What to expect from exercise therapy for osteoporosis

Your physiotherapist may ask about previous fractures, height loss, back pain, medicines, falls, and activities at home. Sessions can practise upright posture, leg and trunk strength, balance reactions, and ways to lift or turn without rounding the spine. Walking and other weight-bearing activity may be included when appropriate. The aim is confident, controlled movement and better function; exercise does not rebuild a weakened bone immediately. Your programme should be individualised, particularly if you have had a spinal or hip fracture.

Follow the prescribed technique and pace, and use stable support for balance exercises if advised. Avoid forceful bending forward, twisting under load, sudden high-impact activity, or lifting challenges that have not been assessed for you. Keep track of new back, hip, or rib pain and tell the clinician promptly. Wear suitable footwear, clear trip hazards, and keep attending any medical follow-up for bone health. Read more about [Exercise Therapy](/treatments/physiotherapy-and-rehabilitation/exercise-therapy/).

Stop and seek urgent medical assessment after a fall or sudden pain with difficulty standing, walking, or using a limb. Seek prompt advice for new severe back pain, pain after a minor movement, sudden height change, or a new stooped posture. Contact your physiotherapist if an exercise repeatedly causes pain or you feel unsafe, so the plan can be changed.

Do I need restrictions because of a previous fracture? Which impact and lifting activities are suitable? How can I practise balance safely at home? What symptoms should make me stop, and when should my programme be reviewed?