At Akira Medical Imaging + Wellness, we believe the best care happens when healthcare providers work together to support the whole person. Imaging doesn’t exist in isolation—it helps guide decisions across many aspects of health, from preventive screenings to treatment planning.
That’s why we’re excited to introduce a guest perspective from someone who sees the impact of bone health every day in her practice.
We’re pleased to share insight from Dr. Kerstin Medwin, chiropractor and co-owner of Elevate Albany Wellness and Kerstin Medwin Chiropractic.
With more than 20 years of experience, Dr. Medwin focuses on gentle, personalized chiropractic care designed to support families, athletes, prenatal patients, and individuals looking for safe, holistic ways to improve mobility and feel their best. Her philosophy centers on helping patients live what she calls a “well-adjusted life.”
From her perspective as a chiropractor, one diagnostic tool plays a surprisingly important role in guiding safe and effective care: DEXA bone density scans.
Below, Dr. Medwin shares why knowing your bone density can make a meaningful difference in how chiropractors approach treatment.
(Perspective from Dr. Kerstin Medwin)
You might not immediately think of chiropractic care when you hear the words DEXA scan, but bone density information can be incredibly helpful for chiropractors.
When I know a patient’s bone density, it helps me determine which techniques will be safest and most effective for their body. Chiropractic care is never one-size-fits-all, and bone strength plays an important role in how we approach spinal adjustments.
Your DEXA scan gives your chiropractor valuable insight that helps ensure your care supports mobility while protecting your bones.
Bone density naturally changes as we age. Many people are surprised to learn that bone loss can begin gradually in their 30s and accelerate later in life.
A DEXA scan (Dual-Energy X-ray Absorptiometry) measures bone mineral density and helps identify conditions such as:
When chiropractors have access to this information, it gives them a clearer understanding of how to approach treatment safely.
Instead of relying only on symptoms or physical exams, providers can combine what they see clinically with objective imaging data to guide care decisions.
If a patient has lower bone density, chiropractors may use modified or low-force techniques that support movement while reducing stress on the bones.
Some examples include:
Activator Technique: A handheld instrument that delivers a precise, gentle impulse to targeted joints.
Drop-Table Adjustments: A specialized chiropractic table that gently drops during adjustments to reduce force.
Soft Tissue Therapy: Treatment focused on muscles and connective tissue surrounding the spine.
Flexion-Distraction Therapy: A slow, rhythmic stretching technique that decompresses the spine and relieves pressure in the lower back.
As Dr. Medwin explains:
“When I know a patient’s bone density, I can tailor my techniques so they’re both safe and effective. It allows chiropractic care to support healing without placing unnecessary stress on the spine.”
For many women, bone health becomes particularly important during perimenopause and menopause.
As estrogen levels decline, bone loss can accelerate. Research shows women can lose up to 20% of their bone density in the first five to seven years after menopause.
Because bone loss often happens without symptoms, many people are unaware their bone density has changed until a fracture occurs.
Understanding your bone health earlier allows you to make informed decisions about:
Bone density screening may be recommended if you:
Understanding your bone health can help guide decisions that support long-term mobility and independence.
Many patients are surprised by how simple the exam is.
During the exam, you lie comfortably on a padded table while the scanner measures bone density in areas like the spine and hips.
Results can then be shared with your healthcare providers—including chiropractors—so they can tailor care appropriately.
Dr. Medwin’s perspective highlights something we believe strongly at Akira Medical Imaging + Wellness: the best care happens when providers work together.
A DEXA scan doesn’t just measure bone density—it provides valuable insight that helps guide care decisions across multiple specialties, from primary care to chiropractic to women’s health.
At Akira, we offer DEXA bone density scans in a comfortable, supportive environment designed with women’s health in mind.
Whether you’re checking in on your bone health, navigating hormonal changes, or supporting care from another provider, we’re here to help you move forward with clarity and confidence.
Because understanding your bones today helps protect your strength and mobility for years to come.
Because understanding your bones today helps protect your strength and mobility for years to come. Ready to learn more about your bone health? Request an appointment or call (518) 239-5200.