Strength Training and Osteoporosis: Building Stronger Bones for a Healthier Future

Dr. Molly Pierson, PT, DPT • June 28, 2025

Osteoporosis is a disease that weakens bones, makes the bones thin, and is often called a "silent disease" because it progresses without symptoms until a fracture occurs (NIH, 2022).Affecting millions worldwide—especially postmenopausal women and older adults—it weakens bones and increases the risk of breaks from minor falls or even simple activities like bending or coughing. While medication and dietary strategies are important in managing osteoporosis, one of the most effective and empowering approaches is strength training.


Why Strength Training?

Strength training, also known as resistance training or weightlifting, involves exercises that cause muscles to contract against external resistance. This can be done using free weights, resistance bands, weight machines, or even body weight.

But here’s the critical part: strength training doesn’t just build muscle—it stimulates bone growth. When muscles pull on bones during resistance exercises, they trigger bone-forming cells called osteoblasts, helping to maintain or even increase bone density (Hong, 2018).


Key Benefits of Strength Training for Osteoporosis

  1. Increases Bone Density
    Regular strength training can slow bone loss and may even build new bone in some people. This is particularly important in areas prone to osteoporotic fractures, like the spine, hips, and wrists.

  2. Improves Balance and Coordination
    By strengthening core and lower-body muscles, strength training reduces the risk of falls—the leading cause of fractures in older adults.

  3. Enhances Posture and Mobility
    Targeted exercises can combat the stooped posture and spinal compression often seen with advanced osteoporosis.

  4. Boosts Overall Health
    Strength training improves metabolism, insulin sensitivity, and mood, making it an all-around excellent tool for healthy aging.

Getting Started Safely

Before starting a strength training program, especially if you have osteoporosis or are at high risk, consult your healthcare provider or a physical therapist. They can help tailor a program to your needs and avoid movements that could be unsafe.


Safe Practices Include:

  • Start slow with light resistance and progress gradually.
  • Focus on form, not weight—proper technique is key to preventing injury. As form gets better, slowly increase the weight
  • Slowly work into high-impact movements, such as jumping
  • Include balance exercises like standing on one foot to enhance fall prevention.


Osteoporosis doesn’t have to mean frailty or fear. With a consistent, safe strength training routine, you can build resilience—not just in your bones and muscles, but in your confidence and quality of life as well! 

 

Book An Orthopedic Evaluation

Resources:


Hong, A. R., & Kim, S. W. (2018). Effects of resistance exercise on bone health. Endocrinology and metabolism (Seoul, Korea), 33(4), 435–444. https://doi.org/10.3803/EnM.2018.33.4.435

National Institute of Health: Arthritis and Musculoskeletal and Skin Disease. (2022). Osteoporosis. Retrieved from https://www.niams.nih.gov/health-topics/osteoporosis#:~:text=Osteoporosis%20in%20Men-,Osteoporosis%20is%20a%20bone%20disease%20that%20develops%20when%20bone%20mineral,Pregnancy%2C%20Breastfeeding%2C%20and%20Bone%20Health


By Dr. Molly Pierson, PT, DPT February 2, 2026
Physical Therapy For CrossFit Injuries, Holly Springs, NC
By Dr. Nicole Perna, PT, DPT January 28, 2026
Pregnancy Physical Therapy, Holly Springs, NC
By Dr. Rebecca Acevedo, PT, DPT January 9, 2026
Physical Therapy for Low Back Pain in Holly Springs, NC
By Dr. Nicole Perna, PT, DPT January 5, 2026
Birth Prep & Pelvic Floor Physical Therapy in Holly Springs, NC
By Dr. Molly Pierson, PT, DPT December 8, 2025
Holly Springs Physical Therapy For Low Back Pain
By Dr. Rebecca Acevedo, PT, DPT September 26, 2025
Physical Therapy for Plantar Fasciitis in Holly Springs, NC
By Dr. Molly Pierson, PT, DPT September 22, 2025
Holly Springs Physical Therapy For Orthopedic Injuries
By Dr. Rebecca, PT, DPT September 10, 2025
Birth Preparation Holly Springs, NC
By Dr. Molly Pierson, PT, DPT September 3, 2025
Typically, once people get into their 3rd trimester of pregnancy, they focus on winding down, resting, and focusing more on stretching. While stretching is helpful, there is more you can do in your 3rd trimester to better prepare for labor, delivery, and recovery after childbirth. Birth prep physical therapy during the third trimester (weeks 28–40) focuses on helping the body prepare for labor and delivery, relieve discomfort, and support postpartum recovery. Here's what it typically includes: Optimize Pelvic Alignment & Mobility Encourages smoother fetal positioning and reduces chances restrictions from your pelvis and surrounding structures. This can include incorporating different positions to help open up different areas of the pelvis, which allow for a smooth transition as the baby moves through the pelvis. Reduce Pain & Discomfort Targets low back pain, pelvic girdle pain, sciatica, and round ligament pain as the baby continues to grow. Diaphragmatic breathing to help manage labor pain and regulate intra-abdominal pressure Prepare Muscles & Tissues for Labor Pelvic floor coordination and perineal mobility can ease labor and reduce tearing risk. Learning to engage abdominal muscles to assist with pushing. Gentle core exercises for transverse abdominis support. Empowerment Through Education Helps you understand pushing mechanics, breathing techniques, and labor positions. This can include: Pelvic Floor Work Focus is on coordination between diaphragm, pelvic floor muscles, and abdominal Learning how to relax the pelvic floor (just as important as contracting it). Gentle perineal massage techniques (usually after 34 weeks). Postural Adjustments & Alignment Body mechanics for daily life (getting out of bed, lifting other children, etc.). Pelvic tilts, cat-cow, and modified squats to maintain mobility. Laboring positions and strategies for fetal positioning Practice labor positions using birth balls, stools, or partner-assisted techniques. Learn strategies for optimal fetal positioning (like Spinning Babies techniques). Manual Therapy Myofascial release, sacral mobilization, and soft tissue work to relieve tension. Addressing hip or SI joint pain. Ultimately, birth prep is tailored to the needs of the mother and her goals when it comes to her birthing experience. The items listed above are just a snapshot of techniques that can be incorporated into sessions to help one become more educated and aware of what the birth experience may encompass, as well as address aches and pains along the way.
By Dr. Rebecca Acevedo, PT, DPT August 14, 2025
Patient Knee Pain Success Story - Physical Therapy Holly Springs, NC