Has anyone found an exercise based program proven to work?

Posted by ans @ans, Jan 21, 2024

To All-Very important information shared by Belinda Beck from- theboneclinic- goggle that- based in Australia- yesterday in the Osteoporosis Summit that has been sited here going on this week. The Liftmor trials, which she was in charge of , has been tracking people for over 10 years put a program into place called Onero, based on that thinking and the results are in and impressive. It works to improve bone mass. It's based on HiRIT -( I believe the acronym is to denote High Intensity Resistance Impact Training). It can be safe and effective led BY PEOPLE that have been trained. She emphasized NOT to do these exercises without SUPERVISION. Sherri Betz's exercise programs are built off this thinking. Beck said to grow bone you need specific, targeted training. They watched people over many years in the Liftmor trials and then went one step further to set up a clinic in the real world to test it out . As she explained, its based on one lifting 85% of what you can lift in one repetition. So that is a lot, but everyone is different. For one it might mean starting with a broom stick , for another it could mean 2o lbs or more. The program is individualized for each person. Each person receives a 2 1/2 hr baseline assessment. A very important thing she commented on that at first they were confused about was why the femoral neck didn't change the BMD score much- but hot off the press this week- they have a 3-D testing device in their clinic and it revealed that the thickness of the cortex increased particularly where the femoral neck fracture usually starts. and further the proximal head of the femur cortex gets thicker along with the trabeculae . so therefore the shape of the bones improve and there's increased internal hip support. She did go over some of the basic criteria to do this Onero program , but I won't bore you with those details , except to say that most people can participate in this treatment. I will direct you to go to a podcast with Margie Bissinger PT where she interviews Dr. Claudia Tamas, she is an Onero trained clinician that heads up a medical clinic in NJ. This information is new and there are very few clinics in the US that offer this . So get out there and talk about it, maybe share this info with your general dr, endo, PT office, etc. so it can begin to be offered in more places!!! That was a lot , but hope that this gives you all some hope!! Beck said they are changing the idea that instead of meds, exercise can be the first line of defense against osteoporosis issues!! Good Luck to all on your own path!

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@mondayschild

New ones are opening-we now have 3 in Florida!

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where in Florida?

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@pennykj

where in Florida?

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https://onero.academy/locations/
Click on the pins.

When I look on it with my phone-I have to enlarge the map-and move around so I can see the state of interest in detail. When the locations are open - you will see details.

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@osteoresearch

I started the “Starting Strength” training last week. I will be doing their 2x/week program as it’s what I can afford right now (315/mo). So far I’ve been impressed with the quality oversight on form when doing the lifts. It is 4 key moves: squat, overhead press, deadlift and bench press to start. I’ve been lifting before but was not adding wt. on my own for fear of injury.
Thanks for recommending! I’m stoked. I’m still walking every day with 30 min of intensity. And on 3rd day will either do Onero or stair stepping to add to 2 wt days. I’m also taking 10g of creatine a day and trying to get 30-40 g of protein at every meal. Also taking vit. B complex, algae cal D, k2 and magnesium. Still considering HRT…..

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Hello,
I am confused by your program. Do you have osteoporosis and you are doing squat and deadlift?
I have read the book about exercises advised and not advised for people with osteoporosis by Margaret Martin, and she is of opinion that squats, for example are quite risky.

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@wynn00001

I had no luck finding a physio to supervise me in Onero, and I couldn't wait for it to come to Canada while I watched my bone density decrease steadily. I began a program called Starting Strength six months ago. It uses four exercises, squat, deadlift, overhead press and bench press. I had an Echolight bone scan just before I started and had another one today. I'm amazed at the results. I'm no longer osteoporotic, I've made it back to osteopenia. L2 went from -3.6 to -1.6 in just six months. No meds, no strontium, no HRT, just heavy weights and careful, one-on-one coaching. The downside - it's expensive. But I expect Onero will also be expensive in North America.

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Congratulations on your hard work with your weight training program working. This is very encouraging! It is reassuring to me, though I have a LONG way to go to get to the weights I read in another post you are lifting or using. I got my osteoporosis diagnosis in early April of this year. For example, I’m just starting out with a deadlift with 20 lbs, to get my body used to doing it. My physical therapist wants me to gradually increase. You did say it took you six months. How long did you stick to one weight before you started to increase it?? And, how many times a week were you lifting? I was told 3x a week, to give muscles a chance to recover.
Keep up the good work! I can’t find an Echolight bone scan in my area. . . and had the DEXA scan with TBS, also. (bone quality). I did get the CTX and P1NP blood bone marker tests done, though, so I will use them as my guide . . . at least for now. My next DEXA is two years away.

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@melia7

Hello,
I am confused by your program. Do you have osteoporosis and you are doing squat and deadlift?
I have read the book about exercises advised and not advised for people with osteoporosis by Margaret Martin, and she is of opinion that squats, for example are quite risky.

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Hi. I was diagnosed in early April with osteoporosis and have been seeing a physical therapist for guidance. Just to chime in here that everyone is different. What may work for someone else may not work for you. For example, if you’re a person who has never exercised or weight trained, you have to take things very, very slowly. You can always try a squat with NO weights at all. Get your body used to the form. Form for a squat is ESSENTIAL. I once had a trainer who kept an eye on me like a hawk, telling me, “no, you have to push your butt out”, etc. until I got the form right. So for starters, just work on that form, with no weight at all. Get your form down 100% perfectly, so you will NOT hurt yourself if you decide to add a weight to start, even a small weight, like a 3 lb dumbbell weight, held to your chest. (that’s a Sumo Squat) I work out, but even for me, when I first started with just a 5 lb. dumbbell, I felt uncomfortable in my lower back. It took me doing it awhile. My physical therapist said you must build up slow. Perhaps discuss that with your doctor or see a physical therapist. You have to do what works for you. There are other exercises to do, like Jump Downs on a 4” step, or Step Ups on a box and others you could do. I wish you all the best. Just take it slow & steady! Get someone to spot you on whatever program you decide to do, first. After my diagnosis, I lost my confidence at the gym. I thought I’d break a bone! But no fear now. Seeing a physical therapist was life-changing for me. All the best to you!

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@melia7

Hello,
I am confused by your program. Do you have osteoporosis and you are doing squat and deadlift?
I have read the book about exercises advised and not advised for people with osteoporosis by Margaret Martin, and she is of opinion that squats, for example are quite risky.

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They can be risky if not done with meticulous form. They watch you very closely and make tiny adjustments. I’ve never gotten sore or injured myself with them and now do 100# deadlifts and 75# squats (so far). You should also look into the Onero program with full research on this approach. It is out of Australia with lots of post menopausal women. But not all trainers or approaches are equal. These are two I feel confident about because of their attention to details with firm and small incremental increases. The strength of your musculoskeletal structure is very important to daily functions and longevity and actually improving your condition vs just medicating the symptoms. I’m more interested in reversing the underlying problem. I wish you luck in your own choices and personal approach.

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@osteoresearch

They can be risky if not done with meticulous form. They watch you very closely and make tiny adjustments. I’ve never gotten sore or injured myself with them and now do 100# deadlifts and 75# squats (so far). You should also look into the Onero program with full research on this approach. It is out of Australia with lots of post menopausal women. But not all trainers or approaches are equal. These are two I feel confident about because of their attention to details with firm and small incremental increases. The strength of your musculoskeletal structure is very important to daily functions and longevity and actually improving your condition vs just medicating the symptoms. I’m more interested in reversing the underlying problem. I wish you luck in your own choices and personal approach.

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*form not firm

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@lilac2025

Congratulations on your hard work with your weight training program working. This is very encouraging! It is reassuring to me, though I have a LONG way to go to get to the weights I read in another post you are lifting or using. I got my osteoporosis diagnosis in early April of this year. For example, I’m just starting out with a deadlift with 20 lbs, to get my body used to doing it. My physical therapist wants me to gradually increase. You did say it took you six months. How long did you stick to one weight before you started to increase it?? And, how many times a week were you lifting? I was told 3x a week, to give muscles a chance to recover.
Keep up the good work! I can’t find an Echolight bone scan in my area. . . and had the DEXA scan with TBS, also. (bone quality). I did get the CTX and P1NP blood bone marker tests done, though, so I will use them as my guide . . . at least for now. My next DEXA is two years away.

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I trained 2x a week. I've now switched to the Onero program where they also train twice a week. That's in line with the original LIFTMOR study which found twice a week was sufficient.

I don't remember how long I stayed with each weight as I had a personal trainer who, I'm embarrassed to say, made all the decisions. I'm more proactive these days!
Good luck with your program!

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@lilac2025

Hi. I was diagnosed in early April with osteoporosis and have been seeing a physical therapist for guidance. Just to chime in here that everyone is different. What may work for someone else may not work for you. For example, if you’re a person who has never exercised or weight trained, you have to take things very, very slowly. You can always try a squat with NO weights at all. Get your body used to the form. Form for a squat is ESSENTIAL. I once had a trainer who kept an eye on me like a hawk, telling me, “no, you have to push your butt out”, etc. until I got the form right. So for starters, just work on that form, with no weight at all. Get your form down 100% perfectly, so you will NOT hurt yourself if you decide to add a weight to start, even a small weight, like a 3 lb dumbbell weight, held to your chest. (that’s a Sumo Squat) I work out, but even for me, when I first started with just a 5 lb. dumbbell, I felt uncomfortable in my lower back. It took me doing it awhile. My physical therapist said you must build up slow. Perhaps discuss that with your doctor or see a physical therapist. You have to do what works for you. There are other exercises to do, like Jump Downs on a 4” step, or Step Ups on a box and others you could do. I wish you all the best. Just take it slow & steady! Get someone to spot you on whatever program you decide to do, first. After my diagnosis, I lost my confidence at the gym. I thought I’d break a bone! But no fear now. Seeing a physical therapist was life-changing for me. All the best to you!

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I started to see a physical therapist and so far he has me do squats, lunges, step ups and core strength exercise. Now I am starting to question if he is the right person for me because when I told him my back was a little sore from doing a certain exercise, he told me to do a cat/cow move. When I told him that as a person with OP I am not supposed to do spinal flexion (which is the cat move in yoga), I had to explain to him why doing that move could cause fractures. Also, when I am doing the exercises he tells me to do, he is not really watching me, as he has a few other clients that he is also in charge of. Is it time for me to find a new PT??

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Dr Karen Pettine, Albuquerque Scoliosis Studio Llc., 342 Solano Dr Ne, Albuquerque, 505-980-9920. Karen was recently Onero licensed; she has a small studio in her backyard where she gives individual attention. 5 stars!

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