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.

I am in week 28 of the Onero program. The study showed this type of weightlifting puts enough stress on bones to trigger the bone growth process. I will be posting an instagram account about the experience. I waited because I wasn’t sure I wanted to get into the social media like that. After seeing all the posts I think it will be helpful. I’ll post here when it’s up. I have fractured T 8 picking up my 50 # dog 11/2024 and had a khyptoplasty. I would not feel safe with a personal trainer. My physical therapist Liz at Scoliosis JAX and PT Onero program in Jacksonville Florida also trained for the Olympics in deadlifting. So I hit the jackpot! There have been times I’ve had pain/issues and setbacks that she can identify and give me corrective stretches, exercises or the confidence to continue. I love the deadlifting. My progress is very slow but very good. There are other people who lift much more than me- I am trying to get to 20 then 30#. I increase by 1 1/2 pounds weights which are usually not available in a gym. My next Dexascan will be in November. I deferred my 2/26 2 year dexascan. I was allergic to Evenity and Tymlos. Spine 3.2 hips 2.5/2.6.

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Profile picture for staceywren @staceywren

I am in week 28 of the Onero program. The study showed this type of weightlifting puts enough stress on bones to trigger the bone growth process. I will be posting an instagram account about the experience. I waited because I wasn’t sure I wanted to get into the social media like that. After seeing all the posts I think it will be helpful. I’ll post here when it’s up. I have fractured T 8 picking up my 50 # dog 11/2024 and had a khyptoplasty. I would not feel safe with a personal trainer. My physical therapist Liz at Scoliosis JAX and PT Onero program in Jacksonville Florida also trained for the Olympics in deadlifting. So I hit the jackpot! There have been times I’ve had pain/issues and setbacks that she can identify and give me corrective stretches, exercises or the confidence to continue. I love the deadlifting. My progress is very slow but very good. There are other people who lift much more than me- I am trying to get to 20 then 30#. I increase by 1 1/2 pounds weights which are usually not available in a gym. My next Dexascan will be in November. I deferred my 2/26 2 year dexascan. I was allergic to Evenity and Tymlos. Spine 3.2 hips 2.5/2.6.

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@staceywren How exciting! I definitely want to hear more.

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Profile picture for staceywren @staceywren

I am in week 28 of the Onero program. The study showed this type of weightlifting puts enough stress on bones to trigger the bone growth process. I will be posting an instagram account about the experience. I waited because I wasn’t sure I wanted to get into the social media like that. After seeing all the posts I think it will be helpful. I’ll post here when it’s up. I have fractured T 8 picking up my 50 # dog 11/2024 and had a khyptoplasty. I would not feel safe with a personal trainer. My physical therapist Liz at Scoliosis JAX and PT Onero program in Jacksonville Florida also trained for the Olympics in deadlifting. So I hit the jackpot! There have been times I’ve had pain/issues and setbacks that she can identify and give me corrective stretches, exercises or the confidence to continue. I love the deadlifting. My progress is very slow but very good. There are other people who lift much more than me- I am trying to get to 20 then 30#. I increase by 1 1/2 pounds weights which are usually not available in a gym. My next Dexascan will be in November. I deferred my 2/26 2 year dexascan. I was allergic to Evenity and Tymlos. Spine 3.2 hips 2.5/2.6.

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@staceywren I love it too! I started Onero in December and am the second oldest, I am 81 and adding weight slowly and have progressed to 36 pounds deadlift. Overheads are hard for me, only 15 pounds. My PT also offers REMS testing so have added that info to my data collection. Like you, I will wait and see where I am in 3-6 months. Regardless, I can see that my posture has improved and I feel better than before starting the exercises.

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Profile picture for cobb @cobb

@staceywren I love it too! I started Onero in December and am the second oldest, I am 81 and adding weight slowly and have progressed to 36 pounds deadlift. Overheads are hard for me, only 15 pounds. My PT also offers REMS testing so have added that info to my data collection. Like you, I will wait and see where I am in 3-6 months. Regardless, I can see that my posture has improved and I feel better than before starting the exercises.

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@cobb You rock-that’s great! Yes overheads are also the hardest to progress on for me. My trunk was so unstable from the fracture and repair it was shocking. I have more muscle and yes, my posture has improved also. My trunk is solid now. My fingers are crossed for both of us.

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Profile picture for babs10 @babs10

@nycmusic, Yes, this is largely true. That said, bone tissue responds to mechanical stress through a process called "Wolff's Law," which means that bones adapt and become stronger when the muscles pull on them during weight-bearing or resistance exercise.

When you lift weights, the contraction of the muscles places stress on the bones at their attachment points, which the signals bone-forming cells to maintain or increase bone density. Because the body adapts to repeated stress, continuing to use the exact same weight eventually provides less stimulus to the bones.

Gradually increasing the challenge over time (progressive overload) helps to maintain that stimulus so bones continue to receive the strengthening signal. This progression doesn't mean lifting very heavy weights; it can include modest increases in weight, additional repetitions or sets, greater resistance from bands, or more challenging movements that load the vulnerable areas - the hips, spine, and legs.

For those of us with osteoporosis, the most important factors are consistent weight-bearing and resistance exercise performed with good form and safe spinal alignment, with gradual progression rather than aggressive increases in load - but the load does need to increase over time.

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@babs10
Thanks ALL! I love this site, and everyones' willingness to share!

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Profile picture for hdeff @hdeff

I was wondering about this too because my spine is -4.1, so my doctor send me to the UBC Sports Medicine Clinic to see a specialist about exercise. I currently do light weights, resistance training (mostly planks and push-ups), and lots of walking. I was hoping to get back to jogging. He said no jogging until I'm at least -2.5 and keep up with what I'm doing. He also said the best thing I could do right now it hopping off a step, 15 times on each side, then 15 times landing on both feet. He said it will benefit my entire body. He also recommended doing the Mayo Clinic osteoporosis exercises.

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@hdeff That's interesting, but it would seem that jumping off steps would be as jarring to your spine as jogging. My spine is also -4.1. I do walking and some exercises I found on the Facebook page, "Brick House Bones" by Dr Lisa Moore, a PT specializing in osteoporosis. I'm 76 and not taking any meds, but do take a lot of vitamins and supplements.

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Profile picture for daisy17 @daisy17

@hdeff That's interesting, but it would seem that jumping off steps would be as jarring to your spine as jogging. My spine is also -4.1. I do walking and some exercises I found on the Facebook page, "Brick House Bones" by Dr Lisa Moore, a PT specializing in osteoporosis. I'm 76 and not taking any meds, but do take a lot of vitamins and supplements.

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@daisy17 he said that jogging would be too long of a time for pounding on the bones, but the steps wouldn't be.

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Profile picture for daisy17 @daisy17

@hdeff That's interesting, but it would seem that jumping off steps would be as jarring to your spine as jogging. My spine is also -4.1. I do walking and some exercises I found on the Facebook page, "Brick House Bones" by Dr Lisa Moore, a PT specializing in osteoporosis. I'm 76 and not taking any meds, but do take a lot of vitamins and supplements.

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@daisy17 Heel drops are part of the Onero program. We do 20 per session so it's a limited number, but safe (I guess).

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Profile picture for staceywren @staceywren

I am in week 28 of the Onero program. The study showed this type of weightlifting puts enough stress on bones to trigger the bone growth process. I will be posting an instagram account about the experience. I waited because I wasn’t sure I wanted to get into the social media like that. After seeing all the posts I think it will be helpful. I’ll post here when it’s up. I have fractured T 8 picking up my 50 # dog 11/2024 and had a khyptoplasty. I would not feel safe with a personal trainer. My physical therapist Liz at Scoliosis JAX and PT Onero program in Jacksonville Florida also trained for the Olympics in deadlifting. So I hit the jackpot! There have been times I’ve had pain/issues and setbacks that she can identify and give me corrective stretches, exercises or the confidence to continue. I love the deadlifting. My progress is very slow but very good. There are other people who lift much more than me- I am trying to get to 20 then 30#. I increase by 1 1/2 pounds weights which are usually not available in a gym. My next Dexascan will be in November. I deferred my 2/26 2 year dexascan. I was allergic to Evenity and Tymlos. Spine 3.2 hips 2.5/2.6.

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@staceywren I just started an Onero program in D.C. - am about 4 sessions in. It feels like it's going very slow. Please do let me know about your progress and I'll follow you on Instagram. I need encouragement!

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I don't know anything about the Onero program, I did the lift more protocol with a physical therapist that supposedly specialized in osteoporosis. The program involves dead lifts, squats and overhead presses. I ended up fracturing my ankle from all the heavy weights. I did start slow. I later found out the lift more protocol study was only done with people who had osteopena and never fractured. My doctor said if you have severe osteoporosis you shouldn't lift heavy weights as it increases fracture risk. I pervi

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