Osteoporosis

Conditions · Osteoporosis

Exercise Physiology for Osteoporosis

Bone responds to load. Safe, progressive strength and impact exercise can help maintain bone, and balance training helps prevent the falls that cause fractures. We tailor both to your DXA results, fracture history and life.

✓ No referral needed to book privately✓ Medicare rebates with a GP plan✓ Bring your DXA results

Strength training for bone health at Beachside EP, Mordialloc
Bone health Load, balance, protect
Why it matters

Poor bone health is common, and often silent

2 in 3
Australians over 50 have osteoporosis or low bone density
183K+
Broken bones each year in Australia due to poor bone health
2
Goals in every program: load your bones and prevent falls
All
Stages, from prevention through to rehabilitation after a fracture

Source: Healthy Bones Australia.

Understanding your DXA results

What your T-score means for exercise

A DXA scan measures your bone density and compares it with a healthy young adult. Exercise is helpful at every level. The program changes, but the goal stays the same.

Normal bone density
T-score above −1.0

A great time to invest in your bones. Peak bone mass is mostly reached by your 30s, so the goal is to keep what you have.

Osteopenia
T-score −1.0 to −2.5

Lower bone density, but not yet osteoporosis. A good time to start progressive loading to help slow further loss.

Osteoporosis
T-score −2.5 or lower

Exercise is an important part of care alongside any medication. The program needs more care around fracture risk, and we tailor it accordingly.

What we do

Two goals, one program

Loading your skeleton to help maintain bone, and building the strength and balance that prevent falls. We work on both in every program.

🏋️

Progressive strength

Resistance exercise targeting the hip and spine, the sites most vulnerable to fracture, progressed carefully over time.

🦴

Impact and weight-bearing

Stepping, heel drops and other impact tasks, matched to your fracture risk.

⚖️

Balance and falls

Most hip and wrist fractures happen in falls. Balance, stepping and leg strength help prevent them.

🧍

Posture

Strengthening the muscles that keep you upright, to help with forward rounding of the upper back.

💡

Safe movement

Which movements to modify, which are safe, and why, for exercise and everyday life.

🏡

Home and daily life

Practical tips to reduce falls at home and protect your bones without limiting your life.

💊

Works with your medication

If you're on bone medication, your program is designed to complement it.

📋

Reports to your doctors

Written reports to your GP and specialist after reviews.

How we exercise

Three types of exercise for bone health

Not all exercise loads bone the same way. We use all three, adjusted to your fracture risk and current ability.

Resistance training

The main bone stimulus

Supervised, progressive strength training, often heavier than people expect once built up safely, targeting the hip and spine.

Progressed gradually over months
Impact exercise

Loading through the ground

Bone responds to the forces of impact. We start with low-impact stepping and build up only as your bones and capacity allow.

Conservative when fracture risk is higher
Balance training

Preventing the fall

Standing balance, stepping and reaction practice, plus advice on walking and footwear, to reduce your risk of falling.

Especially important after a fracture

Movements to approach with care

With osteoporosis, some movements can increase the risk of spinal fractures, depending on your T-score and fracture history. These include heavy or repeated forward bending of the spine, twisting under load, and impact beyond your current ability. Some yoga and Pilates positions fall into this group.

We'll give you clear guidance on what to modify in exercise and daily life. If you get sudden, severe back pain, stop and see your doctor.

Who we see

From prevention to recovery after a fracture

Osteoporosis on DXAOsteopeniaAfter menopauseMen with low bone densityAfter a spinal or hip fractureOn bone medicationFamily history of osteoporosisHigher falls riskLong-term steroid useBone loss from other conditions
Your program

What to expect from start to finish

Programs are built around your DXA results, fracture history and current ability, not a generic bone health class.

1

Initial assessment

Your DXA results, fractures, medications, falls history, balance, posture and strength. Bring your latest DXA report if you have one.

2

Program design

Strength, impact and balance work matched to your fracture risk, plus guidance on safe movement in daily life.

3

Supervised progression

We supervise and build load steadily. Bone adapts slowly, so consistency matters.

4

Reviews and reports

Reports to your GP and specialist. When you have a follow-up DXA, we review it with you and adjust your program.

Common questions

Osteoporosis program FAQs

Is strength training safe if I have osteoporosis?
For most people, yes, when it's prescribed and supervised by a clinician who understands osteoporosis. The key is choosing the right exercises and loads, avoiding higher-risk movements and progressing carefully. We regularly work with people across the full range of bone density, including those who've had fractures.
I haven't had a DXA scan. Can I still start?
Yes. We can start using your history, risk factors and testing. If you don't have recent results, we'll suggest you talk to your GP about a DXA scan, as it helps us tailor your program.
I'm on bone medication. Does exercise still help?
Yes. Medication and exercise work in different ways and can complement each other, and exercise also builds the strength and balance that help prevent falls. Keep taking your medication as prescribed, and talk to your doctor before making any changes.
I've had a spinal fracture. Is exercise safe?
Usually, yes, with careful prescription and once your doctor is happy for you to start. We work carefully around the fracture, avoid higher-risk positions, and build the strength and balance that protect you going forward.
Can exercise rebuild my bones?
Exercise can help slow bone loss, and in some people it can modestly improve bone density. Its biggest benefits are often stronger muscles, better balance and fewer falls, which all help reduce fracture risk. We'll set realistic expectations and track your progress.
Do I need a referral?
Not to be seen privately. To claim Medicare, you need a GP chronic condition management plan and a referral from your GP.
Can I attend by telehealth?
Yes, for reviews, education and program updates. Your first assessment is best done in person so we can properly check your balance and posture.
Get started

Ready to protect your bones?

Book your first appointment and bring your latest DXA results if you have them.

✓ We'll tell you honestly if we can't help ✓ Start with one session, no lock-in ✓ No referral needed to book privately

The information on this page is general and doesn't replace individual advice from your doctor. Exercise complements, and doesn't replace, medication your doctor prescribes. Results vary from person to person.

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