Bone & Joint Health Testing
Bone- and joint-related lab tests look at minerals and other markers in the blood that clinicians connect with musculoskeletal health. From familiar minerals such as calcium and phosphorus to related markers, these tests give a clinician information to help evaluate bone and joint health over time — read alongside a person's history rather than as a verdict on their own.
Bone & Joint tests you can order now
Calcium
Single test
A blood test that measures serum calcium, a mineral involved in neuromuscular activity, bone metabolism and blood clotting.
Calcium, Ionized
Single test
Measures ionized calcium, the bioavailable form of calcium in blood, as distinct from total calcium levels.
Collagen Cross-Linked N-Telopeptide (NTx), Urine
Single test
A urine test that measures a marker of bone resorption.
Deoxypyridinoline Crosslinks, Urine
Single test
A urine test measuring deoxypyridinoline crosslinks.
Cell Count and Differential, Synovial Fluid
Single test
Measures cell counts and cell types in joint (synovial) fluid, reflecting changes associated with various disorders affecting the joint.
Crystals, Synovial Fluid
Single test
A laboratory test that examines synovial (joint) fluid under polarized light microscopy to check for pathologic crystals.
7 more in this category below — or search the full test menu.
What bone and joint tests look at
Bones and joints are living tissue that the body constantly maintains, drawing on minerals and other building blocks to stay strong and mobile. Because much of that upkeep leaves traces in the blood, clinicians use lab tests to get a window into how the musculoskeletal system is being supported.
Most of these markers come from an ordinary blood draw. Each one describes a different piece of the same system, which is why clinicians tend to read them as a group. A pattern across several results usually carries more meaning than any single value seen on its own.
Minerals that support bone
Calcium is one of the minerals most closely associated with bone, since it is a major building block the body uses throughout the skeleton and in many other functions. Clinicians sometimes look at calcium, including its active fraction, as part of a broader view of how the body is managing this mineral.
Phosphorus is another mineral involved in bone as well as in the body's energy processes, and clinicians often consider it alongside calcium because the two are handled together. Reading these minerals as a pair, rather than in isolation, gives a clinician a fuller sense of the balance the body is maintaining.
Related markers and context
Beyond the core minerals, clinicians sometimes consider markers related to how the body regulates minerals, or markers connected with vitamin D, which plays a role in how the body uses calcium. These add context that a clinician may weigh alongside the mineral results.
Joint-related evaluation can also involve markers of general inflammation, which clinicians read together with a person's history and symptoms. As with the minerals, these are general indicators a clinician interprets rather than answers on their own.
What to expect when testing
Bone- and joint-related tests use a routine blood draw. After ordering online, you visit a patient service center to have the sample collected — often without an appointment — and a phlebotomist handles the draw, which takes only a few minutes.
Preparation can vary by test and by lab, so it is worth reading the instructions for whatever you order and mentioning any medications or supplements to your clinician, since these details can shape how results are read. Once the laboratory processes the sample, results are posted to your account, where you can review them privately and share them with a clinician.
Making sense of results
A bone or joint result is a data point, not a diagnosis. The same marker can shift with diet, hydration, medications, and other factors, which is why context matters so much. A clinician reads results against your history, lifestyle, and any other markers before drawing conclusions.
No single marker establishes how the bones or joints are doing on its own. Clinicians often combine several markers with personal history and how a person feels to think about musculoskeletal health as a whole. Reading results as information to discuss — rather than an answer in themselves — is the most reliable way to make use of them.
All Bone & Joint tests
Collagen Type I C-Telopeptide (CTx)
Lab test
Calcium
Lab test
Calcium, Ionized
Lab test
Collagen Cross-Linked N-Telopeptide (NTx), Urine
Lab test
Deoxypyridinoline Crosslinks, Urine
Lab test
PTH, ICMA-Ionized Ca
Lab test
Crystals, Urine
Lab test
Cell Count and Differential, Synovial Fluid
Lab test
Crystals, Synovial Fluid
Lab test
Galactose-1-Phosphate Uridyltransferase (GALT), Blood
Lab test
Glucose-6-Phosphate Dehydrogenase, Quantitative
Lab test
Phosphate (as Phosphorus)
Lab test
PTH, Intact & Calcium
Lab test
The bone & joint bundle
Vitamin D, calcium, and markers tied to bone and joint health.
Recent bone & joint research
Recent peer-reviewed papers from the medical literature, via PubMed. Listed for reference — not medical advice.
Frequently asked questions
What do bone and joint tests measure?+–
They look at minerals such as calcium and phosphorus and other related markers in the blood that clinicians connect with musculoskeletal health. Clinicians read these markers together with your history rather than in isolation.
Why are calcium and phosphorus often considered together?+–
Both minerals are involved in bone, and the body handles them in a related way, so clinicians often read them as a pair. Looking at them together gives a fuller sense of the balance the body is maintaining.
What other markers relate to bone health?+–
Clinicians sometimes consider markers connected with vitamin D, which plays a role in how the body uses calcium, or markers related to how the body regulates minerals. These add context a clinician weighs alongside the mineral results.
Do I need to prepare before bone and joint testing?+–
Preparation varies by test and by lab. It is worth checking the instructions for the specific test you order and mentioning any medications or supplements to your clinician, since these details can shape how results are read.
Can a lab test tell me if I have a bone or joint condition?+–
No single lab test establishes a bone or joint condition on its own. Clinicians combine these markers with history and symptoms to evaluate musculoskeletal health, and interpret the results together rather than in isolation.