Delve into the critical importance of bone health for midlife women.

Delve into the critical importance of bone health for midlife women

In this episode of Menopause Rescue, Dr. Andrew Bush, alongside Dr. Polly Watson, discusses bone health in midlife women and why fracture risk cannot be fully explained by traditional bone density testing alone. Dr. Bush emphasizes the importance of assessing bone strength and structure, especially during perimenopause and menopause, when rapid bone loss and fragility fractures become a major health concern.

“You don’t really care about a T-score—you want to know if you’re going to break,” says Dr. Andrew Bush.

The episode covers the limitations of DEXA scans and introduces REMS (Radiofrequency Echographic Multi-Spectrometry), an advanced, radiation-free ultrasound technology that evaluates bone quality and fracture risk more precisely. Dr. Watson and Dr. Bush shed light on why many women with “normal” DEXA results still experience fractures, and how REMS can better identify true bone weakness—allowing for earlier, more personalized prevention strategies.

Dr. Andrew Bush is a Board-Certified Orthopedic Surgeon with nearly 30 years of experience. Trained at the University of Medicine and Dentistry–NJMS, he has practiced in Sanford, North Carolina for over 17 years. A member of the International Society of Clinical Densitometry, Dr. Bush now leads the largest clinical REMS practice in North America, focusing on fracture prevention through lifestyle optimization, nutrition, exercise, and advanced bone health screening.

• “We know in the United States, if someone falls and breaks their hip, there’s a 30% chance they’ll be dead in 12 months.” – Dr. Polly Watson
• “The way you build healthy bone is through exercise. The muscle is what determines what your bone’s going to be.” – Dr. Andrew Bush
• “One of the problems with fragility fractures… is that the bone really is not good quality. And the bone is not in isolation — it’s reflective of a general health condition.”  – Dr. Andrew Bush
• “What’s going to build that skeleton is how active they were as a young adult and as a late adolescent — and their nutrition.” – Dr. Polly Watson

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Dr. Andrew Bush is a Board-Certified Orthopedic Surgeon with nearly 30 years of clinical experience. He completed his orthopedic training at the University of Medicine and Dentistry of New Jersey – New Jersey Medical School (NJMS) at University Hospital in Newark, New Jersey. For the past 17 years, Dr. Bush has provided comprehensive orthopedic surgical care in Sanford, North Carolina, practicing as an independent private physician.

In recent years, Dr. Bush has strategically shifted the focus of his practice from fracture fixation to fracture prevention, with a specialized emphasis on bone health. He is a member of the International Society of Clinical Densitometry and has received advanced training in DXA interpretation. What distinguishes his Bone Health practice, however, is his early and extensive adoption of REMS (Radiofrequency Echographic Multi Spectrometry) technology for bone densitometry and fracture risk assessment.

Currently, Dr. Bush’s practice is recognized as the largest clinical REMS practice in North America. His Bone Health program continues to grow due to its comprehensive, patient-centered approach, which emphasizes thorough bone health assessment, lifestyle modification, exercise, and optimal nutrition. Routine screening and ongoing monitoring are integral components of the program, all directed toward the primary goal of preventing fragility fractures and preserving long-term skeletal health.

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