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Episode 86: Dr Andy Bush: A New Approach to Bone Health Part 2
Stronger Bones Lifestyle Podcast: Take Control of Your Bone Health
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[3:50] Fragility scores and other potential risk factors
[8:35] Medications and what they do
[14:39] The issue with the REMS database
[25:47] Getting a baseline from REMS and using it for monitoring bone health
[28:48] The word severe
[31:21] What do women need to do after getting their REMS
The Role of REMS in Accurate Bone Health Assessment
Welcome back to the Stronger Bones Lifestyle Podcast! In Episode 86, host Debi Robinson delves into the complexities of osteoporosis management with esteemed orthopedic surgeon Dr. Andy Bush. Together, they explore advanced diagnostic tools like REMS technology and discuss personalized care approaches for those at high risk of osteoporosis.
Dr. Andy brings his rich expertise to the podcast, shedding light on how traditional assessment models might not accurately reflect an individual’s real-time health status, especially for active older adults. He emphasizes the importance of looking beyond statistical models and normative databases, advocating for more tailored and comprehensive patient evaluations.
Join Debi and Dr. Andy as they discuss the nuances of bone health assessments, the limitations of standard screenings, and the potential of REMS technology. Dr. Andy’s insights and Debi’s experiences enrich the conversation, highlighting the need for accurate and empowering information around bone health.
"If you have no muscle, you’ll have no bone." [4:19]
"We’re gonna use that (REMS scan) as a baseline. And when you come in next year we’ll see how you changed." [26:05]
"There's so much that goes into the interpretation of the REMS." [30:55]
Listen to more episodes on Bone Health and Osteoporosis
Frequently Asked Questions (FAQs)
As per ISCD guidelines, regular osteoporosis is defined by a T score between negative 2.5 and negative 3. Severe osteoporosis is indicated by a T score lower than negative 3.
REMS technology provides a more comprehensive assessment of bone health by analyzing fragility scores, which take into account factors like an active lifestyle. Unlike DEXA scans, which are primarily focused on bone density, REMS offers insights into the overall structural integrity of bones and potential fracture risks.
Petite women are often at a higher risk for osteoporosis due to their smaller bone size and lower bone mass. As a result, they are frequently advised to take medication. However, it is crucial to consider individual health factors and lifestyle rather than solely relying on general recommendations.
Exercise and nutrition form the base of all treatment plans for managing bone health. These are prioritized because they can significantly influence bone strength and fracture risk, supporting natural bone-building processes.
Many women feel stressed and disempowered after receiving a DEXA scan every two years because these scans often show bone density declines, leading to anxiety about their bone health. The podcast emphasizes the importance of sharing information to reduce anxiety and focus on overall bone strength rather than just density measurements.