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Why Athletes Get Bone Stress Injuries with Dr Nick Birch
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
This episode is for:
- Athletes dealing with stress fractures or recurrent bone injuries
- Runners, dancers, cyclists and weight-category athletes
- Anyone concerned about bone density, osteoporosis or fracture risk
- Women in perimenopause or menopause
- Clinicians, coaches and health-conscious individuals wanting to understand bone health better
- Anyone who wants to build stronger bones for life — not just avoid injury
🎓 What You’ll Learn
In this episode, you’ll learn:
- What “strong bone” really means — beyond bone density scores
- Why bones weaken without symptoms until injury occurs
- How loading and impact actually stimulate bone to grow stronger
- Why some sports build bone resilience while others don’t
- The role of RED-S and low energy availability in bone stress injuries
- Who should consider earlier bone screening
- How Echolight REMS differs from DEXA and why it’s changing bone imaging
- Practical, evidence-based ways to start improving bone health today
🎙️ Powered by Mayfair Health
At Mayfair Health, we specialise in recovery, performance and proactive wellness. If you’re navigating ongoing symptoms, rehabilitating from injury, or looking to optimise your long-term health, our multidisciplinary team is here to help.
🔗 Website: https://www.mayfairhealth.co.uk/
📩 Contact: [email protected]
📞 Phone: 020 3985 1500
📱Instagram: @mayfairhealth
View all episodes
By Simon GilchristIn 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
This episode is for:
- Athletes dealing with stress fractures or recurrent bone injuries
- Runners, dancers, cyclists and weight-category athletes
- Anyone concerned about bone density, osteoporosis or fracture risk
- Women in perimenopause or menopause
- Clinicians, coaches and health-conscious individuals wanting to understand bone health better
- Anyone who wants to build stronger bones for life — not just avoid injury
🎓 What You’ll Learn
In this episode, you’ll learn:
- What “strong bone” really means — beyond bone density scores
- Why bones weaken without symptoms until injury occurs
- How loading and impact actually stimulate bone to grow stronger
- Why some sports build bone resilience while others don’t
- The role of RED-S and low energy availability in bone stress injuries
- Who should consider earlier bone screening
- How Echolight REMS differs from DEXA and why it’s changing bone imaging
- Practical, evidence-based ways to start improving bone health today
🎙️ Powered by Mayfair Health
At Mayfair Health, we specialise in recovery, performance and proactive wellness. If you’re navigating ongoing symptoms, rehabilitating from injury, or looking to optimise your long-term health, our multidisciplinary team is here to help.
🔗 Website: https://www.mayfairhealth.co.uk/
📩 Contact: [email protected]
📞 Phone: 020 3985 1500
📱Instagram: @mayfairhealth