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Physiotherapy supports bone health

Why Bone Health Matters at Every Age: National Osteoporosis Awareness and Prevention Month

When we think about staying healthy as we age, we often focus on heart health, fitness or maintaining mobility. But one of the most important systems in the body is often overlooked until something goes wrong: our bone health.

This National Osteoporosis Awareness and Prevention Month, it’s a timely reminder that bone health deserves attention long before a fracture occurs.

Osteoporosis is often called a “silent disease” because bone loss happens gradually and without symptoms. Many people do not realise they have reduced bone density until they sustain a fracture from something as simple as a minor fall, lifting groceries or even coughing. Common fracture sites include the wrist, spine and hip – injuries that can significantly impact independence, confidence and quality of life.

The good news is that there is a lot we can do to build, protect and maintain healthy bones throughout life.

Improving our Bone Health – Bone Building in Older Adults

As we age, bone density naturally declines. Muscle strength, balance and reaction time can also decrease, increasing the risk of falls and fractures. However, growing older does not mean bone loss is inevitable.

Research consistently shows that targeted exercise is one of the most effective ways to maintain bone health and reduce fracture risk. Weight-bearing and resistance-based exercise help stimulate bone tissue, encouraging the body to maintain or improve bone density. Activities such as strength training, walking, stair climbing and impact-based exercise (where appropriate) can all play a role.

Just as importantly, exercise improves balance, coordination and muscle strength, helping reduce the likelihood of falls in the first place.

At Physio On Miller, we often see older adults who have stopped exercising due to fear of injury, pain or uncertainty about what is safe. The reality is that avoiding movement can accelerate deconditioning and increase fracture risk over time. A tailored physiotherapy program can help individuals exercise safely and confidently, particularly if they already have osteopenia, osteoporosis or previous fractures.

Bone Health During Perimenopause

For women, perimenopause is another critical time for bone health.

During the years leading into menopause, fluctuating and declining oestrogen levels can accelerate bone loss. Oestrogen plays an important role in maintaining bone density, which is why women can experience a more rapid decline in bone mass during this transition.

What makes this challenging is that many women remain unaware this is happening. Symptoms such as fatigue, poor sleep, joint aches, muscle tension and reduced recovery often take centre stage, while bone health quietly changes in the background.

This is why midlife is an important opportunity to proactively support bone health through strength training, adequate protein intake, nutrition rich in calcium and vitamin D, and regular physical activity.

Resistance training is particularly valuable during perimenopause because it supports both muscle and bone health while also improving metabolic function, balance and long-term resilience.

Prevention Starts Before a Problem Appears

One of the biggest misconceptions about osteoporosis is that it only matters after a diagnosis. In reality, prevention begins much earlier.

If you are over 45, postmenopausal, have a family history of osteoporosis, have experienced recurrent fractures or notice changes in strength and balance, it may be worth discussing bone density screening with your GP.

Bone health is not just about avoiding fractures – it is about maintaining independence, movement and confidence throughout life.

This Osteoporosis Awareness and Prevention Month, consider it a reminder to invest in your future health now. Strong bones are built through consistent movement, strength and support across every stage of life.

Take the First Step Towards Stronger Bones

Whether you are navigating perimenopause, returning to exercise after injury, or wanting to stay strong and independent as you age, it is never too early – or too late – to prioritise your bone health.

At Physio On Miller, our physiotherapists can help you understand your individual risk factors and create a personalised plan to support bone strength, balance, mobility and long-term confidence in your body.

If you have concerns about osteoporosis, recurrent injuries, declining strength or are unsure where to start with safe exercise, book an appointment with our team today. Early action can make a significant difference in preventing fractures and maintaining quality of life for years to come.