Help! I’m shrinking… With roughly two inches of documented/suspected height loss plus a DXA interpreted as osteoporosis, I think evaluating the entire thoracic/lumbar vertebral column for occult compression fractures is quite reasonable… BHOF specifically says X-rays and vertebral fracture assessment (VFA) can identify spinal fractures and recommends attention to height loss during osteoporosis evaluation. – The Bone Health and Osteoporosis Foundation

My foraminal disease is not mild:

At L4–L5: “moderate to severe right foraminal stenosis”
“mass effect on the exiting right L4 nerve root”

At L5–S1: “severe right and moderate left foraminal stenosis”
“mass effect on the exiting right L5 nerve root”

DXA SCAN 2025

AP Spine: BMD
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Value
0.910
Your value is 0.910
AP Spine: T-Score
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Value
-1.6
Your value is -1.6
AP Spine: Z-Score
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Value
-0.8
Your value is -0.8
Total Hip(Left): BMD
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Value
0.742
Your value is 0.742
Total Hip(Left): T-Score
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Value
-1.9
Your value is -1.9
Total Hip(Left): Z-Score
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Value
-1.3
Your value is -1.3
Femoral Neck(Left): BMD
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Value
0.592
Your value is 0.592
Femoral Neck(Left): T-Score
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Value
-2.5
Your value is -2.5
Femoral Neck(Left): Z-Score
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Value
-1.4
Your value is -1.4

“I meet the densitometric definition of osteoporosis at the femoral neck. Why am I not currently receiving osteoporosis medication, and which treatment is most appropriate for me?”

Can you order a vertebral fracture assessment (VFA), usually performed using the DXA machine, or lateral thoracic/lumbar spine radiographs if they think those are preferable.
My DXA met the definition of osteoporosis. Thanks, Terry