OSAIA Health

Exercise and bone health

Understand how the right kinds of exercise can strengthen your bones, improve your balance and lower the risk of fractures throughout life.

An older couple practising yoga outdoors to improve their fitness

Why exercise is essential for bone health

Exercise is one of the most important factors in building and maintaining bone health. Like muscles, bones get stronger when you challenge them through regular physical activity.

Weight-bearing and muscle-strengthening exercises stimulate the bone cells (osteoblasts) to form new bone tissue. This process, called bone remodelling, helps maintain bone strength and can even increase bone density. Regular exercise also improves balance, coordination and muscle strength, all of which matter for preventing falls and fractures, especially with age.

The best types of exercise for the bones

  • Weight-bearing exercise

    Walking, jogging, dancing, stair climbing and tennis stimulate bone growth

  • Strength training

    Weight training, resistance bands, squats, lunges and push-ups increase bone density

  • Balance and flexibility

    Tai chi and yoga prevent falls and fractures

Getting started

Practical tips for strengthening your bones.

  1. 1

    Start slowly

    Begin with 10–15 minutes of exercise and gradually increase the duration and intensity over several weeks.

  2. 2

    Get professional guidance

    Work with a physiotherapist or personal trainer who has experience with bone health and osteoporosis.

  3. 3

    Listen to your body

    Stop if you feel sharp pain or unusual discomfort. A little muscle soreness is normal. Joint pain is not.

  4. 4

    Warm up and cool down

    Always include 5–10 minutes of warming up and cooling down before and after exercise, to avoid injury.

  5. 5

    Focus on technique

    Doing the movement correctly matters more than intensity. Quality over quantity prevents injury and helps you get more from each session.

  6. 6

    Be consistent

    Regular exercise, on most days of the week, is the key. Bones need an ongoing stimulus to maintain and build density.

Your exercise programme should be tailored to you

No two people have the same bone status, fracture history, fitness or daily life, and no single exercise programme suits everyone. What is safe and effective for one person can be the wrong choice for another.

At OSAIA, our physiotherapists assess your situation, including your DXA results, any fractures, your fitness and your daily activity, and put together a personal plan that is safe and as effective as possible for your bones.

  • How OSAIA can help you

    Our physiotherapists design bone-friendly exercise programmes based on your DXA results, fracture history and fitness level, so the plan is safe and effective for your specific situation.

  • DXA scan

    Get a clear picture of your bone health before you start or adjust an exercise programme. Results within 7 days.

  • Bone markers

    Use CTX and P1NP blood tests to check whether your exercise and treatment programme is working. They give faster feedback than waiting for the next DXA scan.

  • Medical assessment

    If your bone density is low, our doctors assess whether medication alongside exercise is recommended, and we follow your progress over time.

Frequently asked questions

Answers to the questions we hear most often about exercise and bones.

  • Which types of exercise are best for the bones?

    Weight-bearing exercise such as walking, jogging, dancing, stair climbing and tennis stimulates bone growth. Strength training with weights, resistance bands, squats, lunges and push-ups increases bone density. Balance training such as tai chi and yoga prevents falls and fractures. A combination gives the best protection.

  • How often should I exercise?

    Regular exercise on most days of the week is the key. Bones need an ongoing stimulus to maintain and build density. Start with 10–15 minutes and gradually increase the duration and intensity over several weeks, rather than going all out from the start.

  • Is it safe to exercise if I have osteoporosis?

    The programme needs to be tailored to you. Work with a physiotherapist or personal trainer who has experience with bone health and osteoporosis. Include 5–10 minutes of warming up and cooling down, and stop if you feel sharp pain or unusual discomfort. Muscle soreness is normal. Joint pain is not.

  • How do I know whether the exercise is working?

    CTX and P1NP blood tests show whether your exercise and treatment programme is working, and they give faster feedback than waiting for the next DXA scan. A DXA scan gives a clear picture of your bone health before you start or adjust a programme, with results within 7 days.

Keep learning

Explore related topics to get a better understanding of bone health.

  • What is osteoporosis?

    Learn the basics of osteoporosis, including causes, risk factors and how the disease progresses.

    Read more
  • Menopause and bone health

    Learn how menopause affects bone health, and what you can do to protect your bones during this transition.

    Read more

Ready to take charge of your bone health?

Join the hundreds of other patients who have chosen OSAIA on the way to better bone health. Start by booking a free pre-assessment. There is no obligation and no waiting list.

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