In this episode of the Move Well Live Well Perform Well Podcast, Simon sits down with Dr Nick Birch, Consultant Orthopaedic Surgeon and one of the UK’s leading experts in spinal health, osteoporosis and early bone weakness.
Dr Birch works at the intersection of bone biology, biomechanics, loading and lifestyle, treating both elite athletes and everyday patients. He explains why bone health often declines silently, why even highly trained athletes can develop stress fractures or weak bones, and how early detection can completely change outcomes.
The conversation explores how training load, impact, energy availability, hormones and ageing interact to shape bone strength, and why modern sport is seeing a rise in bone stress injuries. Nick also shares his experience using Echolight REMS, a radiation-free bone imaging technology that offers earlier and more detailed insight than traditional DEXA scans.
👥 Who This Episode Is For
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🎓 What You’ll Learn
In this episode, you’ll learn:
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