Understanding how much is safe to lift with osteoporosis

Posted by jspr422 @jspr422, Mar 2 2:37pm

Seeking the wisdom of this group on finding out/understanding how much is safe to lift when one has osteoporosis in the lumbar spine. I've heard everything from no more than 10 or 15 pounds (grocery bags!) to "heavier is better" (what you might lift at the gym). This mostly from Dr. Internet as my own doctors seem to deflect the question when asked what is safe for me to do (or what I should/shouldn't be doing). I have had no fractures and no issues (I know of) from "everyday lifting" and up to 70 lbs at the gym. I don't want to make things worse yet also know resistance/strength training can be very good for the bones.

For context: newly diagnosed with OP, lumbar spine T-score is -3.2 (hip/femur are in the osteopenia range). I do a lot of walking and and do resistance/strength training 3x week (working with a trainer). Currently weighing my options for osteoporosis medications (overwhelming).

Any advice is appreciated!

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

Profile picture for patwerthman @patwerthman

@shorty321
Wow. No back extensions ? Interesting. I thought strong body program uses those. Thank you for sharing

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@patwerthman, here is why my physical therapist also told me that I should not do any running or jumping:
Lumbar Spine BMD (L1-L4): T-Score: -4.0

Since everyone has different bone density, the advice that a physical therapist gives to me would probably be different than the advice that a physical therapist would give to you. I gave my physical therapist my DEXA Scan results at my first PT appointment.

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Profile picture for gravity3 @gravity3

@shorty321

You could try melioguide.com. she is a physical therapist and seems to be very knowledgeable about osteoporosis and exercises that take it into consideration.

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@gravity3, thanks. My doctor ordered PT for me to learn weight bearing and core strengthening exercises that are safe for me. I already had a number of PT sessions.

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Profile picture for bluebonnet242 @bluebonnet242

@shorty321 thanks for the info. Did the therapist mention anything about using a leg press?

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@bluebonnet242, the physical therapist said that getting on/off the leg press machine may be awkward. He doesn't want me twisting my back. He showed me how to get on/off the leg press machine. The general comment that the physical therapist gave was that I need to limit the amount of weights I use at the gym to avoid bone fracture. I think that because of liability, the physical therapist makes comments like you might be able to lift up to < x amount> , but I am not sure what is the maximum weight you can lift.

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Profile picture for shorty321 @shorty321

@patwerthman, here is why my physical therapist also told me that I should not do any running or jumping:
Lumbar Spine BMD (L1-L4): T-Score: -4.0

Since everyone has different bone density, the advice that a physical therapist gives to me would probably be different than the advice that a physical therapist would give to you. I gave my physical therapist my DEXA Scan results at my first PT appointment.

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@shorty321
Absolutely! Your response couldn’t be any more timely! I am meeting with one today and agree 100%! I’m not far off from where your numbers are. And I don’t envision myself jumping around. Especially not on a trampoline!!! Ugh, I’ve always been cautious, but no way will I risk falling by doing something that seems ridiculous to me. Thanks so much

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Profile picture for prarysky @prarysky

@patwerthman
My understanding is that flexion is okay but extension is not. Avoid extreme twisting of the spine, forward bends and rollups often used in yoga and pilates. Margaret Martin is a well-informed guide to safe movements. I think a few years ago the National Osteoporosis Foundation published one page guides to yoga and pilates.

Here is one link to Margaret Martin's information which is far more reliable than mine.
https://melioguide.com/osteoporosis-prevention/osteoporosis-exercise-contraindications/

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@prarysky
Oh this is helpful. I definitely am adding this to my list to check out and understand. So many throw out suggestions that I am not comfortable with. I understand others are trying to help. But,.. not being familiar with the seriousness of my condition

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Profile picture for prarysky @prarysky

@patwerthman
My understanding is that flexion is okay but extension is not. Avoid extreme twisting of the spine, forward bends and rollups often used in yoga and pilates. Margaret Martin is a well-informed guide to safe movements. I think a few years ago the National Osteoporosis Foundation published one page guides to yoga and pilates.

Here is one link to Margaret Martin's information which is far more reliable than mine.
https://melioguide.com/osteoporosis-prevention/osteoporosis-exercise-contraindications/

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@prarysky thank you for this!

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Profile picture for shorty321 @shorty321

@bluebonnet242, the physical therapist said that getting on/off the leg press machine may be awkward. He doesn't want me twisting my back. He showed me how to get on/off the leg press machine. The general comment that the physical therapist gave was that I need to limit the amount of weights I use at the gym to avoid bone fracture. I think that because of liability, the physical therapist makes comments like you might be able to lift up to < x amount> , but I am not sure what is the maximum weight you can lift.

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@shorty321 thank you!

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Profile picture for shorty321 @shorty321

I worked with two physical therapists and showed them my DEXA Scan results. Neither therapist could tell me what the maximum weight I could lift. One of the therapist reviewed the list of gym equipment and exercises (strength and conditioning, stretching) and gave feedback on which exercises I can or can't do safely. They said no to lifting 40 lb salt pellet bags. One of them said no to shoveling wet, heavy snow. For equipment like torso rotation, I was told that I need to limit my range of motion. Back extension -> no. Abdominal crunches -> no. Side stretches -> need to limit range of motion. You get the idea.

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@shorty321 what I have heard is : 10–15 pounds, directly in front of you, lifted no higher than waist when possible..don’t bend—squat and use larger leg muscles…forget twisting when lifting to be safe….this isn’t necessarily for everyone, but a good guideline nonetheless.

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Profile picture for nycmusic @nycmusic

@shorty321 what I have heard is : 10–15 pounds, directly in front of you, lifted no higher than waist when possible..don’t bend—squat and use larger leg muscles…forget twisting when lifting to be safe….this isn’t necessarily for everyone, but a good guideline nonetheless.

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@nycmusic, the physical therapist also said no sit-ups and no bicycle crunches because of the low bone density in the spine. Thanks for your response.

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Profile picture for shorty321 @shorty321

@patwerthman, here is why my physical therapist also told me that I should not do any running or jumping:
Lumbar Spine BMD (L1-L4): T-Score: -4.0

Since everyone has different bone density, the advice that a physical therapist gives to me would probably be different than the advice that a physical therapist would give to you. I gave my physical therapist my DEXA Scan results at my first PT appointment.

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@shorty321 my t score in my spine was -4.6 and I still jogged. The DEXA doesn’t measure your bone strength. Like you said advice is all over the place.

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