Bone Loss (Osteoporosis)

What is Osteoporosis?

Osteoporosis is a metabolic bone disease in which bone density and quality decrease, making bones brittle, and which progresses silently. It usually develops asymptomatically, and the first sign is often a fracture following low-energy trauma such as a fall. The hip, spine (vertebral fractures) and wrist are the most common fracture sites. Post-menopausal women, older adults, individuals with low bone density and those using corticosteroids constitute the high-risk group.

Risk Factors for Osteoporosis

• Menopause and oestrogen deficiency
• Advanced age
• Insufficient calcium and vitamin D intake
• Physical inactivity and sedentary lifestyle
• Smoking and excessive alcohol use
• Long-term corticosteroid therapy
• Family history and slender bone structure

Osteoporosis Rehabilitation at ROMMER

Osteoporosis rehabilitation aims to increase bone density, reduce the risk of falls and protect against fractures. The comprehensive programme at ROMMER includes:

• Weight-Bearing Exercises: Activities performed against gravity such as walking, light jogging and dancing stimulate bone formation. These exercises are among the most effective natural treatments for osteoporosis.
• Resistance Exercises: Muscle strengthening both increases bone density and reduces the risk of falls.
• Balance and Proprioception Training: A special programme targeting balance loss — the most important determinant of fall risk in older individuals — is applied.
• Posture Training: Posture correction exercises are applied for kyphosis (hunchback) developing after vertebral fractures.
• Fall Prevention Programme: Home safety assessment, footwear selection and environmental modification recommendations are provided.
• Vertebral Fracture Rehabilitation: Functional independence after vertebral fracture is targeted through back strengthening exercises and pain management.

Integration with Medical Treatment

At ROMMER, osteoporosis rehabilitation is planned in coordination with endocrinology or rheumatology, alongside medical treatment (bisphosphonates, denosumab, etc.) and calcium-vitamin D supplementation. Exercise is the most powerful complementary treatment supporting the effect of medications in increasing bone density.