EPISODE 80: A Man's Journey with Osteoporosis: Diagnosis, Education, and Preventing Fractures
Osteoporosis is often thought of as a disease that only affects women, but this episode of Bone Talk challenges that misconception. BHOF Vice President of Science & Education Ami Patel is joined by Joshua Wing, a board-certified nurse practitioner specializing in orthopedic surgery and bone health, and Michael Lavacot, a Bone Health and Osteoporosis Foundation patient advocate whose osteoporosis was discovered before he experienced a fracture.
Michael shares his personal journey from denial to becoming a passionate advocate for patient education, while Josh explains why early diagnosis and timely treatment are critical for preventing fractures and protecting long-term bone health. Together, they highlight the importance of recognizing risk factors, asking questions, and taking action before a broken bone changes your life.
Key Points
Osteoporosis affects men more often than many people realize. About one in four men over age 50 will experience an osteoporosis-related fracture, yet men are frequently underdiagnosed because routine screening isn't as common.
Osteoporosis is often called a silent disease because many people don't know they have it until they break a bone. Identifying low bone density before a fracture provides the opportunity to reduce future risk.
Michael's diagnosis came through an unexpected bone scan, giving him the chance to begin treatment before suffering a fracture. Looking back, he wishes he had acted sooner after his first abnormal scan instead of delaying treatment for several years.
Family history, underlying medical conditions, certain medications, smoking, excessive alcohol use, and poor nutrition can all contribute to osteoporosis. Identifying and addressing these risk factors is an important part of treatment.
Osteoporosis treatment isn't one size fits all. Patients should work closely with their healthcare providers to determine the most appropriate treatment plan based on their individual fracture risk, medical history, and overall health.
Preventing the first fracture is the ultimate goal. Once someone experiences an osteoporosis-related fracture, their risk of additional fractures rises significantly, making early diagnosis and treatment even more important.
Patient education plays a vital role in successful osteoporosis care. Michael emphasizes that learning about the disease helped him become a stronger advocate for himself and ask more informed questions during medical appointments.
Bone health requires lifelong attention. Regular follow-up, bone density testing, healthy nutrition, weight-bearing exercise, adequate calcium and vitamin D, and ongoing communication with healthcare providers all contribute to protecting bones over time.
Michael's story demonstrates how early detection can change the course of osteoporosis. While he regrets delaying action after his first abnormal scan, he hopes his experience encourages others to take a diagnosis seriously, educate themselves, and work with their healthcare team before fractures occur.
As Josh reminds listeners, it's never too early or too late to prioritize bone health. By recognizing risk factors, seeking appropriate screening, and taking proactive steps, patients can reduce fracture risk and preserve their independence for years to come.

