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Osteoporosis Service In London

We provide a physiotherapy led service for the management of osteoporosis and osteoporotic fractures, in Central London. We can accurately assess the risk of osteoporotic fracture and identify whether there is a potential need for bone scanning and drug management.

How Can We Help With Osteoporosis?

Consisting of a carefully graduated exercise programme of strengthening and balance exercises, physiotherapy can effectively improve pain, function and quality of life. This can be beneficial for individuals to slow down the progression of osteoporotic bone loss, reduce the risk of fractures and falling, and to help rehabilitate after a osteoporotic fracture.

Providing guidance and education will enable the individual to understand their long term condition more fully and lead to increased confidence in everyday life.

We work closely with medical experts in osteoporosis and will refer on to them for further management if necessary. We also have links with dieticians if dietary advice is needed.

Who Can Benefit?

  • Those at risk of developing osteoporosis
  • Those who have osteoporosis whether you have or have not yet suffered a fracture.

What Is Osteoporosis?

Osteoporosis is a disease characterised by low bone mass and structural deterioration of bone tissue, which results in the bones becoming fragile and more susceptible to fractures (NICE, 2012).

In the UK, 1 in 2 women and 1 in 5 men over 50 years of age will suffer from an osteoporosis related fracture. Although osteoporosis is largely genetically determined, there are a number of associated risk factors and modifiable lifestyle factors which can be addressed to manage or prevent the disease.

Our bones are living tissue and constantly change throughout our lives. From birth until young adulthood, our bones are developing and strengthening. Our bones are at their most dense in our early 20’s.

As we age, some of our bone cells begin to dissolve, while new bone cells are deposited. This process is known as bone remodelling.

From our 40’s onwards the cells responsible for dissolving the bone become more active and our bones gradually lose their density.

Women lose bone density faster in the years following the menopause when oestrogen levels drop.

For people with osteoporosis the amount of bone growth is not enough to keep up with the amount of bone loss. This results in the bones becoming porous and brittle and therefore more prone to fracture (International Osteoporosis Foundation).

What Causes Osteoporosis?

There are several known factors that increase the risk of developing osteoporosis and suffering osteoporotic fractures, including:

  • Over 50 years of age
  • Family history of osteoporosis
  • Smoking
  • Excessive alcohol
  • Early Menopause
  • Hysterectomy
  • Thyroid problems
  • Cancer treatments
  • Use of steroids
  • Sedentary lifestyle
  • Poor nutrition/malabsorption
  • Risk of falls

How Is Osteoporosis Treated?

Treatment of osteoporosis involves managing the risk factors of osteoporosis, including drug management, nutritional supplements, physical activity and lifestyle modification.


It is important that you have a healthy balanced diet containing enough calcium, as well as all the other vitamins, minerals and nutrients our bones need.

Vitamin D

Vitamin D is essential as it helps the body absorb calcium. The best source of this is sunlight, which your body uses during the summer months to manufacture this vital vitamin in your skin.


It is important that you have a healthy balanced diet containing enough calcium, as well as all the other vitamins, minerals and nutrients our bones need.


Reducing your alcohol intake is also important as excessive alcohol consumption is a significant risk factor for osteoporosis.


Regular weight-bearing exercise is important and can help your bones to grow stronger.


Most osteoporotic fractures occur as the result of falls, so reducing the likelihood of falling significantly reduces the risk of fracture.

What Are the Benefits of Physiotherapy for Osteoporosis?

The best way to manage osteoporotic fractures is to prevent them from happening, and the best way to prevent them from happening is to identify those at risk, to manage the risk factors and to increase specific exercise.

Physical activity, particularly weight bearing and specific strengthening exercise, have been shown to be beneficial for improving bone density and therefore mechanical bone strength.

Exercise has also been shown to improve posture, co-ordination and to reduce the risk of falls, in addition to improving general physical health and wellbeing.

Physiotherapy intervention, primarily consisting of a carefully graduated exercise programme, has been shown to be effective for improving pain, function and quality of life for individuals with minimal trauma osteoporosis related vertebral (spinal) fractures.

Why Choose Us?

We pride ourselves on providing the very best 5 star service for our patients, with a 100% satisfaction guarantee!
★★★★★ Sharon Morgans is excellent!Taha K.Taha K. ★★★★★ Great place, welcoming staff on the front desk and great session with my Physiotherapist, thorough session and well explained step by step to achieve a sustained recovery.I will definitely recommend it to friends and family.Creator P.Creator P. ★★★★☆ The Central health website said that the initial charge was about £10 less than I was expecting. I wasn’t offered a discount on ten sessions which was also a the website price list. However I have made good progress and am very pleased with the therapist.Janet S.Janet S. ★★★★★ Super easy to book, the team was quick to respond to my queries. I went to the St. John's Wood branch for a physio appointment. Megan Sumner was excellent, very friendly and showed great empathy. Very thorough first consultation to deal with a lower back strain problem. Very clear explanation and recommendations on various exercises to ease pain. I highly recommend Megan and the practice.Elizabeth L.Elizabeth L. ★★★★★ Really great physio. Intelligent productive advice.Shirley AShirley A ★★★★★ I am writing this review on behalf of my mother Fouzia who received excellent treatment, care and support from Chris Pincher. My mother was suffering from severe heel pain for several months which has significantly improved since seeing Chris. She has also benefited from the specific exercises that Chris recommended and we cannot thank him enough. Highly recommend to anyone who is suffering in pain. It is definitely worth visiting Central Physiotherapy!Noor RNoor R ★★★★★ I have been working with CHP @ Chelsea for ten years now and cannot recommend them more. Ali especially is lovely in terms of her exercise recommendation and her can do attitude. Best physios in the area for sure.Melis O.Melis O. ★★★★★ After having a 'failed' spinal fusion at 21, and further spinal surgery, I have had chronic back pain, and physio intermittently for 33 years. Although a years pain management course has helped me feel more in control of my back for 12 years, I have never been free of it dictating what I do - until I was referred to Chris! After my first appointment, I was very sceptical as no muscle had been eased yet I had arrived with neck spasms and shoulder pain, and sent home being told that my nervous system had to be reset. Four months later, after doing a variety of specific exercises and being told how to use my back biomechanically, rather than continually guarding it, I am stronger and more active, not fearing some gardening, travelling or participating in sport. Chris listened to the pain and issues I was experiencing and, whilst assessing the whole body and its movement, rather than the isolated parts, has slowly retrained my thought process and I know that I will continue to become stronger and reach other goals that were previously definitely out of reach! Thank you Chris, it is worth the 4 hour round trip!Sally F.Sally F. ★★★★★ About 4 weeks before I was due to attempt a solo swim of the English Channel I started experiencing pain in my left arm and shoulder. It was painful to hold a dinner plate, and not just because I was having quite big portions. I stopped training completely and decided to see if massage would help. Fortunately, I made an appointment with Tatjana. We talked about my symptoms and my plans. Over the next two weeks Tatjana brought her remarkable skills to bear, loosening my shoulder and arm so that I was able to swim for the 15 hours 40 minutes it took me to reach France. I had been really worried that I would not be able to start the swim. I am confident that Tatjana was one of the reasons I was able to complete it. Thanks again. A.andrew S.andrew S.js_loader

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Discuss your needs with our friendly team and find out how we can help you return to fitness!

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Our physiotherapy led service for the management of osteoporosis and osteoporotic fractures is provided at our St John’s Wood clinic in Central London.

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