Arthritis is a condition involving the joints, and in most cases, it affects older people. Do you know why? They are already prone to osteoporosis, which gives rise to weak bones. Although bone density does not directly contribute to joint inflammation, it offers vital insights into whether a person will likely develop arthritis shortly. A bone profile blood test is one such assessment to determine your bone health. Give a quick read to this blog and find out the essentials now!

Bone density test vs bone profile blood test

A bone density test is a straightforward procedure, taking less than 30minutes to complete. It is similar to an X-ray and does not incur pain to the individual. Bone density tests help determine the mineral density of significant bones, such as the hip girdle, lumbar spine, etc. Conversely, a blood analysis for bone profiling involves assessing bone metabolism. Several mineral components are quantified in this test, including amounts of calcium, phosphate, alkaline phosphatase, etc. In some instances, Vitamin D levels are also checked. Although both share similarities, a bone profile blood test is more sophisticated than a density test. Not only the former is able to identify bone-related issues, such as osteoporosis; but it also determines Paget’s disease and potential bone cancers. Additionally, if a person suffers from abnormal mineralisation of bones, a blood test can easily detect it.

Can a bone density test detect arthritis?

As mentioned, a bone density test cannot determine the presence of arthritis. However, the doctor may prescribe this test as a primary screening procedure for osteoporosis. As per current health findings, people having rheumatoid arthritis run at a higher risk of developing osteoporosis. This is due to:

• Administration of glucocorticoid drugs that cause bone erosion
• Loss of joint function and associated pain
• Inflammation of tissues surrounding the joints

A study published recently states that arthritic patients are two times more prone to develop osteoporosis, which increases the risk of bone fractures and disorders. Since these two share a similar connection, doctors prescribe using different techniques to determine bone health.

What factors affect bone health?

Here’s a list of factors that can potentially affect bone health. They are as follows:

• Diet and Nutrition: Calcium and Vitamin D deficiency lead to severe bone issues. Thus, it is necessary to intake a diet enriched in these nutrients.
• Physical Activity: A regular workout helps maintain a healthy weight. Consider weight training and resistance exercises to maintain bone health.
• Age and Gender: Middle-aged women are more likely to suffer from bone loss than older men.
• Lifestyle Choices: Unhealthy habits like smoking and excessive alcohol consumption can make bones weak in the long run.
• Health Conditions and Medicines: Certain health issues and medications can negatively impact bone metabolism, thus reducing strength.

Why a bone health checkup is essential?

Diseases like osteoporosis often do not show early symptoms until a fracture happens. Hence, it is vital to monitor bone health regularly. A bone profile blood analysis plays a significant role here. It is effective in:

• Early Detection: Preventive care begins with identifying potential risks of reduced bone density and bone tissue erosion in advance. Thus, prioritise early detection before it gets too late!
• Managing Conditions: Keeping track of disease progression helps to plan suitable treatment methods.
• Maintaining Mineral Balance: Ensuring a balance between essential mineral components—such as calcium and phosphate; is needed to improve bone health.

Who have a higher risk of developing arthritis?

• Women who have attained menopause and do not take estrogen hormone
• Postmenopausal females who have a height more than 5 foot 5 inches or suffer from weight gain
• Middle-aged men who have renal issues and symptoms of bone pain
• Those who have a family history of bone diseases and frequent fractures
• Individuals who take antiseizure drugs
• Those who have a high bone turnover
• Suffer from illnesses such as diabetes, obesity and an overactive thyroid gland.

How do you prepare for a bone profile blood test?

Before the procedure, the patient must note all the current medications. However, if there are special guidelines, one must follow them, such as:

• Making a note of all the current medications
• Enlisting prior health conditions and surgeries related to bones
• Keeping fast and avoiding certain medicines

What do the results signify?

Interpreting the outcomes of a bone profile blood test can be complicated as the levels of minerals tested can be influenced by many factors. Typically, this blood analysis can check liver health and nutritional levels. Apart from these, this test can determine:

• The levels of calcium and phosphate, Vitamin D imbalances, and excessive mineral deposits.
• Potential health issues including deficiency diseases, kidney problems, and nutrient malabsorption. Understanding these implications can help you take proactive steps to manage your health.

How do you prepare for a bone density test?

• Avoid taking calcium or multivitamin supplements before the test (for at least one day). However, having calcium-containing foods is not restricted.
• Inform the doctor in advance if you have taken any barium exams recently. Since a barium exam involves injecting contrast materials for a CT scan, these can interfere with test results.

What do the results signify?

A bone density test’s results are determined by a T-score. The purpose of the test is to compare bone density values with a standard value (of a healthy individual). Values in the ‘+’ range denote that a person has a higher-than-average bone density and vice versa. Let’s understand the scoring system below.

• Normal: A T-score within the range of +1 and -1
• Low bone density: A T-score falling between -1 and -2.5
• Very low bone density: A T-score equal to -2.5 or lower

What are the other diagnostic tests for arthritis?

Besides a physical assessment, clinicians use the following tests to diagnose joint inflammations.

• Imaging tests: These exams use images to check for inflamed joints and eroding bones. Common tests are X-rays, MRIs, ultrasounds, etc.
• Electrodiagnostic test: It is responsible for indicating disrupted electrical activity of the nerves.
• Blood tests: These tests are useful in detecting specific types of arthritis, like rheumatoid arthritis etc.
• Fluid and tissue tests: These tests aid in analysing synovial fluid or may involve a tissue biopsy from the skin or muscle.

When one should contact a doctor?

The following are the symptoms that one should not ignore. They are:

• Moderate to severe joint aches that do not resolve
• Redness over the joints. Often, this is associated with warmth
• Abnormal swelling and stiffness around the joints
• Immobility of joints

If these above symptoms last more than 4 days, immediately consult a doctor. This is because more the treatment is delayed, conditions worsen the path for long-term ailments. People should also speak with a doctor if they have joint symptoms that last longer than 3 days or experience several symptoms within a month. They can start with a primary care doctor, although some individuals may need to consult with a rheumatologist who specialises in arthritic conditions.

Conclusion

A bone density test may not confirm the presence of arthritis, but it can reveal the condition of the bones. Undoubtedly, it provides a lot of valuable information regarding the onset of osteoporosis. Individuals suffering from rheumatoid arthritis are likely to face a greater risk of bone erosion and structural weakness. Many people tend to self-medicate themselves when bone pain arises. However, this can produce adverse results. Additionally, certain types of arthritis result in irreparable damage to the joints. Thus, treat expert consultations as a priority before your joint inflammation worsens. Several private healthcare clinics in London offer affordable bone profile blood tests. They are not only reliable but also help in preventive guidance. Thus, if you experience prolonged discomfort over your joints, contact any of the clinics as soon as possible!