MMOA Podcast - Physical Therapy | Fitness | Geriatrics Empowering Osteoporosis Management Through Exercise with Dr. Lora Giangregorio
Jan 8, 2026
Dr. Lora Giangregorio, a leading expert in osteoporosis at the University of Waterloo and founder of the Bones Lab, shares groundbreaking insights on managing osteoporosis through exercise. She discusses the powerful shift from fear-based messaging to empowering patients with knowledge and tailored exercise programs. Lora debunks common myths, like the efficacy of weighted vests, and emphasizes the importance of balance training and nutrition for bone health. They also navigate the complexities of osteoporosis medications and highlight the significance of mental health in management.
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Use FRAX And Holistic Risk Assessment
- Calculate FRAX to understand a patient's 10-year fracture probability and tailor conversations accordingly.
- Use falls assessment, medication status, and prior fractures to place risk on a continuum.
Prioritize Fall-Prevention Training
- Prioritize balance and fall-prevention exercises for anyone at higher fracture risk.
- Aim for balance training at least three times per week as the first-line intervention.
Progress Strength Before Impact
- Start with progressive resistance training after establishing baseline conditioning.
- Progress to speed and then impact training only when safe and tolerated.