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Do you have Osteoporosis or Osteopenia?

Our bones are living tissue and constantly remodelling through our life. Osteoporosis or porous bone, is a disease whereby bone resorption is higher than the bone deposition reducing the bone’s density and quality, leaving it brittle and thus at greater risk of fracture. There are often no symptoms of this bone loss until the first fracture occurs.

Onero LogoBurleigh Heads Physiotherapy Centre can help you. We offer a groundbreaking bone building program called Onero.  Onero is Latin for “load” or “burden” and that’s what bone needs to maintain or improve its mass. We reach our peak bone density in our early 20’s. Unfortunately, most of us don’t do enough correct loading and which can lead to bone loss. As the saying goes – If you don’t use it, you lose it!

Bone loading needs to done in a specific way and to be done safely, you need close supervision from people who have specific training. That’s where Burleigh Heads Physiotherapy Centre can help.

It’s very exciting to have a proven* intervention to offer people who are interested in improving their bone health. We have an exclusive licence from The Bone Clinic in Brisbane so you can access this program right here in Burleigh. We are contributing data to their ongoing research on Onero. We utilize a proven bone building program designed by researchers at Griffith University, Parklands and at The Bone Clinic. All our physiotherapists and exercise physiologists who participate in this training program have completed further education provided by The Bone Clinic.

Read our – Bone Health FAQ’s

How can we help you?

Bone building relies on many different factors eg diet, weight bearing exercise/loading bone, vitamin D and medications among others. We can help assess a few of these factors under the one roof. We have a team comprised of physiotherapists, a dietician and an exercise physiologist to provide you with a comprehensive look at your current status and we work out a plan specific for your better bone health. The research has shown that you need to do at least 2 bone targeted classes per week to improve your bone mass.

What next?

  1. Complete the Pre-exercise screening tool (part 1 only) so we can determine whether you need to see your GP before you start with us.
  2. Once you have returned your pre-screening forms to us, if you don’t need to see your GP first, we’ll ring you to book you in for your initial assessments.
  3. Before starting you will require:
    1. Initial Assessment Consultation 45 minutes where we will complete tests for your balance and function. Please bring your bone density scans and reports with you for this initial consult.
    2. Dietitian consultation 45 mins, this allows you to go through your current diet, asses your calcium and vitamin D intake and discuss the optimal requirements for bone growth. (If you have already been to The Bone Clinic this is not required.)
    3. If you haven’t already had one, our physiotherapists can refer you for an EOS scan (bulk billed) to measure your thoracic angle and your GP will need to refer you for a bone density (DXA).
    4. 1 on 1 training session for 30minutes to teach exercise techniques and ensure you are doing them safely, determine load setting and any modifications that need to be made for you.
      Sometimes a second 1 on 1 training session may be required.
    5. You are now ready to join the classes. These are supervised classes of a maximum of 4 participants. You need to attend at least twice a week for bone growth and we book you in for standard time each week. We deduct your fee on a fortnightly basis in the form of direct debit. Please ask admin for terms and conditions.
    6. After you have been following the program for 12months we recommend a review with our dietitian, physio and another DEXA scan to examine how effective it has been.

We have many class times Monday-Saturday subject to availability. Our friendly admin team will help you find the times that suit.

Please note – Private health rebates do apply for the assessments or you may be eligible for the Chronic Disease Management (or EPC) program under Medicare which will give you rebates on the assessments and interventions. Ask your GP if you are eligible.

Private Health may cover your class costs under your exercise physiology /physiotherapy cover or under healthy living programs also so check with your health fund.

Read our – Bone Health FAQ’s

*Watson SL, Weeks BK, Weis L, Horan SA, and Beck BR (2015) Heavy resistance training is safe and improves bone, function and stature in postmenopausal woman with low to very low bone mass: Novel early findings from the LIFTMOR trial. Osteoporosis International, 2015, DOI 10.1007/s00198-015-3263-2.

** Beck BR, Weeks BK, Weis LJ, Harding A, Horan S, Watson SL: Restoring Standing Height: Yet Another Benefit of Exercise for the Osteoporosis. ASBMR 2015 Annual Meeting, Seattle, Washington, USA, Oct 9-12, 2015

Frequently Asked Questions

Do I need a referral to see a physiotherapist?

No. You can book directly with a Physiotherapist, Exercise Physiologist, Massage Therapist or Podiatrist without a referral.

But, if your treatment payment is part of a specific insurance, Dept of Veteran's Affairs, workers' compensation or Medicare program, a referral IS required.

Do we accept Medicare Care Plans (CDM/EPC)?

Yes.

Please send it to us, ideally, before your first appointment. Your physio will write to your GP after the first visit to detail how we will work together with you to address your issue. At the end of treatment program, your physio will write again to the GP with a discharge summary.

Chronic Disease Management plans allow you a Medicare rebate for up to 5 visits over a 12 month period. You can choose which health professional you use those visits at. The 5 visit total is across all allied health disciplines though, unfortunately. So if, for example, you need to see a dietician and a physio for your condition, those 5 visits will be shared between the 2 practitioners.

If you use a care plan to subsidise your physio treatment, you cannot also use your private health fund for the same visit. Rehabilitation for complex conditions usually take greater than 5 visits to manage, and so if you have private health cover, you can use this to subsidise the treatments once you have used up your care plan.

Do we bulk bill Care Plans (EPC/CDM)?

No.

We provide at least a 30 minute appointment and up to 60 minutes for pelvic floor condition assessments. There is also associated paperwork which is a compulsory government requirement.

Medicare rebates do not adequately recompense for this time spent.

How do I know if I have osteoporosis?

The gold standard measurement to diagnose osteoporosis is a DXA scan. The diagnosis of your bone health will be based upon a T-score. This score is essentially how many standard deviations your bone density is away from healthy young adult population average.

Normal = T-score of greater than -1
Osteopenic = T-score between -1 and -2.5
Osteoporosis = T-score below -2.5

The most common diagnostic scans are typically done at the hip and spine but sometimes the forearm as well if either of other regions has osteoarthritis or other joint conditions.

How prevalent is Osteoporosis?

In Australia, 1 in 4 women over the age of 50 are osteoporotic and this grows to 1 in 2 women over the age of 80. In fact, 66% of Queenslanders over the age of 50 have low bone mass.

According to the Australian Institute of Health and Welfare website (last update 17th June 2024), around 853,600 (3.4%) people in Australia were estimated to be living with osteoporosis or osteopenia, according to self-reported data in the 2022 Australian Bureau of Statistics (ABS) National Health Survey (NHS) (ABS 2023).

In 2022, the prevalence of osteoporosis and osteopenia collectively:

  • increased substantially with increasing age, from 0.7% of people aged 35–44, to 17% of people aged 75 and over
  • was higher among women compared with men (5.5% and 1.1%, respectively)
  • was highest for women aged 75 and over (26%)
  • changed little by remoteness or level of disadvantage (also known as socioeconomic area) (ABS 2023).

After adjusting for different population age structures over time, the prevalence of osteoporosis increased from 1.6% in 2001 to 2.7% in 2022 (ABS 2023)

Is there parking?

Yes, there is ample street parking right in front of the practice on West St, Burleigh Heads. It is 3P metered, so you can either use the "Easypark" app or pay at the machines. If you have a disabled sticker, displayed clearly, Gold Coast City Council don't expect you to pay for metered parking.

Other than medication what can I do for my bone health?

Exercise is the only form of treatment that will help with maintaining or improving bone mass whilst also helping to improve balance and spatial awareness to reduce the likelihood of falls.

What are the risk factors for low bone mass?

Genetic predisposition is the most influential factor when it comes to bone health. However, there are modifiable risk factors including physical activity and diet.

Osteoporosis is largely a preventable disease. Risk factors associated with the development of osteoporosis include increasing age, being female, family history of the condition, low vitamin D levels, low intake of calcium, low body weight, smoking, excess alcohol consumption, physical inactivity, long-term corticosteroid use and reduced oestrogen level (Ebeling et al. 2013).

Primary prevention of osteoporosis involves taking calcium and vitamin D supplements, behaviour modification such as regular weight-bearing and resistance exercise, keeping alcohol intake low and not smoking, and fall reduction strategies, such as addressing vision impairment or making home modifications (RACGP 2018).

The goal of the prevention and treatment of osteoporosis is to maintain bone density and reduce a person’s overall fracture risk (RACGP 2018).

The earlier you get onto improving your bone health the better.

What happens to bone health over your life span?

Your bones rapidly grow during childhood and adolescents, so this is the most important time to build your ‘bone bank’, your bone mass continues to increase and consolidate until you hit peak bone mass which typically occurs by the time you hit 30 years of age.  There is then a steady age-related loss of bone; this is greater in women than in men due to menopause.  For women, around 40% of your peak bone mass is lost by the age of 80. Whereas, the lifetime loss in men is around 25% of your peak bone mass, the bone loss in men is a relatively steady process but it accelerates after 70 years of age.

What is Osteopenia?

Osteopenia is also known as low bone mass, this is the range between normal bone mass and osteoporosis. This is considered a warning zone for action to maintain and if possible build your bone mass.

What is Osteoporosis?

Osteoporosis is defined by the world health organisation as a disease characterised by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk. It is typically known as a silent disease, as it is often not picked up until it is too late and a fracture occurs.

Where are the common fracture sites of osteoporosis and how do they occur?

The most common fracture sites are the hip (which typically occur after a fall), spine (this type of fracture is normally an insufficiency fracture) and the wrist (these tend to occur earlier in life and can be the first sign of low bone mass).

Our Bone Building/ONERO™ Gurus

Dan Turner

Director & Principal Physiotherapist

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