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What Are the Early Signs of Osteoporosis? How to Detect & Prevent Bone Loss

What Are the Early Signs of Osteoporosis? How to Detect & Prevent Bone Loss

Osteoporosis is often called a silent disease because you may not know you have it until a bone breaks or a bone scan reveals low bone density. However, there are early warning signs that can help you detect bone loss before it leads to fractures.

If you’ve ever wondered, “How do I know if I am starting to get osteoporosis?” or “What are the first symptoms of osteoporosis?”, this blog will walk you through subtle signs, risk factors, and proven ways to strengthen your bones naturally.

What Is Osteoporosis & Why Early Detection Matters?

Osteoporosis is a condition where bones become weak and brittle, making them more prone to fractures. According to the National Institutes of Health (NIH), over 10 million Americans have osteoporosis, and 44 million more have low bone mass, putting them at risk.

Why Is Osteoporosis Called a Silent Disease?

    • You won’t feel your bones weakening, as there are usually no symptoms until a fracture occurs.
    • Many people don’t realize they have osteoporosis until they get a bone scan (DXA or REMS test).
    • By the time fractures happen, bone loss has often progressed significantly.

Despite its silent nature, there are subtle warning signs that your bones may be losing strength.

How Do You Know If You Are Starting to Get Osteoporosis?

While osteoporosis doesn’t usually cause pain or discomfort, certain early signs may suggest bone loss is occurring.

  1. Receding Gums & Loose Teeth

Your jawbone supports your teeth, and if you notice your gums receding or your teeth shifting, it could be a sign of bone loss in the jaw (J Dent).

What You Can Do:

  1. Weakened Grip Strength

If opening jars feels more difficult or your grip strength has noticeably weakened, it could be linked to lower bone density. Studies suggest that grip strength is a predictor of fracture risk (National Osteoporosis Foundation).

What You Can Do:

    • Start resistance training to improve muscle and bone strength.
    • Use hand grippers or squeeze a stress ball to build grip strength.
  1. Brittle or Weak Fingernails

Your nails reflect your body’s ability to absorb minerals. If they break easily or seem thinner than usual, it may indicate poor calcium and collagen absorption.

What You Can Do:

    • Eat more magnesium-rich foods like leafy greens, almonds, and avocados.
    • Ensure adequate collagen intake through bone broth or collagen peptides.
  1. Height Loss or a Hunched Posture

Losing ½ inch or more in height per year could be a sign of vertebral fractures caused by osteoporosis. A rounded, hunched back (kyphosis) can also indicate spinal bone loss.

What You Can Do:

    • Measure your height annually and track any changes.
    • Focus on posture exercises, including yoga and Pilates.
    • Learn How to Improve Balance & Prevent Falls to protect spinal bones.

How Can You Prevent Osteoporosis from Getting Worse?

The best way to protect your bones is to take preventive action early.

  1. Strength Training & Impact Exercises
    • Weight-bearing activities like walking, hiking, or dancing help strengthen bones.
    • Resistance training (lifting weights) improves bone density.
    • Impact exercises (heel drops, hopping) stimulate new bone growth.
  1. Eat a Nutrient-Dense Diet for Bone Health
    • Magnesium, Vitamin D, and K2 help calcium absorption.
    • Boron & Collagen improve bone flexibility and structure.
    • Limit sugar and processed foods that weaken bones.

Read: 5 Essential Nutrients for Strong Bones—And Why Calcium Isn’t Enough.

  1. Prioritize Sleep & Reduce Stress
    • Poor sleep increases cortisol, which leads to bone loss (National Sleep Foundation).
    • Stress hormones weaken bones, so practice deep breathing & meditation.

When Should You Get a Bone Density Test?

If you have any of these risk factors, ask your doctor about bone density testing:

    • Women over 50 or postmenopausal women
    • Anyone with a history of fractures
    • Those with autoimmune conditions or prolonged steroid use

Not sure whether to get a DXA scan or a REMS scan for osteoporosis? While DXA scans are effective at detecting early bone loss, they do not measure bone quality or fragility. Watch this video to learn the key differences between DXA and REMS technology and why REMS may offer a more comprehensive assessment of your bone health.

Final Thoughts: Take Action Before It’s Too Late

Osteoporosis can go unnoticed until a fracture occurs, but by paying attention to early warning signs, you can prevent bone loss and protect your future mobility.

Have questions about your bone health? Get expert guidance—schedule a bone health consultation today!

References

  1. National Institutes of Health (NIH). Osteoporosis Overview.
    https://www.bones.nih.gov/health-info/bone/osteoporosis/overview
  2. National Osteoporosis Foundation. What is Osteoporosis?
    https://www.nof.org/patients/what-is-osteoporosis/
  3. Relationship Between Osteoporosis and Periodontal Disease: Review of the Literature
  4. National Sleep Foundation. How Sleep Affects Bone Health.
    https://www.sleepfoundation.org/
Non-Pharmacological Treatments for Osteoporosis in Postmenopausal Women

Non-Pharmacological Treatments for Osteoporosis in Postmenopausal Women

Osteoporosis is a major health concern, affecting over 54 million people in the United States alone. It is a chronic, progressive disease characterized by bone deterioration, leading to weak and fragile bones that are more susceptible to fractures. Studies show that one in two women and one in four men over the age of 50 will experience an osteoporosis-related fracture in their lifetime (National Osteoporosis Foundation).

While pharmaceutical treatments, such as bisphosphonates and parathyroid hormone therapy, can slow bone loss and increase bone density, they do not address the underlying causes of osteoporosis and may have side effects, including spontaneous fractures and delayed healing.

The good news? Non-pharmacological strategies can help prevent and manage osteoporosis naturally. At Nurtured Bones, we focus on holistic, natural approaches that strengthen bones, reduce fracture risk, and support long-term bone health.

How Bone Remodeling Works: The Key to Strong Bones

Bone is a living tissue that constantly undergoes remodeling through the activity of two key cells:

  • Osteoclasts – Break down and remove old bone cells.
  • Osteoblasts – Build new bone to replace old cells.

For healthy bones, osteoblasts and osteoclasts must remain in balance. Osteoporosis occurs when bone is broken down faster than it is rebuilt, leading to low bone density and increased fragility.

The first step in natural osteoporosis treatment is identifying the root cause of bone loss and implementing lifestyle changes to restore balance to bone metabolism.

Risk Factors for Osteoporosis: What You Can and Cannot Control

Uncontrollable Risk Factors

While some osteoporosis risk factors cannot be changed, awareness allows for early intervention and prevention strategies.

  • Being female (women are at higher risk due to hormonal changes).
  • Small frame size (thin or petite individuals have less bone mass).
  • Menopause and hormonal changes (estrogen loss accelerates bone loss).
  • Family history of osteoporosis (genetics influence bone health).
  • Autoimmune and endocrine disorders (conditions like rheumatoid arthritis or hyperthyroidism can weaken bones).

Controllable Risk Factors

By making key lifestyle changes, you can significantly reduce bone loss and, in some cases, even reverse osteoporosis naturally.

  • Smoking reduces calcium absorption and weakens bones.
  • Excessive alcohol consumption (more than one drink per day) accelerates bone loss (Osteoporosis International).
  • Sedentary lifestyle leads to weaker bones due to lack of stimulation.
  • Poor diet, low in calcium, vitamin D, and other essential nutrients.
  • Inadequate digestion limits nutrient absorption, impacting bone health.
  • Chronic inflammation triggers excessive bone breakdown.
  • High-stress levels elevate cortisol, which weakens bones.

Addressing these risk factors through diet, exercise, and lifestyle changes can effectively prevent and halt bone loss.

Top Non-Pharmacological Treatments for Osteoporosis

1. Bone-Building Nutrition: Eat for Stronger Bones

Your bones need more than just calcium to stay strong. A bone-healthy diet should include:

  • Calcium-rich foods – Leafy greens, sardines, almonds, tahini, and dairy alternatives.
  • Vitamin D – Essential for calcium absorption; sources include sunlight and supplementation.
  • Healthy fats – Olive oil and avocados reduce inflammation.
  • Adequate protein – Supports collagen production and bone structure.
  • Polyphenol-rich foods – Prunes, berries, and green tea help protect bones.

For a deeper dive into bone-boosting foods, check out this related blog:
Nutraceuticals for Stronger Bones: How Nature’s Compounds Can Help Prevent Osteoporosis

2. Targeted Exercise for Bone Strength

  • Weight-bearing exercises – Walking, dancing, and stair climbing strengthen bones.
  • Resistance training – Lifting weights improves bone density and muscle mass.
  • Balance exercises – Tai Chi and yoga help prevent falls.
  • Posture training – Reduces fracture risk, especially in the spine.

Studies confirm that regular weight-bearing and resistance exercise can increase bone density and reduce fracture risk in postmenopausal women (Journal of Strength and Conditioning Research).

3. Improve Gut Health for Better Calcium Absorption

Even if you consume enough calcium, your body may not absorb it properly if your gut health is compromised.

  • Support digestion with probiotic-rich foods like yogurt, sauerkraut, and kimchi.
  • Limit processed foods that disrupt gut bacteria.
  • Consume prebiotic fibers from garlic, onions, and bananas.

Healthy gut bacteria play a direct role in calcium absorption and bone metabolism (Frontiers in Endocrinology).

4. Reduce Inflammation to Protect Bones

Chronic inflammation speeds up bone loss by over activating osteoclasts. Reduce inflammation by:

  • Eating anti-inflammatory foods – Turmeric, ginger, omega-3-rich fish, and walnuts.
  • Staying hydrated to support bone and joint health.
  • Avoiding processed sugars and seed oils, which contribute to systemic inflammation.

Reducing inflammation naturally preserves bone density and supports overall health.

5. Stress Reduction & Hormonal Balance

Chronic stress elevates cortisol, which can weaken bones over time. Incorporate:

  • Meditation and mindfulness to reduce stress-related bone loss.
  • Adaptogenic herbs like ashwagandha and rhodiola to support adrenal function.
  • Quality sleep, which is essential for bone regeneration.

Stress management is an often overlooked but critical factor in osteoporosis prevention.

Are Natural Treatments Effective for Osteoporosis?

Absolutely. Research confirms that lifestyle and dietary changes can significantly reduce fracture risk and, in some cases, increase bone mineral density naturally.

Why choose a holistic approach?

  • Addresses the root cause of bone loss.
  • Enhances overall health, not just bone density.
  • Reduces medication dependency and potential side effects.

If you’re wondering whether a natural osteoporosis treatment plan is right for you, let’s create a customized strategy to strengthen your bones naturally.

Schedule a FREE Consultation with Susan at Nurtured Bones Today!

Prunes and Bone Health: How Eating Prunes Can Improve Bone Density in Postmenopausal Women

Prunes and Bone Health: How Eating Prunes Can Improve Bone Density in Postmenopausal Women

dreamstime_m_45002509As women age, bone health becomes a top priority—especially after menopause, when estrogen levels decline, increasing the risk of osteoporosis. While calcium and vitamin D often take the spotlight in bone health discussions, prunes (dried plums) are emerging as a powerful, natural food for maintaining and improving bone density.

Recent research highlights that prunes can help slow bone loss, reduce inflammation, and promote bone formation, making them a valuable addition to any osteoporosis prevention plan. Let’s explore how prunes support bone health and how to incorporate them into your diet.

Why Bone Health Declines After Menopause

During menopause, estrogen levels drop, leading to accelerated bone resorption (bone breakdown) without a corresponding increase in bone formation. This imbalance results in:

  • Loss of bone mineral density (BMD)
  • Weaker bones, increasing the risk of fractures
  • Higher likelihood of developing osteoporosis

To combat these effects, nutrition plays a crucial role—and prunes are proving to be a powerful ally in maintaining bone strength.

The Science Behind Prunes and Bone Health

1. Prunes Help Prevent Bone Loss

A 2022 study published in Advances in Nutrition found that daily consumption of prunes helps prevent bone loss in postmenopausal women. The study analyzed multiple trials and concluded that eating 5-10 prunes per day can significantly maintain or even improve bone mineral density (BMD)

2. Rich in Bone-Protective Nutrients

Prunes contain key vitamins and minerals essential for bone health, including:

  • Vitamin K – Crucial for bone metabolism and calcium absorption.
  • Boron – Supports bone growth and the metabolism of minerals like calcium and magnesium.
  • Potassium – Helps neutralize bone-depleting acids in the body.
  • Polyphenols – Plant compounds that act as antioxidants, reducing inflammation and oxidative stress that contribute to bone loss.

3. Anti-Inflammatory Properties

Chronic inflammation is a major contributor to osteoporosis. Prunes contain polyphenols, which have been shown to reduce inflammatory markers that contribute to bone degradation. (Food Funct.)

4. Supports Gut Health for Better Calcium Absorption

A healthy gut microbiome plays a key role in calcium absorption. Prunes contain both soluble and insoluble fiber that promotes gut health, ensuring optimal nutrient absorption. This indirect benefit enhances the bioavailability of bone-building minerals like calcium and magnesium.

How Many Prunes Should You Eat for Bone Health?

Research suggests that consuming 5-10 prunes per day provides significant bone health benefits without excessive sugar intake.

  • For prevention: 5 prunes per day
  • For improving bone density: 10 prunes per day

Prunes are naturally sweet, making them a convenient snack without added sugars or artificial ingredients.

Easy Ways to Incorporate Prunes Into Your Diet

If eating prunes straight from the bag isn’t appealing, try these delicious ways to include them in your diet:

  • Blend into smoothies with Greek yogurt and nuts for a bone-boosting breakfast.
  • Chop and toss into salads with leafy greens, goat cheese, and walnuts.
  • Add to oatmeal or yogurt for natural sweetness and fiber.
  • Use in savory dishes like stews, quinoa bowls, or roasted vegetables.
  • Make prune energy bites with nuts, coconut, and seeds for a nutritious snack.

Are Prunes Better Than Other Dried Fruits for Bone Health?

Unlike raisins, dates, or apricots, prunes contain a unique combination of polyphenols, boron, and vitamin K, specifically linked to bone health. While other dried fruits have benefits, prunes stand out as the best choice for preserving bone density.

More Bone-Boosting Foods to Include

While prunes are a powerful tool for bone health, combining them with other bone-building foods creates an even stronger foundation for preventing osteoporosis.

For more information on other natural compounds that support bone density, check out our related blog:
Nutraceuticals for Stronger Bones: How Nature’s Compounds Can Help Prevent Osteoporosis

Final Thoughts: Can Prunes Help Prevent Osteoporosis?

Yes! The science-backed benefits of prunes—from reducing bone loss to supporting gut health—make them an excellent addition to a bone-healthy diet.

If you’re looking for a simple, natural way to strengthen your bones, adding just a handful of prunes daily can help protect against osteoporosis and improve overall bone density.

If you’re looking for personalized guidance on improving your bone health, I’d love to help! Schedule a consultation to discuss your specific needs and create a plan tailored to support your bones for years to come. Contact me here to get started!

Progressive Resistance Training for Osteoporosis: How to Strengthen Bones Safely

Progressive Resistance Training for Osteoporosis: How to Strengthen Bones Safely

Did you know that simply walking or lifting the same light weights every week won’t be enough to keep your bones strong? If you want to prevent osteoporosis, build bone density, and stay active for life, you need to progressively challenge your bones and muscles—and that’s where Progressive Resistance Exercise (PRE) comes in!

PRE is a scientifically backed strength training method that helps increase bone strength, reduce fracture risk, and improve stability—all crucial for women over 50 looking to maintain strong, healthy bones naturally.

What is Progressive Resistance Exercise (PRE)?

Progressive Resistance Exercise (PRE) is the gradual increase of resistance over time to stimulate muscle and bone growth. Instead of repeating the same exercises at the same intensity, PRE challenges your bones progressively, ensuring they continue to remodel and strengthen.

Key Benefits of PRE for Bone Health:

  • Increases bone mineral density
  • Reduces fracture risk
  • Strengthens muscles that support bones
  • Improves posture & balance (reducing falls)
  • Prevents osteoporosis progression

Why Walking & Light Weights Aren’t Enough

Many women think that walking daily or lifting 3-5 lb dumbbells is enough to protect their bones. While these are great first steps, they don’t provide the progressive overload necessary for bone remodeling and strength gains.

    • Walking is weight-bearing but lacks enough impact to stimulate significant bone growth.
    • Lifting the same light weights without progression doesn’t challenge bones enough to grow stronger.
    • Osteoporosis-prone areas (hips, spine, and wrists) need targeted strength training to build resilience.

If you want to truly strengthen your bones, you MUST progressively increase resistance over time!

How to Safely Progress Exercise

1. Start with Proper Form & Light Resistance

Women with osteoporosis should begin with bodyweight exercises or light resistance bands before moving on to weights. Proper form and alignment are essential to prevent stress on the spine and joints.

Beginner Example: Bodyweight squats, wall push-ups, seated leg lifts.

2. Gradually Increase Load and Resistance

Once comfortable, increase resistance slightly by adding light dumbbells or resistance bands. Small progressions, such as adding 1-2 lbs of weight every few weeks, allow bones and muscles to adapt safely.

Progression Example: Move from bodyweight squats to goblet squats with a 5-lb weight.

3. Focus on Key Bone-Building Areas

The most common fracture sites in osteoporosis are the spine, hips, and wrists. Exercises should specifically target these areas:

    • Hips & Lower Spine: Squats, lunges, step-ups, leg presses.
    • Upper Spine & Arms: Push-ups, bicep curls, triceps extensions, rowing exercises.
    • Core & Stability: Planks, bridges, Pallof Press (check out my Pallof Press Blog for more on my favorite core strengthening exercise.)

4. Maintain a Safe Progression Pace

Avoid sudden increases in weight or impact. Progressing too quickly can lead to injury. Instead:

    • Increase weight by 5-10% every 2-4 weeks.
    • Perform 8-12 repetitions per set to maximize bone stimulation.
    • Listen to your body—pain is a sign to modify, not push through.

Who Should Avoid  Heavy-Weight Training?

While progressive loading is beneficial, women with severe osteoporosis or previous fractures should work with a qualified specialist to:

    • Modify exercises that involve spinal flexion (e.g., crunches, forward bending).
    • Ensure proper posture and alignment to protect the spine and joints.

The Takeaway: Strong Bones Need Progressive Challenge

Building stronger bones isn’t about doing more of the same exercises—it’s about progression. Gradually increasing resistance through Progressive Resistance Exercise (PRE) is one of the best ways to:

    • Stimulate bone remodeling
    • Prevent fractures and falls
    • Enhance posture, balance, and mobility

Whether you’re just starting out or looking to advance your training, a properly designed progressive strength program can help you maintain strong, healthy bones for life.

Ready to Start a Bone-Strengthening Exercise Plan?

If you’re unsure how to safely build strength without increasing fracture risk, I can help. Let’s create a personalized plan that aligns with your bone health needs and fitness level.

Schedule a consultation today!

Scientific Research on Strength Training & Bone Health

Multiple studies confirm the effectiveness of resistance training for bone strength:

A study published in the Journal of Bone and Mineral Research found that high-intensity resistance training significantly increased bone density in postmenopausal women. (Weidauer et al., 2015)

Another study in the Osteoporosis International Journal highlighted that progressive resistance training reduces fracture risk and improves muscle mass in older women. (Kelley et al., 2018)

Research from the National Osteoporosis Foundation suggests that weight-bearing & resistance training are essential for osteoporosis prevention and management. (NOF, 2023)

The Best Core Exercise for Osteoporosis: Why You Should Be Doing the Pallof Press

The Best Core Exercise for Osteoporosis: Why You Should Be Doing the Pallof Press

If you’re managing osteoporosis, strengthening your core muscles is one of the best things you can do to protect your spine, improve stability, and reduce the risk of fractures.

 

Why Core Strength Is Essential for Women With Osteoporosis

A strong core helps maintain good posture, prevents forward spinal collapse, and enhances balance, all of which are crucial for fall prevention.

Now, I don’t just teach this—I live it. I have osteoporosis, and I’ve also had two spinal fusions, so keeping my core strong is an absolute priority for me.

And the one exercise I turn to time and time again to keep my core engaged and my spine supported?

The Pallof Press.

What Is the Pallof Press?

The Pallof Press is a resistance-based core exercise that strengthens your deep stabilizing muscles, including the:

Transverse abdominis (deep core stabilizer)
Obliques (side core muscles)
Multifidus (key spinal support muscle)

Unlike traditional core exercises that involve bending or twisting, the Pallof Press focuses on stability—helping you build a strong, supportive core without putting excess strain on your spine.

Why Is the Pallof Press Important for Osteoporosis?

The Pallof Press is one of the best core exercises for women with osteoporosis because it:

  1. Strengthens the Deep Core Muscles: These muscles stabilize the spine, helping to reduce the risk of vertebral fractures.
  2. Supports Spinal Alignment: A strong core prevents slouched posture, which increases spinal fracture risk and affects balance.
  3. Improves Balance and Reduces Fall Risk: Better core stability leads to better balance, helping prevent falls—a major concern for those with osteoporosis.
  4. Mimics Real-Life Movements: This exercise strengthens your core in ways that translate to daily activities, such as:
  • Carrying groceries
  • Lifting a laundry basket
  • Holding children or grandchildren
  • Pushing a shopping cart
  • Opening a heavy door

By incorporating the Pallof Press into your routine, you’re training your body for everyday movements, making them safer and reducing strain on your spine and joints.

How to Do the Pallof Press Correctly

Here’s a step-by-step guide to performing the Pallof Press safely and effectively.

Set Up:

1️. Attach a resistance band to a sturdy object—such as a handrail, doorknob, or squat rack.
2️. Stand sideways to the anchor point, far enough to create tension in the band.
3️. Hold the band with both hands and bring it to the center of your chest

Check Your Form:

  • Stand tall with shoulders back and down.
  • Keep your spine neutral—no arching or rounding.
  • Maintain a slight bend in your knees for stability.
  • Engage your core to keep your torso from twisting.

Perform the Exercise:

1️. Press the band straight out in front of you, extending your arms fully.
2️. Resist the pull of the band—your body should remain stable and square.
3️. Hold for 1-2 seconds, then slowly bring your hands back to your chest.
4️. Repeat 8-12 reps, then switch sides.

Progressions to Challenge Yourself:

  • Increase the resistance with a stronger band.
  • Try a half-kneeling position for more core activation.
  • Perform the exercise on one leg to challenge balance and stability.