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You Are Not Broken

367 - Brick House Bones - How to strengthen bones with PT

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

4.81.1K Ratings

🗓️ 19 April 2026

⏱️ 42 minutes

🧾️ Download transcript

Summary

In this episode of You Are Not Broken, Dr. Kelly Casperson sits down with physical therapist Dr. Lisa Moore, an expert in bone health, for a conversation that reframes how we think about osteoporosis—from something to fear… to something we can actively influence. If you’ve ever been told to “be careful” or “avoid injury” without being given a clear path forward, this episode is your antidote. Dr. Moore brings clarity, science, and practicality to a topic that is often clouded by confusion and limitation. Why physical therapists are essential to bone health Physical therapists are uniquely trained in the musculoskeletal system—bones, muscles, and joints. Dr. Moore explains how this expertise allows them to guide patients not just in recovery, but in building strength, resilience, and confidence in their bodies. Working with women undergoing breast cancer treatment, Dr. Moore saw firsthand how certain therapies increase the risk of osteoporosis and fractures. Instead of accepting this as inevitable, she pursued deeper education and now empowers women with actionable strategies to protect and rebuild their bone health. Why balance training is non-negotiable Most fractures don’t happen because bones are weak alone—they happen because people fall. Dr. Moore shares why dynamic balance training (not just standing on one foot) is critical, and how practicing real-life movement scenarios can dramatically reduce fall risk. The underrated power of… power training Strength is important—but strength plus speed is what keeps you from falling. Power training helps your body react quickly and effectively, which is essential for maintaining independence and longevity. Why your starting point doesn’t matter as much as you think Dr. Moore emphasizes the principle of initial values: those starting at a lower baseline often see the greatest gains. Translation? It’s never too late to start, and your body is more adaptable than you’ve been led to believe. How to stay active without rigidity (even while traveling) Fitness doesn’t have to mean perfection. Dr. Moore shares how she balances structured workouts with joyful movement like hiking and swimming—reminding us that consistency over time matters more than any single workout. The truth about osteoporosis: it’s not fixed One of the most empowering takeaways—bone health is dynamic. With the right interventions, you can improve bone density, strength, and function. This is not a one-way street. YouTube: https://www.youtube.com/@DrLisaMooreDPT Instagram: https://www.instagram.com/drlisamooredpt/ Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠via4her.com⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠hcp.solvwellness.com⁠. Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0

Welcome to You Are Not Broken, the podcast that challenges everything we've been taught about midlife, hormones, and sexuality.

0:09.8

I'm Dr. Kelly Casperson, board-certified gerologist, author, and a leading voice in women's sexual and hormone health.

0:15.9

Enjoy the show.

0:17.1

Hey, everybody. Welcome back to the You Are Not Broken podcast. Very excited today to have on Lisa Moore, who is a physical therapist, has an amazing YouTube. I've been referring a lot of people to lately called Brickhouse Bones. And thank you for being here on the You're Not Broken Podcast. Thank you so much for the invitation. I'm really, really happy to be here. So a lot of people don't know physical therapists exist, which is very weird.

0:41.0

And a lot of people, I think, assume doctors know more about the musculoskeletal system than physical

0:47.9

therapists do.

0:48.5

And I'm like, dude, my physical exam is amateur hour.

0:52.0

And I'm pretty good at examining the pelvis compared to most doctors.

0:55.4

Physical therapists, that's what it's literally graduate training in. Can you talk about your

1:01.3

journey on how you got to be specifically in your niche? Oh, yeah. It was a long journey,

1:06.2

actually. But yeah, we're all about the muscles and the bones and the bodies and the joints,

1:09.4

and how do we help people

1:11.2

function in real life with less pain and more confidence and that's that's what I like to do and near

1:17.3

the last few years of my career I was working in oncology rehab which was just such a gift to be

1:23.0

able to help people through their cancer journey and the science behind oncology rehab is really

1:27.3

fascinating for as a specialty physical therapy thing too and just how we can really improve to help people through their cancer journey. And the science behind oncology rehab is really fascinating

1:27.9

for as a specialty physical therapy thing too and just how it can really improve outcomes and

1:32.5

everything. But many of my clients were people who were experiencing breast cancer and going

1:37.4

through breast cancer treatment. And as part of the treatment, including the chemotherapy and the

1:42.1

radiation as subsequent aromatase inhibitors or estrogen suppression.

1:46.9

They were at really significantly increased risk for osteoporosis and even a 10% increased risk

1:52.7

for fractures over women who don't have breast cancer. So they were coming to me saying,

...

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