This bone scan assessment uses the CUBA clinical ultrasound machine. Ultrasound waves are passed through the heel bone and the amount of ultrasound that reaches the detector on the other side of the heel is measured. The quantity of the ultrasound absorbed by the bone depends on the complexity of structure of the bone and also its mineral content. Quantitative Ultrasound Sonometry is therefore a good predictor of fracture. The machine does not use X-ray radiation.
The heel-bone is used for this test because the bone at the heel is similar in structure to that at the hip. It is not possible to perform this test at the hip because it is covered by too much fat and muscle. Also, the heel is a weight-bearing bone so that it reflects the health of other, similar, bones and it is readily accessible.
Tell me more about Osteoporosis
How to arrange a scan
The clinics are on Tuesday and Thursday afternoons from 2.00pm and are held at Lief House (120 - 122 Finchley Road) opposite Finchley Road Underground station. There is a small car park behind the building, but you will have to ask Lief house reception for a parking permit on arrival.
Please allow 5 -10 minutes before your appointment time to complete a short questionnaire. It will be helpful to have your doctor's full address and to bring with you the names of any medicines you are taking. With your consent we will send a copy of your scan result to your doctor if necessary.
What will happen during the scan
You will need to remove your shoes and socks, or tights, but no other clothing or jewelery. You remain in a sitting position with one foot at a time in the CUBA clinical machine. Your leg will be lightly strapped to a support to steady it. Ultrasound gel is applied to your heel to ensure no air is trapped between your foot and the ultrasound transmitter, which could affect the result. Normally two readings are performed on each foot as a double check.
We will discuss the result with you at the end of the procedure. You will be told how your result compares to the average for your age and also the relative condition of your bones compared to the average 20 year old; this is universally used as an indicator of risk of fracture. We will also be able to discuss dietary and lifestyle factors that could improve your bone strength.
The scan follow-up
For those people found to have low bone-density, BCOM offers free 1 hour post-scan consultations with student osteopaths (3rd or 4th year students with qualified supervision). At this consultation a detailed diet analysis, exercise programme and life-style advice can be given.
Time and cost of the scan
Most bone-scan appointments last around 30 minutes. The cost of the scan is £30, or £20 for those on benefit or over 65 years old, and is free for those over 80 years old.
Please telephone 0207 435 7830 to make an appointment.
