Looking for osteoporosis exercises you can do safely, with a coach beside you? At Underground Gym in Red Bank, we coach adults with osteopenia or osteoporosis through progressive strength, weight-bearing and balance work, in private or small-group sessions and within their doctor's guidance. Your doctor diagnoses and monitors your bones; we coach the training. No guesswork, and nothing that puts your spine at risk.
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The right exercise puts healthy stress on your bones and builds the muscle that keeps you steady on your feet. Both matter more as bone density declines.
The NIH's bone health guide explains that weight-bearing exercises "produce a force on bones that makes them work harder," and that resistance exercises "put stress on bones, so they can make bones stronger as well." It adds: "We need strong muscles to help us balance and reduce the risk of falling and breaking bones."
It starts with a free consultation, then a program that combines strength, weight-bearing and balance work, progresses gradually, and keeps your spine in safe positions. A coach watches every rep.
1. Free consultation. We review your medical and wellness situation, including your doctor's guidance and any restrictions, do an InBody scan and a movement screening if needed, and you leave with a clear plan. The InBody scan measures body composition (muscle, fat and water). It does not measure bone density. That's your doctor's test.
2. Progressive strength training. Squats to a bench, hip hinges, step-ups, presses and rows, loaded gradually with coached form. Mayo Clinic notes that "Strength training is especially helpful to build back muscles that are important for posture."
3. Weight-bearing work. Exercise on your feet, such as carries and stepping, which Mayo Clinic says works "directly on bones in the legs, hips and lower spine to slow bone loss."
4. Balance and posture. Mayo Clinic notes that stability and balance exercises "help muscles work together in a way that makes falls less likely." See our balance exercises for seniors page.
Train 1-on-1 in Personal Training or in Strong Again small groups of no more than 7.
We avoid loaded forward bending and twisting of the spine, and high-impact moves like jumping, unless your doctor says otherwise. Every exercise is chosen to keep your spine in a safe, neutral position.
Mayo Clinic explains that "bending forward at the waist and twisting at the waist can increase the risk for broken bones in the spine," and that "Activities such as jumping, running or jogging can lead to fractures in weakened bones." So you won't see sit-ups, crunches, loaded toe-touches or twisting under load in your program. We teach the hip hinge instead, so your hips do the bending and your spine stays long.
This is for adults with osteopenia, osteoporosis or a family history of bone loss who have their doctor's OK to exercise and want a coach to guide them. Diagnosis and monitoring are your doctor's; the training is ours.
This is a good fit if you:
- have been told you have osteopenia or osteoporosis and your doctor has cleared you to exercise
- want to build strength without risky movements
- have finished physical therapy and want to keep training
- want to feel steadier on your feet
See your doctor first if you:
- have had a recent fracture, including a fracture in the spine
- have sudden or severe back pain
- have been told to avoid certain movements, or aren't sure what's safe for you
- haven't had your bone health checked and are concerned about it
The NIH advises: "If you have low bone density (a condition sometimes called osteopenia), osteoporosis, or other physical limitations, talk to a health care provider before starting an exercise program." We're coaches, not clinicians: we don't diagnose, treat or measure bone density, and we always defer to your doctor.
Your program is led by founder and head coach Sergei Karaliou, with our team of coaches. Sergei holds RKC Level 1 and Level 2, StrongFirst Level 1 and Level 2, and CK-FMS and Functional Movement Screen certifications, and has more than 25 years of coaching experience, with Underground Gym in business in Red Bank for 16 years.
For how we coach strength at every age, see strength training in Red Bank and fitness for adults 60+. If weight loss is part of your goal, see our weight loss program for women over 40.
Usually a mix of strength training, weight-bearing exercise and balance work, chosen with your doctor's guidance. The NIH explains that weight-bearing and resistance exercises both put healthy stress on bones, and strong muscles help with balance.
Weight-bearing exercises are done on your feet, working against gravity, such as walking, stepping and carrying weights. Mayo Clinic notes they work directly on the bones of the legs, hips and lower spine to slow bone loss.
Talk with your doctor, who can test your bone density and advise on treatment. On the exercise side, the NIH notes that resistance exercises put stress on bones, so they can make bones stronger.
Exercise isn't a cure, and whether your bone density changes is something only your doctor can measure. What the NIH does say is that resistance exercise can help make bones stronger, and stronger muscles help with balance and lower the risk of falling.
Mayo Clinic advises against bending forward at the waist and twisting at the waist, which can increase the risk of spine fractures, and high-impact activities like jumping or running. Your doctor may add others for your situation.
For many people, yes, with their doctor's OK, careful progression and safe spine positions. The NIH advises talking with a health care provider before starting if you have low bone density or osteoporosis.
No. The InBody scan at your consultation measures body composition: muscle, body fat and water. Bone density is measured by your doctor, usually with a bone density test.
We review your medical and wellness situation and your doctor's guidance, do an InBody scan and a movement screening if needed, and finish with a clear plan. There's no obligation to join.
Underground Gym is at 327 Hwy 35, Red Bank, NJ 07701, serving Red Bank, Middletown, Rumson, Fair Haven, Little Silver, Shrewsbury, Holmdel and the rest of Monmouth County. Call (732) 693-0287, or read more client stories.
· Underground Gym · 327 Hwy 35, Red Bank, NJ 07701 · (732) 693-0287
Individual results vary. This is coached exercise, not medical treatment. We don't diagnose, treat or measure bone density. If you have osteopenia, osteoporosis or another medical condition, get your doctor's OK before starting a new exercise program.