Bone Health for Active Women: Hormones, Strength & Injury Risk Explained — with DR. JOCELYN WITTSTEIN
In this episode, I’m joined by Dr. Jocelyn Wittstein, a board-certified orthopedic surgeon and associate professor of orthopedic surgery at Duke University School of Medicine. She is also co-author of The Complete Bone and Joint Health Plan: Help Prevent and Treat Osteoporosis and Arthritis. Together, we dive into the intersection of women’s health and orthopedics, exploring how hormonal changes in perimenopause and menopause impact bone, joint, and overall musculoskeletal health.
We discuss why osteoporosis risk often goes overlooked until later in life, the role of hormone therapy, and how exercise, sleep, and nutrition all contribute to long-term bone health. Dr. Wittstein also shares insight into frozen shoulder, low energy availability, recovery after hip surgery, and why a more proactive approach to women’s health matters.
We Talk About:
-bone health in perimenopause and menopause
-rehab after a hip surgery
-intersection of women’s health and orthopedics
-risk factors for osteoporosis
-the impact of low energy availability
-frozen shoulder and hormone therapy
-sleep habits and bone health
Time Stamps
1:00 introduction
6:12 starting the perimenopause journey
12:12 why do we wait until 65 for DEXA scan?
18:23 the importance of HRT
23:20 how exercise intervention helps
27:33 inflammation and joint pain
37:04 putting together all of the symptoms
41:45 changing reception of HRT
43:40 advice to former self
53:20 practical advice with nuance
57:32 worst health traits
62:41 rapid fire questions
CONNECT WITH CARRIE
IG: https://www.instagram.com/carriepagliano/
Website: https://carriepagliano.com
Course waitlist: https://course.carriepagliano.com/RSAWL
CONNECT WITH JOCELYN
Instagram: https://www.instagram.com/jocelyn_wittstein_md/
The Active Mom Postpartum Podcast is A Real Moms’ Guide to Postpartum for active moms & the postpartum professionals who help them in their journey.
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