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Bone health

Osteoporosis physiotherapy

Yes, physiotherapy helps with osteoporosis. A tailored mix of resistance, impact and balance exercise supports bone health and reduces falls, alongside any medicines your doctor recommends.

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Understanding the condition

Osteoporosis is a condition where bones become less dense and more fragile, so a minor bump or fall can cause a fracture.3 It is often called a silent disease because there are usually no symptoms until a bone breaks.3 It is diagnosed on a bone density (DXA) scan, usually with a T-score of -2.5 or lower, or on a fracture risk assessment.1 Healthy Bones Australia estimates that 6.2 million Australians aged 50 and over (67 per cent) have poor bone health.4

The 2024 RACGP and Healthy Bones Australia guideline recommends regular, progressive muscle strengthening at least twice a week, weight-bearing impact exercise on most days, and balance training that is challenging.1 Higher-intensity exercise needs professional supervision because of fracture risk.2 Exercise supports bone strength and reduces falls, but it does not replace osteoporosis medicines, which your doctor may recommend for higher fracture risk.1,3 Your program is individual, and results vary.

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Osteoporosis physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Usually no symptoms until a fracture, which is why a bone density scan matters
  • A broken bone from a minor fall, bump or lifting
  • Loss of height over time
  • A stooped or curved upper back
  • Back pain that began suddenly or is new, which can be a sign of a spinal fracture
  • Urgent review: see a doctor promptly for sudden, severe, unexplained back pain, a loss of height of more than 3 cm, or a bone broken in a minor bump or fall, seek immediate care after a fall with severe pain or a limb with an unusual shape or colour, and seek urgent care for weakness or numbness in the legs, numbness around the genitals or anus, or trouble controlling your bladder or bowels.

How our team helps

  • Assessment of your posture, strength, balance, fracture history and falls risk, with your bone density results and doctor's advice guiding the plan
  • Individual exercise programs combining progressive resistance, impact or weight-bearing and balance training, with supervised progression
  • Group exercise classes for strength and balance with others
  • Gentle hands-on therapy for muscle and joint pain, avoiding forceful spinal techniques
  • Hydrotherapy for people whose pain limits land-based exercise, alongside loading exercise where safe
  • Reports for your GP, and coordination with pharmacists, dietitians and exercise physiologists

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

See all conditions

Sources and clinical review

Our care follows the 2024 RACGP and Healthy Bones Australia osteoporosis guideline, the Healthy Bones Australia exercise prescription for physiotherapists, and current Australian physiotherapy guidance.

  1. Wong P, Chen W, Ewald D, et al. 2024 Royal Australian College of General Practitioners and Healthy Bones Australia guideline for osteoporosis management and fracture prevention in postmenopausal women and men over 50 years of age. Med J Aust. 2025;222(9). doi:10.5694/mja2.52637.
  2. Healthy Bones Australia. Exercise prescription to support the management of osteoporosis: for physiotherapists and exercise physiologists [Internet]. Healthy Bones Australia; 2024 [cited 2026 Oct 4].
  3. Healthdirect Australia. Osteoporosis [Internet]. Healthdirect Australia; 2025 [cited 2026 Oct 4].
  4. Healthy Bones Australia. Osteoporosis and fractures in Australia: a burden of disease analysis 2023 to 2033 (media release) [Internet]. Healthy Bones Australia; 2024 [cited 2026 Oct 4].
  5. Osteoporosis Australia. Osteoporosis: consumer guide. 4th ed. Sydney: Osteoporosis Australia; 2017 [cited 2026 Oct 4].
  6. Healthdirect Australia. Back injuries. Sydney: Healthdirect Australia; reviewed July 2025 [cited 2026 Oct 4].
  7. Healthdirect Australia. Fractures. Sydney: Healthdirect Australia; reviewed October 2024 [cited 2026 Oct 4].
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Common questions

What exercise is best for osteoporosis?
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Guidelines recommend a combination: progressive resistance training at least twice a week, weight-bearing impact exercise most days, and challenging balance training. The right mix and intensity depend on your scan results, fracture history and fitness, so we build your program individually.

Does exercise replace osteoporosis medicine?
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No. Exercise supports bone strength, muscle and balance, and reduces falls, but it does not replace medicines when your doctor recommends them. Keep taking your prescribed medicines and ask your GP or pharmacist before changing anything.

Is it safe to exercise with osteoporosis?
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Yes, when it is tailored and progressed gradually. Higher-intensity and impact exercise is best supervised because of fracture risk. If you have had a spinal fracture, we adjust the program and introduce back extensor, mobility and balance work step by step.

Do I need a referral for osteoporosis physio in Perth?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Private health extras and DVA may also contribute, depending on your cover or eligibility.

Can exercise reverse osteoporosis?
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Exercise cannot cure osteoporosis. The right types and intensities can improve bone strength and muscle, and balance training helps prevent falls, which cause many fractures. Results vary, so we focus on a program that fits you and works alongside your medical care.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.