Episode 44: Diagnosing Osteoporosis - REMS, A Better Bone Scan with Nick Birch

Stronger Bones Lifestyle Podcast: Take Control of Your Bone Health


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[2:07] Maddie Young
[4:16] What does your DEXA scan number mean
[4:51] Correlation between bone density and your build
[5:46] Concordant results
[7:28] The subtle layer
[10:00] What the DEXA scan scans
[12:48] The genetic component to osteoporosis
[14:28] The commonest error for spinal DEXA scan
[17:35] What are my numbers?
[18:23] Issues with DEXA
[19:58] Comparing DEXAs
[22:17] Who determines the osteoporosis diagnosis criteria
[24:30] What inspired the creation of the REMS scan
[25:22] Bone mineral density
[28:00] An X-Ray analogy
[28:57] Orthopedic surgeon frustration
[30:20] Spine queries
[34:16] Typical fractures
[35:11] Adductors

Nick Birch and the Origin of the DEXA Scan and how the new REMS Scans Produce a Far More Accurate Picture of Your Bone Health

In episode 44 of the Stronger Bones Lifestyle Podcast, host Debi Robinson welcomes back spinal surgeon Nick Birch to further discuss DEXA scans, REMS scans and overall bone health.

In 2018 Nick founded OsteoscanUK with the intention of offering high quality bone health assessments locally, rather than in a hospital setting, using the Echolight REMS system and has carried out over 2200 REMS scans.  Nick and Debi discuss typical fractures he sees and some of the reasons behind them, the issues with why DEXA scans don’t always produce accurate results and the importance of bone density and toughness.

Join Nick and Debi as they talk about bone mineral density, comparing your DEXA scan numbers and the correlation between your body’s build and your bone density. 

The following studies were discussed in the podcast.  Please click the links to download the PDFs.

"REMS is taking at least one step towards what an MRI is going to offer for muscular skeletal imaging, REMS is taking in the densitometry space." [29:39]

"Again it comes back to toughness, if the hip is tough because its good strong thick bone then It has to be significantly weakened before it can fractured." [32:19] – Nick "And that’s the thing about yoga that’s so fantastic for osteoporosis is we place our limbs, our joints, in a different range of motion that we would normally and then we weight bear in it." [38:11]

Listen to more episodes on Bone Health and Osteoporosis

Frequently Asked Questions (FAQs)

Yoga can stimulate bone growth in your 20’s and can reverse bone loss in your 60’s. Yoga creates stronger bones because it has 10-20 times greater pressure than gravity.
In addition to bone growth, Yoga improves balance, anxiety, and posture.
The osteocytes in your legs govern your appetite, which is why Yoga promotes weight loss.
Rotation is completely safe for women suffering from osteoporosis or osteopenia. Safe spinal rotation involves having proper length and extension in the thoracic curve.
Yoga done for 20-30 minutes every day can protect your cognitive function.

Podcast Subscribe Links - Reversing Osteoporosis