confirming the diagnosis of osteoporosis

Last reviewed 07/2021

Diagnosis is usually confirmed on bone mineral density measurement by finding a T score of less than -2.5. If however there is a fragility fracture this may not be necessary. Helpful investigations include:

• Bone scintigraphy to look for fractures, particularly of the ribs
• review previous spinal X-rays
• measure bone density
• Bone biopsy usually if the diagnosis is in doubt.