To build new bone, there must be enough stress on the bone that actually causes tiny fissures and then your body creates new bone to heal itself. From what I’ve read, vibration plates and belts do not have this effect.

I had read physical therapy research stating that jumping from the height of a 14” block is enough to stress the bone - although it did NOT say if that was safe for people with osteopenia or osteoporosis. I don’t have that reference now, sorry.

Doing body weight exercises, strength training, weighted vests, and possibly vibration that cause the muscles to respond, all help keep existing bone strong. Estrogen helps keep bones strong. Unfortunately, that is the problem for many of us.

I think physical therapy is underused (I am an occupational therapist). A knowledgeable PT can help design the best exercises to fit a person’s individual needs. I’m not suggesting that ongoing therapy is needed, but an initial plan with some follow-up. An average person with no bone density problems can just use an athletic trainer. But a therapist is trained in BMD concerns. Choose a therapist who focuses on this area.

Starting next year, there will probably be some major disruption in medical service reimbursement, especially OT/PT. If you need something, do it now.