Physiotherapy Or Physiohealth Data Verified

Physiotherapy and Osteoporosis

Published on Jul 29, 2022 and last reviewed on Feb 20, 2023   -  6 min read


Physiotherapy is an effective way for the management of osteoporosis. This article explains how it assists in pain management and improving posture.

Physiotherapy and Osteoporosis

What Is Osteoporosis?

Osteoporosis is a bone disease caused by a decrease in bone mineral density and mass, as well as a change in bone quality or structure. This can cause loss of bone strength, increasing the risk of fractures.

What Are the Risk Factors for Osteoporosis?

Risks that cannot be avoided include:

  • Female gender.

  • Small frame.

  • Advanced age.

  • Genetics.

  • Predisposing medical conditions.

  • Hormone levels.

Risks that can be addressed or avoided include:

Why Is Exercise Important for Osteoporosis?

Exercise is a crucial component of an osteoporosis treatment plan. According to research, strength and resistance training are the best physical activities for bone health. Exercise can strengthen bones at all ages since bone is live a tissue. Exercise, on the other hand, does not increase bone mass in older persons.

Regular exercise, on the other hand, can benefit older persons in the following ways:

  • Improve coordination and balance while increasing muscle mass and strength. This may reduce your risk of falling.

  • Improve daily function and delay loss of independence.

While exercise is useful for persons with osteoporosis, it should not put your bones under undue stress. High-intensity exercise should be avoided if you have osteoporosis.

A physical therapist or rehabilitation medicine professional can assist avoid injury and fractures by:

  • Recommending particular back-strengthening and supporting workouts.

  • Teaching you how to move and carry out regular activities in a safe manner.

  • Recommending a workout regimen that is specifically tailored to your needs.

Exercise physiologists and other exercise specialists may be able to assist you in developing a safe and successful exercise program. A physical therapist can help you manage and recover from an osteoporosis-related fracture. Physical therapy will not repair your fractured bone, but it will improve your chances of making a full recovery. To begin a physical therapy program, you do not need to have broken a bone. If you have been informed you are at high risk for osteoporosis, going to physical therapy is a proactive strategy to help avoid this bone condition.

Your physical therapist will design a regimen for you based on the severity of your osteoporosis. To help tailor the rehabilitation program precisely for you, he or she will consider your overall health, age, exercise level, and personal risk for fractures. In the majority of cases, your physical therapy will include bone-strengthening exercises like weight-bearing activities or resistance training. Your physical therapist will also work with you to improve your balance and posture to help prevent additional fractures. It will be easier to avoid falls if you have a better balance.

Furthermore, good posture relieves needless stress on your spine, lowering your chance of spinal fractures. Your physical therapist may also guide you on how to make modifications in your home and/or office to aid in your recovery. They will also educate you on how to do common actions safely, such as how to properly lie down and sneeze, to help you avoid fractures. Physical therapy is a non-surgical osteoporosis treatment that can help you regain healthy movement, function, and bone strength. A physical therapist will teach you bone-building exercises and how to manage your everyday activities to reduce your risk of an osteoporosis-related fracture.

What Is the Physiotherapy Management for Osteoporosis?

Your physical therapist can form a program customized to your specific needs to help you improve your general bone health, maintain bone health, and prevent fractures.

Your physical therapist may instruct you on the following:

  • Specific workouts to increase bone mass or reduce bone loss.

  • How can you improve your balance so that you are less likely to fall.

  • Protect your spine from fractures by maintaining proper posture.

  • How to align daily activities properly.

  • How can you change your surroundings to protect your bone health.

A healthy lifestyle helps to build and maintain healthy bones. Your physical therapist will teach you specific exercises that will help you reach your goals. Exercise is highly particular and comparable for all ages when it comes to bone development or decreasing bone loss. When a bone is appropriately and correctly pressured, it grows, much like a muscle does when it is tested by more weight than usual. Resistance and weight-bearing exercises are the best for bone health.

A physical therapist should provide your unique bone-building prescription to ensure you are not over-exercising or under-exercising. Exercises are usually done 2 to 3 times a week as part of a total fitness program.

The following exercises are advised for osteoporosis therapy and management:

Range of Motion and Strengthening Exercises:

Physiotherapists use a mild range of motion and strengthening exercises to improve general posture. Increased flexion through the thoracic spine causes gradual fractures and vertebral wedging. Poor posture aggravates these diseases. Maintaining good posture through a modest range of motion and strengthening exercises will assist the upper back and core retain healthy mobility.

Loading Exercises:

Lifting weights and doing low-impact workouts can help to improve overall stability and bone strength, lowering the chance of fracture. Strengthening exercises and other intensive workouts are avoided by people with osteoporosis. Any physiological system that wants to improve its function must be exposed to a load that is greater than normal. To build strength on a daily basis, bones must encounter forces stronger than those they sustain. It is possible to lift weights while maintaining good spine and lower-extremity alignment. Under the supervision, weight-bearing exercises such as stomping, heel drops, dancing, and jogging are also performed.

Weight-bearing exercises such as:

  • Dancing.

  • Stomping.

  • Racquet sports.

  • Heel drops.

  • Jogging.

Resistance Exercises:

Because exercise strengthens bones, a physiotherapist creates an appropriate exercise program that can lower the risk of falls and fractures caused by falls. Training bands, gravity resistance movements such as squats, single-leg heel raises, prone trunk extension with a cushion to protect the lowest ribs, push-ups, lunges, and sustained standing positions in neutral spine position are all included in exercise regimens.

Resistance exercises such as:

  • Lifting weights with good spine and lower-extremity alignment with kyphosis-reducing or kyphosis-stabilizing exercises.

  • Use of an exercise band.

  • Gravity resistance exercises like push-ups, prone trunk extension with a cushion to protect the lowest ribs, single-leg heel raise, squats, lunges, and continuous standing yoga posture in a neutral spine position.

  • Balance exercises.

Balance and Coordination Exercises:

Exercises that improve coordination and balance can also assist to reduce the chance of falling. These exercises help improve balance when walking on uneven surfaces or through tight places. Balance may be improved and maintained by exercising on both balls and adding obstacles to the entire walking process.

Exercises are done 2 to 3 times a week as part of an overall fitness regimen.

Your physical therapist will work with you if you have been diagnosed with osteoporosis or poor bone density by:

  • Training exercises that build bone or reduce bone loss in the hip, spine, shoulder, and arms, which are the most vulnerable areas to fractures.

  • Teaching how to avoid falling improves your dynamic balance.

  • Making improvements to your posture.

  • Assisting you in avoiding workouts and motions that could lead to a spinal fracture, such as any form of sit-up or crunch, a severe spine or hip twisting.

  • Reducing risk, making changes to your work and residential settings.

The conservative treatment for a fracture includes bed rest and proper pain therapy.

Your physical therapist will enable you to achieve the following objectives:

  • Reduce your pain by adjusting your position and using other pain-relieving techniques. Physical therapy routines tailored to the individual can help relieve pain without the use of drugs like opioids. Exercising that requires too much forward or side bending or twisting should be avoided.

  • Demonstrate water and endurance activities to have a deleterious impact on bone density.

  • Provide external equipment, such as bracing, to aid in healing and postural improvement.

  • Decrease your chance of falling by strengthening your muscles and improving your posture.

If your pain persists for more than six weeks after a spinal fracture, talk to your physical therapist, primary care physician, and surgeon about surgical options such as vertebroplasty or kyphoplasty.

When exercising, stay away from the following things:

  • Exercises that place you at a higher risk of injury should be avoided.

  • Excessive spinal or hip twisting, front or side bending, and any form of sit-up or crunch should be avoided.

  • Exercises that exert abnormal strain on the bone or muscle should be avoided.


Physical therapy is a non-surgical osteoporosis treatment that can help you regain healthy movement, function, and bone strength. A physical therapist will teach you bone-building exercises and ways to manage your everyday activities to reduce your risk of an osteoporosis-related fracture.

Article Resources

Last reviewed at:
20 Feb 2023  -  6 min read




Related Questions & Answers

Ayurvedic Approach to Osteoporosis

Article Overview: In osteoporosis, the bones become weak and brittle, and even minor injury leads to fracture. Anyone can develop osteoporosis, but it is more prevalent in women over 50 years of age. Read Article

Revathi. T. S.
Revathi. T. S.
Ayurveda Specialist

What Is Osteoporosis? Osteoporosis is a degenerative bone disorder. It develops slowly over the years and is often diagnosed when a fall or sudden impact causes a bone to break (fracture). In this disorder, the density of bone is decreased, leading to bone weakness and fractures. What Causes Osteopo...  Read Article

How to cure left-sided paralysis in my mother?

Query: Hello doctor, My mother has left side paralysis since three years. At the very instant she had it, we started physiotherapy. At that time, we also got an MRI of the brain done, reports of which I am attaching. In the report, it was mentioned that both the ICA are normal and we continued the physiot...  Read Full »

Can physiotherapy heal diastasis recti?

Query: Hello doctor, I am a 31 year old woman in good health. 11 weeks ago, I gave birth through C-section, after a tough pregnancy with complete bed rest for seven months. Walk to the bathroom were the only exercise I got. After birth, I noticed that I was left with diastasis recti of about 2.5 cm width. ...  Read Full »

Popular Articles Most Popular Articles

Do you have a question on Osteoporosis or Physiotherapy?

Ask an expert Online

* guaranteed answer within 4 hours.

Disclaimer: Wellness medicine is not aimed to replace the services of your treating physician or allopathy medicines. Our site's information is to those who are willing to take responsibility for their health, being fully aware that the content published herein would not qualify as a prescription or specific medical advice. If users use the information and stop prescribed medication without their physician's consent, they bear full responsibility for their actions, and iCliniq-Wellness bears no responsibility for the same. Information on Wellness medicine should not be misinterpreted as a cure for any illness, as our body is complex and everyone reacts differently.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.