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Osteoporosis and exercise: what’s safe and what to avoid

Topic: Bones, Joints & Pain Reading time: 4 min

If you have osteoporosis or low bone density, exercise is still important—arguably more important. The key is choosing the right kind of stress: strength + balance, not risky bending/twisting.

Safe priorities for many people

  • Strength training (legs, hips, back, core)
  • Balance training (fall prevention is fracture prevention)
  • Weight-bearing activity (walking, stairs if safe)
Use caution with: deep forward bending, fast twisting, or high-impact moves if you have known osteoporosis—especially if you’ve had fractures. Ask a clinician/PT for individualized guidance.

How to start safely

  • Use a beginner strength plan with good form.
  • Add balance practice 5–10 minutes/day.
  • Consider PT if you’re unsure what’s safe for your spine/hips.

Related: Bone health and osteoporosis and Balance training.

Ask your clinician (starter questions)
  • “What’s the most likely explanation in my case?”
  • “What serious causes are we ruling out?”
  • “Could any medications or supplements contribute?”
  • “What’s the simplest next step?”
  • “What should make me call you sooner or seek urgent care?”

If you want to prepare for a visit, try the Doctor Visit Checklist. For general support, browse Topics or Common Issues.