Specializing in Non-Surgical Treatment for All Types of Arthritis

Call Us:  231-935-0550

Intravenous Infusion Clinic

Bone Mineral Density
Bone Mineral Density (BMD) is the single most reliable clinical indicator of osteoporosis and fracture risk. The BMD test measures how much calcium and other types of minerals are in an area of your bone. The lower the bone density, the higher the risk of fracture. The most common and accurate way uses a dual-energy x-ray absorptiometry (DEXA) scan., a low-dose x-ray. (You receive more radiation with a chest x-ray.) You lie on a soft table. The scanner passes over your lower spine and hip. In most cases, you do not need to undress. This scan is the best test to predict your risk of fractures.

Some autoimmune conditions require the use of advanced biologic medications which may necessitate intravenous (IV) administration. Our office hosts an on-site infusion center, staffed with experienced nurses and supervised by our providers.  While some rheumatology practices use off-site oncology centers for infusion, we feel it is important to have a dedicated center familiar with rheumatology medications, and on-site provider supervision by the prescribing provider.

Vertebral Fracture Assessment
We are very pleased to announce that we now offer patients a Vertebral Fracture Assessment (VFA) that is done along with Bone Mineral Density testing. VFA is a method of lateral spine imaging to help identify vertebral compression deformities, ie fractures. Although two thirds of vertebral fractures are associated with increased morbidity and mortality, they can be prevented with appropriate pharmacological therapy.  A VFA takes only 5-7 minutes to position and scan the patient.

The Difference at AOC
A bone density scan completed at AOC provides much more information than other centers in northern Michigan. Most patients will receive scans of the spine, both hips and the forearm. In addition, testing can be done for lateral spine, total body bone density and body fat composition.

Dr. Mawby is fully trained in reading and interpreting BMD and VFA as they relate specifically to rheumatologic diseases. His expertise has been refined for over 20 years and directly extends to the care of each individual patient. He will customize a comprehensive report, usually by the next business day, which includes an assessment of the data and latest treatment recommendations available. Longitudinal data is compiled to aid in choosing the best individualized treatments available.

BMD services may be completed at the end of your regular visit or scheduled in advance. 

Are You at Risk?
You should consider having a bone density test done if you fall under any of the following risk categories:


  • Caucasian women

  • Family history of osteoporosis

  • Post-menopausal women

  • History of Smoking

  • History of fractured bones

  • History of breast or prostate cancer

  • Loss of body height

  • Drug use such as cortisone, predisone, thyroid, and anticonvulsants

  • Increased curvature of the spine

  • Rheumatoid arthritis

  • Low body weight (under 130 lbs)

Bone Densitometry

1115 South Union Street | Traverse City, MI 49684

Phone 231-935-0550  |  Fax 231-935-0551