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Field Dispatch

#25. Alison Crouch. Learning to Thrive with Osteoporosis

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Trail notes

This week Andrew speaks with Alison Crouch, a Pilates & movement teacher of 25+ years, osteoporosis specialist, and creator of the MoveSmart Method.

Alison shares her personal story of reversing early bone loss, navigating a genetic predisposition to osteoporosis, and later facing her own diagnosis.

We cover:

  • Why the “fear-based” diagnosis conversation is so harmful, and how to replace it with empowering action.

  • What bone mineral density scores really mean (osteopenia, osteoporosis, fracture risk).

  • The truth about Pilates, yoga, and walking for bone health and why strength and impact matter.

  • The LIFTMOR trial and what newer research tells us about heavy vs. moderate lifting.

  • Practical guidelines: push, pull, squat, hinge, carry, plus the overlooked importance of balance and footwork.

  • Why “limit, don’t eliminate” should be the guiding principle for movement with osteoporosis.

Alison also talks about her new course and the resources she’s building for people who want a holistic approach to bone health that includes strength, balance, nutrition, and mobility.

📍 Find Alison at: