At Cape Fear Orthopedics & Sports Medicine , 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 & Sports Medicine , please fill out our appointment request form or call (910) 484-2171.

At Cape Fear Orthopedics & Sports Medicine , 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 & Sports Medicine , 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.

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.

Regenerative Medicine


An injection of Live stem cells, derived exclusively from donated umbilical cord, into your affected joint to help aide in not only healing injured tissue, but to prevent further damage. May put off or prevent the need for surgical intervention. Speak with your provider about your options today.


PRP is Platelet-Rich Plasma therapy. PRP is an emerging technology and technique in sports medicine, used to aid in soft tissue recovery.

PRP therapy takes about twenty minutes to complete. We begin by collecting a small amount of the patient’s blood, and then placing the blood in acentrifuge to separate the platelet-rich plasma from the other components of whole blood. Our doctors then inject the concentrated platelets into the site of the injury. The platelets aid in the natural repair of injured tissues, acting as a natural reservoir for growth factors and increasing collagen production, enhancing tendon stem cell proliferation, and tenocyte-related gene and protein expression. PRP activates tenocytes to reproduce quickly and create collagen to repair injuries.


ReNu is regenerative medicine that uses human amniotic tissue and cells injected into injured tissue to provide pain relief and stimulate the body’s natural healing process. This amniotic tissue helps to restore damaged tissue such as cartilage, tendons, and ligaments. The growth factors in the amniotic tissue provide anti-inflammatory, anti-adhesive, and anti-microbial properties to the injured area and may provide quicker healing. Amniotic tissue treatment is also unlikely to be rejected by the body.

ReNu cells come from the amniotic membrane and fluid of donated placentas following normal childbirth. With the mother’s consent, the amnion is removed and harvested from the placenta of pre-screened and tested donors. It is then sterilely processed and undergoes further rigorous testing to assure safety and effectiveness.


Ascent is regenerative medicine designed to cushion, lubricate, and reduce inflammation in joints and tendons. It is created from amniotic fluid, which contains natural components that support the growth and development of human bodies. It may put off or prevent the need for surgical intervention. Ascent is easily administered through a simple in-office injection.


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.
  • Everyone was very nice and explained what was going to happen. I was there about a knee problem. I made the right choice.
    John Jackson Treated by Physical Therapist
  • Great Staff and Dr. Toby Anderson is excellent Orthopedic Dr. Every need is taken care of as soon as possible. Physical therapy is awesome
    Elliott Queen Treated by Dr. Toby Anderson
  • I just started my therapy on the last Friday and I'm assigned to Jeremy. He's very attentative and professional. Took to All my questions and concerns. And designed a program just for me. Saw Jeremy on the 6th and 11th and then saw Becky on the 13th. She to was very on point!!! They are necessary for my success!!!!!!!
    Gwendolyn Jones Treated by Physical Therapist Jeremy
  • Very professional staff. Very friendly. Dr. Brussard has an impeccable reputation. He was very tuned in to my problem with my knee. Answered questions. After 8 years of knee issues I go for surgery at the end of the month. Looking forward to getting my life back.
    Heidi Parker
  • I went in as a walk in yesterday after 5pm. My doctor recommended that I go at that time. When we arrived the front desk rep came out with a wheelchair to help me in the building. They were very friendly at the front desk. The check in is a little too much, but I was in the back quickly. (After hours is best.) The nurse, x-ray tech and PA were kind, friendly, and patient with me because I had a lot of questions and concerns. My fiance is a talker and they even entertained him. I have to say the experience was great. I recommend after hours 5-7 weekdays.
    Darcelle Hunter
  • Dr. K saved my sister's life. Treated her like a queen.
    Theresa Ward
  • Very friendly and knowledgeable.
    Shawnna Dunn