At Cape Fear Orthopedics, we offer the most advanced bone density test that is used to detect the decrease in bone mass associated with osteoporosis.

Osteoporosis otherwise known as the “brittle bone disease,” causes a weakening of the bones that can ultimately result in fractures. Often the result of a fall or household duties, fractures commonly occur in the hips, spine, wrists, arms, and legs.

The most commonly known risk factors for osteoporosis include:

  • aging females
  • having low sex hormones (most common during menopause)
  • smoking
  • lower body weight
  • use of some medications

Prevention and treatment options for osteoporosis include getting an increase of vitamin D and calcium, maintaining regular exercise program, and if needed, the use of osteoporosis medications.

A bone density scan is the only way to accurately diagnose osteoporosis. Once the severity of osteoporosis is determined, the development of a plan to help prevent the on-set or the progression of the disease is important.

To learn more about bone density testing at Cape Fear Orthopedics, please fill out our appointment request form or call (910) 484-2171.

At Cape Fear Orthopedics, we know that injuries occur when you least expect them. That’s why our doctors and staff are proud to offer extended urgent care hours at our Ferncreek Drive office to treat patients who are suffering from acute orthopedic injuries and conditions.

When you need us, we’re here.


  • Monday – Thursday: 8:00 a.m. – 7:00 p.m.
  • Friday: 8:00 a.m. – 5:00 p.m.
  • Saturday: 10:00 a.m. – 1:00 p.m.

Urgent Care Appointments available Mon – Friday 8am – 4pm
Walk ins from 5pm-7pm
Saturdays 10-1pm walk ins only.

Call for an appointment at (910) 484-2171.

Osteoporosis, which literally means “porous bone,” is a disease characterized by low bone mass and structural deterioration of bone tissue. Healthy bone consists of living tissue that is always being “remodeled,” with small amounts being absorbed in your body and small amounts being replaced. This condition develops when bone is no longer replaced as quickly as it is removed. Osteoporosis leads to bone fragility and an increased risk of fractures, especially of the hip, spine, and wrist.

Osteoporosis typically happens through the natural process of aging, affecting 1 in 2 women and 1 in 4 men ages 50 years and older. It can also occur from physical inactivity, heredity, smoking, and excessive alcohol intake. This condition can be very serious, often leading to immobility. Fortunately, osteoporosis is preventable, detectable, and treatable.

At Cape Fear Orthopedics, we specialize in the diagnosis and treatment of osteoporosis and osteoporosis-related conditions. It is imperative that patients take action to protect their bone health, and we strive to increase awareness of osteoporosis and educate our patients on prevention and treatment methods through our Osteoporosis Clinic, located at our Ferncreek Drive office. If you are concerned about osteoporosis and its effect on your daily life, our osteoporosis specialist can set up a personalized treatment plan that may prevent future fractures and immobility.

For more information about our Osteoporosis Clinic or to schedule an appointment with our osteoporosis specialist, Dr. Mcfarlane or Dr. Kouba, please complete the appointment request form or call (910) 484-2171.

At Cape Fear Orthopedics, we are not only committed to ensuring our patients receive the best treatment available; we believe their recovery and rehabilitation is equally as important. Our physical and occupational therapists offer a comprehensive range of approaches to help restore the function of our patients after injury, surgery, and illness.

Our physical and occupational therapists evaluate and develop an individualized care plan that addresses the specific needs and treatment goals of our patients. Therapy treatment may include the use of various forms of therapeutic exercise to enhance function and strengthen muscles. Our goal and commitment is to return our patients to active living, free of pain.


  • Orthopedic injuries
  • Pre- and postsurgical rehabilitation
  • Functional rehabilitation of assisted return to activity
  • Pain management via exercise and other modalities
  • Strengthening exercises

For more information about our physical and occupational therapy services or to schedule an appointment, please call (910) 484-2171.

An X-ray is a simple procedure performed to provide a two-dimensional picture of your body to use as a screening tool to evaluate for causes of many common disorders, such as bone breaks, joint and spine injuries or conditions, and arthritis or osteoporosis.

On the day of your X-ray:

  • Bring your doctor’s order for your X-ray and your insurance card(s) with you to your appointment.
  • If an X-ray has previously been taken, please bring the films with you to your appointment.
  • If you are unable to bring your previous films with you, your appointment may need to be rescheduled.
  • Prior to your X-ray, you may be asked to remove jewelry, eyeglasses, and any other metal objects, such as loose change, hearing aids, underwire bras, fingernail clippers, etc., that may interfere with the imaging.
  • Depending on the area of the body that is being X-rayed, you may be asked to change into a medical gown for the X-ray.
  • If you need copies of the X-ray performed in our office, please provide 72 hours notice.
  • X-rays are performed as deemed necessary by our doctors on a case-by-case basis.


We take pride in helping our patients overcome an injury, relieve their pain, and return to an active, healthy lifestyle.

  • Dr. Kouba made my visit very relaxed. He answered all the questions I had and showed me the pictures to show the damage in my left hip as a result of Osteoarthritis.
    John S. Treated by Stephen H. Kouba, M.D.
  • Excellent -Dr. McFarlane was gracious, caring, and listened carefully to what I had to say. He fully explained my condition and the treatment options.
    Anne E. Treated by: Douglas S. McFarlane, M.D.
  • I have been very pleased with Dr. Lowe and respect his advice.
    Joyce D. Treated by: Jason B. Lowe, M.D.