The Bone Health Basement Tapes
Bone Health Media
5.0from 3 ratings
- 19
- Episodes
- 3
- Ratings
- 2025
- First episode
About The Bone Health Basement Tapes
A Conversation About The Future of Bone Health Bone health is the foundation of movement, longevity, and quality of life—but are we doing enough to protect it? The Bone Health Basement Tapes explores cutting-edge osteoporosis prevention, AI-driven diagnostics, and breakthrough bone health technologies. Hosted by experts, each episode features researchers, clinicians, and tech pioneers reshaping how we assess, monitor, and deliver bone health care. Join us as we decode the future of bone health—one conversation at a time. Welcome to The Basement.
- Publisher
- Bone Health Media
- Category
- health & fitness · technology
- Language
- en
- Explicit
- No
- First episode
- 24 Mar 2025
- Latest episode
- 21 Apr 2026
Latest episodes
19 episodes in the feed.
21 Apr 2026
SABRE and the Opening of Bone Health’s Next Chapter - Mary Bouxsein, Ph.D.
In this pivotal episode of The Bone Health Basement Tapes, host Peter Bianco is joined by Dr. Mary Bouxsein—Professor of Orthopedic Surgery at Harvard Medical School and a central leader behind the SABRE initiative—alongside Dr. Shannon Carpenter, founder of The Bone Health Clinic. At the center of the conversation is SABRE (Study to Advance Bone Mineral Density as a Regulatory Endpoint), a landmark effort that has reshaped the future of osteoporosis drug development. Drawing on data from over 50 clinical trials and more than 160,000 patients, SABRE demonstrated that changes in bone mineral density (BMD) can reliably predict fracture risk reduction—paving the way for smaller, faster, and more efficient clinical trials. But this episode goes far beyond regulatory science. Together, the group explores why this moment may represent a true “Big Bang” for bone health—a long-awaited inflection point where innovation, investment, and infrastructure may finally converge. With shorter and less costly trials, the barriers that have stalled new drug development for years may begin to fall, unlocking a new wave of therapies in a field that has seen limited progress since 2019. From the clinical front lines, Dr. Carpenter brings a powerful perspective on the everyday reality of fragility fractures—still vastly underdiagnosed and undertreated despite the availability of effective therapies. The discussion highlights a critical gap: up to 90% of patients remain untreated even after a fracture, underscoring that the challenge is not just innovation, but implementation. The episode also dives into the broader system implications: How shifting trial design may move the bottleneck from measurement to patient identification The emerging role of opportunistic imaging and AI in early detection The growing strain on DXA capacity and the need for alternative screening pathways The lack of infrastructure and trained providers to manage newly identified patients The importance of earlier intervention—well before age 65 Perhaps most importantly, the conversation reframes osteoporosis itself—from an inevitable part of aging to a preventable and treatable condition. As Dr. Bouxsein emphasizes, bone health is foundational to longevity: without mobility, healthspan collapses. The episode closes with a forward-looking vision: a future where bone health is assessed earlier, treated proactively, and fully integrated into mainstream healthcare—supported by aligned incentives, better education, and increased public awareness. If SABRE reaches its full potential, this may be the moment the field finally shifts—from reacting to fractures to preventing them.
7 Apr 2026
An Orthopedic Surgeon Builds The Bone Health Clinic with Dr. Shannon Carpenter
Bone health is often addressed only after a fracture occurs, leaving a large gap between scientific knowledge and everyday clinical practice. In this episode of The Bone Health Basement Tapes, we sit down with Dr. Shannon Carpenter, an orthopedic surgeon who took an unconventional path—building a clinical practice dedicated specifically to bone health. Dr. Carpenter founded The Bone Health Clinic to focus on early identification of skeletal risk, comprehensive evaluation, and long-term management of bone health. Rather than treating fractures alone, her model is designed to identify patients at risk before those fractures happen. The conversation explores what led an orthopedic surgeon to move upstream into prevention, the operational realities of building a dedicated bone health practice, and the broader implications for how bone health care may evolve in the coming years. As diagnostic technologies improve and fracture risk becomes more visible earlier in the patient journey, practice models like this may represent an early signal of a larger shift in how skeletal health is delivered. This episode examines what happens when bone health becomes the central focus of a clinical practice—and what that might mean for the future of fracture prevention.
25 Mar 2026
The Biology of Aging Bone - A Conversation with Sundeep Khosla, MD
In this episode of The Bone Health Basement Tapes, we sit down with Dr. Sundeep Khosla — endocrinologist, researcher, and one of the central scientific figures in modern bone health. Dr. Khosla has spent his career at the Mayo Clinic asking foundational questions about why the skeleton ages and fails, and his answers helped change how the field thinks about bone loss in both women and men. His research on sex steroids and skeletal aging revealed that estrogen is not just a female story — it plays a quiet but decisive role in male bone health as well, a finding that reshaped clinical thinking and opened new lines of research. In this conversation, we trace the arc of that scientific journey: how skeletal biology evolved from descriptive observation into molecular and cellular precision, what the field got wrong along the way, and how decades of careful research eventually produced drugs capable of reducing fracture risk by as much as 70%. We also examine the troubling gap between what science achieved and what medicine delivered — including Dr. Khosla's 2016 paper documenting a dramatic collapse in osteoporosis treatment rates at exactly the moment the tools to prevent fractures had never been better. It is a conversation about discovery, about the institutions and mentors that make science possible, and about what happens when a field wins the scientific battle but struggles to translate it into care.
10 Mar 2026
Bringing Bone Health Care Back to the Center of Women’s Health
In this episode of The Bone Health Basement Tapes, we welcome Dr. Kristi Tough DeSapri, founder of Bone & Body Women’s Health, a practice built around a simple but powerful idea: bone health should be central to women’s healthcare—not an afterthought addressed only after risk becomes severe. Dr. DeSapri’s work sits at the intersection of menopause medicine, endocrinology, metabolic health, and skeletal health. Through her practice, she focuses on helping women understand and manage bone health earlier in life—particularly during the midlife hormonal transitions when bone loss often accelerates but remains largely invisible within traditional care pathways. During our conversation, we explore why bone health has historically been fragmented across specialties and how that fragmentation affects patient care. Dr. DeSapri shares her perspective on the importance of addressing skeletal health as part of a broader conversation about longevity, strength, and healthy aging. We also discuss what led her to establish Bone & Body Women’s Health, the kinds of patients she serves, and how an integrated semi-concierge practice model can better connect menopause care, metabolic health, muscle health, and bone density into a single clinical framework. At a time when awareness around menopause and proactive health is rapidly expanding, this conversation highlights why bone health may be entering a new phase of visibility. Practices like Dr. DeSapri’s suggest that skeletal health is beginning to move upstream—becoming part of earlier conversations about prevention, risk, and long-term vitality. For clinicians, this episode offers insight into how bone health can be more thoughtfully integrated into women’s care. For patients, it’s a reminder that understanding bone health earlier in life can play a critical role in maintaining strength, mobility, and independence in the decades ahead.
2 Mar 2026
From Movement to Infrastructure: ASOP’s Evolution and the Bone Health's “Big Bang”
Episode Summary — Basement Tapes Recording (Feb 27, 2026) Speakers: Peter Bianco, Matt Bruns (DNP), Dudley Phipps Core themes: certification, infrastructure, risk visibility, workforce training, collaboration, ecosystem maturation, tech + capital readiness In this episode, Peter, Matt, and Dudley step back from day-to-day tactics to explain what’s changing in the bone health ecosystem—and why the change matters right now. The conversation is framed as a pivot toward maturity, not contraction: after a year-plus of “mapping the ocean floor” (a detailed look at the real-world barriers to scalable osteoporosis care), the team concludes that the work must now split into three distinct but complementary lanes so each can execute with focus. Dudley outlines ASOP’s primary lane: standardized training and subspecialty certification to build a credible, scalable workforce infrastructure for bone health. The group argues that guidelines alone aren’t enough—without a recognized certification pathway and competence standard, bone health remains “the Wild West,” limiting policy leverage, reimbursement clarity, and repeatable clinic operations. Matt emphasizes certification as a practical signal to both patients and referring providers: in a space where “no one owns” osteoporosis across the lifespan, certification helps identify true subject-matter expertise and improves referral accuracy. Peter connects this organizational maturation to the broader “Big Bang” thesis for the season: the field is moving from disease visibility (reacting after fracture) toward risk visibility (identifying and managing fracture risk across the lifespan). They discuss how current care remains too event-driven—“conception to death” prevention requires a wider lens that also elevates adjacent “orphan” domains like fall risk and nutrition, which demand training and workflow ownership. A second lane emerging from their work is the role of The Bone Health Basement Tapes itself: what started as an experiment to “shout into the canyon” has become a surprisingly strong signal of demand, with growing downloads and inbound interest. The team positions the show as more than a podcast—an ecosystem convening channel that supports the cultural and informational infrastructure needed for change. The third lane is the “outside-the-society” execution layer: Peter describes the move toward Bone Health Media and a more analytic platform approach—including the developing Bone Health Index—to provide the “speedometer and temperature gauge” the sector lacks. The idea is to make bone health legible not only to clinicians, but to investors, employers, and technology builders who currently don’t have a clear entry point into the vertical. The episode closes with a direct call for collaboration across societies and stakeholders, arguing that clearly defined lanes make collaboration easier—and that without greater cooperation and serious infrastructure investment, the field won’t move the numbers that have been stagnant for decades. Bottom line: This episode is a “state of the mission” reset—positioning certification, media/convening, and execution infrastructure as coordinated pillars for scaling fracture prevention, attracting investment, and shifting the field from reactive care to lifecycle risk management.
28 Jan 2026
Bone Health’s Big Bang? Care, Scale, and the Lessons of Diabetes
Episode Focus This season-opening episode examines whether bone health is approaching a “Big Bang” moment similar to diabetes 15 years ago—and, critically, how to ensure that the scaling of bone health care does not repeat the moral and practical mistakes that accompanied diabetes’ transformation. The episode is anchored by a conversation with Victor Montori, MD, Professor of Medicine and endocrinologist the Mayo Clinic, author of Why We Revolt, and founder of the Patient Revolution (https://www.patientrevolution.org/), followed by a panel discussion with bone health clinicians. Why This Conversation Matters Now Diabetes care transformed rapidly once previously fragmented forces—screening, therapeutics, reimbursement, and technology—converged. That transformation improved outcomes, but it also introduced new burdens: over-reliance on metrics, protocol-driven care, administrative overload, and erosion of patient and clinician agency. Bone health today shows many of the same pre-transformation conditions: A large, mostly undiagnosed at-risk population Fragmented ownership of care Reliance on single metrics (e.g., T-scores) to make complex decisions Growing technological capability without fully formed care models Increasing economic pressure from preventable fractures This episode explores whether bone health is on the verge of a similar inflection point—and what lessons from diabetes must guide its evolution. Core Conceptual Comparisons HbA1c <> T-score: Both are population-level summary metrics that became over-empowered as individual care decision-makers. CGM <> bone health monitoring: Diabetes advanced not by finding a better number, but by capturing lived, dynamic risk. Bone health has not yet had an equivalent “continuous risk” moment. Fragmented care ownership: Just as diabetes once belonged to “everyone and no one,” bone health risk today lacks clear longitudinal accountability. Undiagnosed disease burden: In both conditions, risk is widespread, silent, and often only recognized after harm occurs. The Patient Revolution Lens Dr. Montori’s work frames healthcare reform as a moral project, not merely a technical one. Key principles guiding the episode include: Care must fit into patients’ lives, not the reverse Metrics should inform conversation, not replace it Scale without humility risks industrializing fragility Clinician and patient burden are ethical concerns, not side effects These principles serve as a safeguard as bone health care begins to scale. Panelists: Bryan Huber, MD, Orthopedic Surgeon Dudley Phipps, PA-C, CEO/Executive Director, American Society of Osteoporosis Providers Peter T. Bianco, MBA, Moderator, The Bone Health Basement Tapes
22 Jan 2026
Season 3 Trailer: Bone Health’s Big Bang?
This episode previews season three of Bone Health Basement Tapes, which explores the possibility of a significant shift in bone health, driven by the alignment of clinical capabilities, expertise, technology, and system design.
7 Oct 2025
Inside the ASOP Provider Bone Health Certification Pilot — Results, Lessons & Frontline Perspective
Alexandra Rocco, PA-C, discusses ASOP's Provider Certification pilot program, explaining its curriculum, structure, and early results regarding standardized care pathways for improved bone health, in this interview.
25 Sept 2025
The Untapped Power of Physical Therapy in Bone Health Care
Dr. Payal Sahni, PT, DPT, discusses the underutilized power of physical therapy in osteoporosis care, highlighting its role in reducing fracture risk and restoring mobility, in an interview.
11 Sept 2025
Originals Series: A Career Dedicated to Evidence, Innovation, and Impact — Featuring Dr. Michael McClung
Host Dr. Michael McClung shares his career journey in evidence-based fracture prevention and management, offering insights into innovation and impact in bone health.
2 Sept 2025
How Buy-and-Bill is Breaking Bone Health
Orthopaedic surgeon Dr. Russell Goode explains how the buy-and-bill model hinders bone health by creating barriers to essential osteoporosis therapies.
10 Jun 2025
A European View of Orthopedic Centered Bone Health Innovation
Orthopedic surgeon Dr. Jo De Schepper shares a European perspective on integrating bone health into surgical care, emphasizing the role of surgeons in osteoporosis management and comprehensive treatment approaches in this interview.
30 May 2025
The Originals Series--Histology, Discovery, and the Architecture of Bone
Dr. David W. Dempster, Professor Emeritus, recounts his forty-year career in bone biology research, illuminating the evolution of bone health research and his contributions to understanding bone remodeling in this interview.
22 May 2025
From Vision to Platform: A Blueprint for Virtual Bone Health
In this episode of The Bone Health Basement Tapes, we’re joined by the team from MiCare Path, ASOP’s strategic partner in building the Bone Health Optimization Platform (BHOP). Together, we dive into the real-world creation and performance of Bone Health Virtual Care Service Lines— separating fact from fiction and addressing common misconceptions around how virtual care codes actually work. MiCare Path brings a proven track record from other healthcare verticals like cardiology and chronic care management, where their platform has demonstrated strong patient engagement and outcomes and successful reimbursement strategies. Now, they’re bringing that playbook to bone health and orthopedics — helping providers harness Remote Therapeutic Monitoring (RTM) and Principal Care Management (PCM) to extend care beyond the clinic walls and support patient chronic care management between visits. We'll explore: Why RTM and PCM are more than just a billing tool — and how it's transforming musculoskeletal care. What orthopedic and osteoporosis providers can learn from virtual care service line success stories in other specialties. How to navigate RTM and PCM codes effectively and avoid the pitfalls of misaligned expectations. The vision behind the Bone Health Optimization Platform and where this collaboration is headed next. Whether you're a clinician, health system leader, or digital health skeptic, this episode offers practical insights into how virtual care service lines — when done right — can power better bone health outcomes.
28 Apr 2025
Season 2 Preview – Bone Health Basement Tapes
Season 2 Preview – Bone Health Basement Tapes Season 2 of The Bone Health Basement Tapes takes you deeper into the evolving world of bone health. This season, we debut our History of Bone Health series—exclusive interviews with the pioneers who shaped the field of osteoporosis care and helped define the standards we rely on today. We’ll explore global perspectives on fracture prevention with international guests, examine the growing role of digital technology in bone health with innovators from MiCare Path, and look ahead to the future of ASOP with the launch of the Digital Bone Health Study Group. Whether you're a seasoned clinician or just passionate about healthy aging, Season 2 is packed with bold conversations, expert insights, and new directions in the fight against bone loss.
22 Apr 2025
The Foundation Matters — Preoperative Bone Health Optimization with Dr. Paul Anderson
We all know that surgical success depends on precision, skill, and planning—but what about the quality of the bone itself? For too long, the role of bone health in surgical outcomes has been under appreciated. Yet, poor bone quality can lead to hardware failure, delayed healing, and avoidable complications—especially in spine and orthopedic surgeries. The good news? We can do something about it before the first incision is made. Our guest today is someone who’s been leading that charge. Dr. Paul Anderson is a Professor of Orthopedic Surgery at the University of Wisconsin School of Medicine and Public Health, and a globally recognized expert in spinal surgery and musculoskeletal care. He’s also one of the early champions of integrating bone health assessments into surgical planning—helping develop dedicated Bone Health Optimization (BHO) clinics that are reshaping the standard of care for surgical patients. In today’s conversation, we’ll explore how to identify at-risk patients, what pre-surgical interventions can make a difference, and why surgeons and healthcare teams need to optimize before heading to the OR.
7 Apr 2025
AI in Osteoporosis & Bone Health: The Challenges of Integration and Culture in the Adoption of Digital Healthcare Applications
In this special episode of The Bone Health Basement Tapes, we bring together two leading experts to explore how artificial intelligence (AI) and digital health applications are reshaping osteoporosis care. Our guests are Elizabeth Krupinski, PhD, Professor and Vice Chair for Research in the Department of Radiology and Imaging Sciences at Emory University, and Gina Woods, MD, Clinical Professor of Medicine and Co-Chief, Division of Endocrinology, UC San Diego, Osteoporosis Clinic Director, UCSD Health; Associate Program Director, UCSD Endocrinology Fellowship. We will discuss insights from Dr Krupinski’s extensive research on integrating telemedicine and digital healthcare tools into clinical practice, highlighting challenges in adoption, workflow integration, and cultural acceptance. Dr. Woods will help frame these insights within the bone health provider community, drawing from her expertise in osteoporosis management, densitometry, and clinical decision-making in endocrinology. She also is engaged in imaging research specific to applying MRI in bone density measurements. Together, we will explore the opportunities and hurdles in bringing AI and digital technologies into the world of osteoporosis diagnosis and treatment. As osteoporosis remains significantly underdiagnosed and undertreated, AI-and digital health driven solutions will play a critical role in improving screening, monitoring, and patient outcomes. But technology alone is not the answer—success depends on how well digital tools are integrated into existing clinical workflows, the cultural acceptance among providers, and the trust patients place in these innovations. Concept discussed during episode: Your Medical Mind: How to Decide What Is Right for You: by Jerome Groopman (https://www.amazon.com/Jerome-Groopman/e/B001H6N59E/ref=dp_byline_cont_book_1) (Author), Pamela Hartzband MD (https://www.amazon.com/s/ref=dp_byline_sr_book_2?ie=UTF8&field-author=Pamela+Hartzband+MD&text=Pamela+Hartzband+MD&sort=relevancerank&search-alias=books) (Author) https://a.co/d/eEzcR5E (https://a.co/d/eEzcR5E) Links to key research publications from Dr. Krupinski, Ph.D.: https://pmc.ncbi.nlm.nih.gov/articles/PMC7671820/ (https://pmc.ncbi.nlm.nih.gov/articles/PMC7671820/) https://www.mdpi.com/2227-9032/2/1/115 (https://www.mdpi.com/2227-9032/2/1/115) https://pmc.ncbi.nlm.nih.gov/articles/PMC4934470/ (https://pmc.ncbi.nlm.nih.gov/articles/PMC4934470/) https://pubmed.ncbi.nlm.nih.gov/33084506/ (https://pubmed.ncbi.nlm.nih.gov/33084506/) https://www.spiedigitallibrary.org/conference-proceedings-of-spie/12035/0000/In-between-are-the-doors-of-perception/10.1117/12.2620369.full (https://www.spiedigitallibrary.org/conference-proceedings-of-spie/12035/0000/In-between-are-the-doors-of-perception/10.1117/12.2620369.full)
24 Mar 2025
Why Did We Start ASOP?
In this episode, we discuss the critical gaps in osteoporosis diagnosis and treatment, the need for a dedicated society like ASOP, and how advocacy, education, and technology can reshape the future of bone health. Whether you're a clinician, researcher, or someone passionate about improving patient outcomes, this conversation is for you. Guests: Dr. Anne F. Lake is a board-certified nurse practitioner specializing in osteoporosis management at Atrium Health Wake Forest Baptist Medical Center. As the director of the Fracture Liaison Service, she leads efforts to improve care for patients at high risk for fractures. A recognized expert in bone health, she serves as an advisor for national organizations and speaks nationally on best practices for osteoporosis care. Passionate about early intervention and quality improvement, Dr. Lake is dedicated to advancing bone health initiatives and patient-centered care. Dudley Phipps is a nationally recognized bone health expert and Certified Clinical Densitometrist (ISCD), specializing in Fracture Liaison Service (FLS) implementation. With a career spanning from paramedicine to hospital and insurance roles since 1980, he is driven by a passion for improving lives through better bone health—both locally and nationwide. Moderator: Peter Bianco
24 Mar 2025
Is it time to move beyond the traditional T-score measurements and instead focus on comprehensive risk assessment?
Bone Health Basement Tapes Podcast – Episode 2 Is it time to move beyond traditional T-score measurements and instead focus on comprehensive risk assessment, value-based care, and sustainable bone health outcomes? We have a fantastic discussion lined up featuring Jared Torkelson, PA-C, Minnesota Orthopedic APP Supervisor at Mayo Clinic Health Systems, Instructor of Orthopedics at the Mayo Clinic Alix School of Medicine. Jared is also President of the American Society of Osteoporosis Providers (ASOP). Also joining us is Dudley Phips, PA-C, CEO and Executive Director of ASOP. Despite decades of effort, osteoporosis care has remained stagnant in many ways. Is it time to move beyond traditional T-score measurements and instead focus on comprehensive risk assessment, value-based care, and sustainable patient outcomes? Today, we’ll try to answer that question and discuss the coming transformation bone health from a reactive approach to a proactive, system-wide healthcare model.
Who has been a guest on The Bone Health Basement Tapes
Names identified in recent episode analyses. Showing up to five guests.
- Alexandra Rocco
- Dr Payal Sahni
- Dr Russell Goode
- Dr Jo De Schepper
- Dr David W Dempster
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- 5.0 / 5
- 3 ratings
Podcast Authority Score: 38 / 100
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- YouTube
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- Engagement
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