The Role of Hormones in Osteoporosis: What Women Need to Know

The Role of Hormones in Osteoporosis: What Women Need to Know

Osteoporosis is a condition in which bones become thin and porous leading to decreased bone strength and therefore increasing the risk of fracture. Some signs of osteoporosis can be height loss, weight loss and significant postural changes. The most common fractures associated with osteoporosis are in the hip, spine, wrist, and shoulder. Understanding the causes and risk factors of osteoporosis is crucial in preventing and effectively managing this condition.

The loss of bone density occurs naturally with age and starts in the mid 30s. It accelerates after menopause in women due to a decrease in estrogen levels. Estrogen helps maintain bone density, so its decline can result in bone loss. It is why women are at a higher risk of developing osteoporosis. Osteoporosis Canada states that “at least 1 in 3 women will suffer from an osteoporotic fracture during their lifetime.”

In addition to age and gender, there are several other risk factors that can increase the likelihood of developing osteoporosis. These include a family history of osteoporosis, low body weight or BMI, and a sedentary lifestyle. Other risk factors include smoking, excessive alcohol consumption, and certain medications such as long-term use of glucocorticoid drugs.

Celiac disease, inflammatory bowel disease, and Cushing’s syndrome are some of the medical conditions that can affect the body’s ability to absorb calcium and vitamin D, leading to a higher risk of osteoporosis.

Another important factor to consider is diet and nutrition. Adequate intake of calcium and vitamin D is necessary for building and maintaining strong bones. A diet lacking in these nutrients can increase the risk of osteoporosis. 

Prevention and management of osteoporosis involves addressing these risk factors. Lifestyle changes such as regular exercise, a good diet, smoking cessation, and limiting alcohol consumption can help reduce the risk of osteoporosis. For people diagnosed with moderate to severe osteoporosis, medications such as bisphosphonates, hormone replacement therapy, and calcitonin may be recommended to slow bone loss and reduce the risk of fractures.

The Role of Hormones in Osteoporosis: What Women Need to Know courtesy of Empower Physical Rehabilitation

The essential role of physiotherapy in osteoporosis management

Physiotherapy can play an important role in helping to manage osteoporosis by educating individuals on bone health, reducing the risk of fractures through exercise, and improving their overall quality of life.

One of the main ways that a physiotherapist can help those with osteoporosis is by designing a safe and effective exercise program. This may include weight-bearing exercises like walking or jogging, resistance training with light weights or resistance bands, and balance exercises to improve stability and reduce the risk of falls.

In addition to designing an exercise program, a physiotherapist can provide education and guidance on safe movement and good posture to reduce the risk of fractures. They can give advice on proper lifting techniques, safe ways to get in and out of bed or chairs, and how to avoid certain movements that may put stress on the spine or other vulnerable areas.

A physiotherapist can provide pain management strategies such as manual therapy, the use of modalities as well as education proper resting positions to help reduce pain and improve mobility.

In conclusion, a physiotherapist can play a crucial role in the management of osteoporosis through the development of safe and effective exercise programs, postural education,  pain management strategies and teaching safe movement practices.

If you or someone you know has osteoporosis, speak with a physiotherapist about how they can help.


This appointment is your opportunity to tell us what hurts and discover whether physiotherapy or chiropractic care is a good fit for you! During this session, you will talk with a physiotherapist or chiropractor on a phone call (or online) and create the right care plan specifically for your pain. There is no obligation on this session is to find out whether physiotherapy or chiropractic care can help you getting back to doing the things you love in life.

Frequently Asked Questions

Osteoporosis treatment interventions may vary depending on the severity and cause of the condition. The most common interventions include medications, such as bisphosphonates, hormone therapy, and bone-building medications. Lifestyle changes, such as a healthy diet and regular exercise, can also help prevent and manage osteoporosis.

The number of physical therapy sessions per week varies depending on the individual’s condition, treatment goals, and the therapist’s recommendations. In general, most physical therapy sessions are scheduled 2-3 times per week. However, it is essential to follow the therapist’s advice and attend all recommended sessions for optimal results.

After completing physical therapy, the best thing to do is to continue following the exercises and activities recommended by the therapist. Continuing to exercise regularly and maintain a healthy lifestyle can help prevent the reoccurrence of the condition and maintain the benefits gained from therapy. Additionally, it is recommended to follow up with the therapist periodically for progress evaluations and updates to the treatment plan if necessary.

About Michael Landry

Michael is a Dalhousie University graduate and has been actively practicing physiotherapy since 1988. Prior to opening emPOWER Physical Rehabilitation, Michael managed physiotherapy clinics in Dartmouth and Lower Sackville. He started his career in Saint John, New Brunswick where he practiced for nine years.

Medical Disclaimer:

The information presented in this blog post is for educational purposes and should not be interpreted as medical advice. If you are seeking medical advice, treatment or a diagnosis, consult with a medical professional such as one suggested on this website. The Clinic Accelerator Inc. and the author of this page are not liable for the associated risks of using or acting upon the information contained in this article.

Book Your Free Consult

Or Fill Out This Form & Get A Call Back

By submitting this form you are consenting to receiving appointment reminders, exercise plans, plans of care, and any relevant services from Integra Health Centre and Your email will never be sold and you can unsubscribe at any time.