered under your insurance.