Question:

What are some the best load bearing (weights) bone building exercises you can do (highly motivated, athletic post-men female, 20 BMI) taking a drug which increases bone reabsorption – an Aromatase Inhibitor, Anastrozle? My exercises include fast walking/jogging and tai chi.


Answer:

We’re limited in our ability to give you specific information without doing an examination, but we can provide general guidelines for review. Medications that increase bone reabsorption, such as Anastrozole, can increase the likelihood of osteopenia/osteoporosis (weakening of the bones). Weight bearing exercises are the best thing to do to combat this based on Wolff’s Law. This law states that that bone will adapt to increased load and stress thus building more bone! Weight bearing exercises are the best way to build more bone and are especially important post-menopause.

The best weight bearing exercise is walking/jogging which you are already doing, excellent job! One way to get more benefit is with carrying weight such as a backpack or an osteoporosis vest. You can purchase a vest or use a fishing vest and fill the pockets to increase your weight which will put more load on the bone, especially the hip joints. Most standing exercises are very effective as well, especially squats and lunges. The most important thing is to listen to your body and not to push into pain. It is normal to feel muscle soreness or fatigue, but you should never feel sharp or intense pain with exercise. If you do, please stop. It is best to work with a physical therapist or other qualified professional to create an individualized plan to meet your goals.


**This reply is for informational purposes only. It’s not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, physical therapist, or other qualified health provider with a medical condition.