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Recognized as one of the top four Best Practices in Women’s Health in the country by the AAHP (American Association of Health Plans), Geisinger Healtth System’s Osteoporosis Program is designed to improve outcomes for individuals at risk for fracture.

Since the inception of the program in 1996, we have performed more than 75,000 DXAs, and the use of bisphosphonates has increased 40 fold.  A five-year analysis showed a decrease in hip fracture rate of about 40% (Newman ED, Ayoub WT, Starkey RH, Diehl JM, Wood GC: Osteoporosis Disease Management in a rural health care population: hip fracture reduction and reduced costs in postmenopausal women after 5 years. Osteoporos International 2003;14:146-151).

Osteoporosis clinical guidelines

One of the hallmark features of our program since 1996 has been the use of osteoporosis guidelines that are evidenced based, congruent with other existing guidelines (such as those of the National Osteoporosis Foundation), and easy to use.  Our guidelines are divided into clinical categories much as the patient might present to the clinic.  Simply click the appropriate guideline below and a simple pathway will appear. Clicking on any blue box within the pathway will launch a text box with details about the chosen box:


  • Bone mineral density (BMD) measurement
  • Heel ultrasound
  • DXA (Dual-energy X-ray absorptiometry) testing (fixed and mobile sites)
  • Consultations

Osteoporosis Updates

Find a physician

Osteoporosis care is managed by the Department of Rheumatology. Click below for a list of Geisinger rheumatologists:

Rheumatology staff