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Your first physical therapy visit for osteoporosis: a preparation guide

Bring the right information, ask specific questions, and leave with an exercise plan you understand.

4 min read · Published by Bone Builder · Updated September 2026

Awaiting clinical review — written from published sources and not yet checked by a clinician. Talk to your provider before acting on it.

Key takeaways

  • Bring your scan report, fracture history and current exercise questions.
  • Ask for a written starting plan, progression rules and a contact for problems.
  • Verify qualifications and what assessment or supervision the service actually includes.

An osteoporosis physical therapy visit is an opportunity to turn general exercise advice into decisions about your own movement. Prepare a short note about your history, current activities and goals. The checklist below is a conversation aid; the therapist decides what assessment and treatment are appropriate.

What should I bring?

  • Your most recent DXA report, and earlier reports if available—not just the T-score you remember.
  • A list of fractures, approximate dates and any current healing restrictions.
  • Your medicine and supplement list, along with relevant advice from your treating clinician.
  • Notes about falls, near-falls, pain or activities you have stopped doing.
  • Your current exercise routine and a list or photos of equipment you already own.
  • One or two goals in your own words, such as carrying groceries or returning to a class.

Ask for answers you can use at home

QuestionWhat to record
Which movements should I start with?Exercise names, variations and a demonstration you understand
How much should I do?Agreed load, repetitions, sets, frequency and rest
How do I know when to change it?Specific progression and pause criteria
What if I miss sessions or my health changes?Who to contact and how to restart
Which sessions need supervision?Who supervises, where, and whether it is included in the price

Before leaving, explain the plan back in your own words. Ask to practise the setup while the therapist watches. If you cannot remember an instruction, say so: it is easier to clarify during the visit than to guess later. Ask permission before making a personal recording.

How do I find someone with relevant experience?

The Bone Health & Osteoporosis Foundation provides a healthcare professional directory and points readers to a separate Bone Fit exercise-professional locator. A directory listing is a starting point for questions, not a guarantee of fit. Ask about professional licensure where applicable, osteoporosis experience, fracture rehabilitation and the scope of the service. See how to compare exercise support.

What if I have had a spinal fracture?

Tell the service before the appointment and bring any restrictions or follow-up instructions. Rehabilitation after a broken bone may involve physical or occupational therapy and other members of your care team. Do not use this checklist or a general class as clearance to resume loading. Our spinal compression fracture guide explains questions to discuss.

Make a one-page follow-up note

Copy these headings into a notebook: My agreed exercises; My precautions; When to pause; When to progress; Next appointment; Contact for questions. Put unanswered questions at the top. Use the free training log between visits so the next conversation includes what you actually completed.

App membership does not include an individual physical therapy appointment or supervised lifting. Confirm availability, fees and the professional relationship directly with the provider you choose.

Frequently asked questions

Do I need a referral for osteoporosis physical therapy?

Referral and coverage rules depend on your location, provider and insurer. Ask the clinic and insurer before booking whether a referral or authorization is required and what you will pay.

Should I bring my DEXA scan to physical therapy?

Bring the report if you have it, together with your fracture history and current restrictions. It provides context, but the T-score alone does not determine an exercise prescription.

Sources

Put this into practice.

Explore a plan using your reported history and equipment, with exercise demonstrations and workout logging. Bone Builder adapts research principles; it does not replace individual clinical assessment or supervision.

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