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The UK does not have exact, published figures for the total number of people who develop osteoporosis specifically from breast cancer treatment. However, an estimated 3.7 million people in the UK have osteoporosis in general, and treatment-induced bone loss—particularly from aromatase inhibitors (AIs)—is a well-documented and highly prevalent side effect: Cancer Research UK
Because aromatase inhibitors are highly effective and widely prescribed for oestrogen receptor-positive breast cancers, oncology teams generally screen for bone health before treatment begins. To mitigate this risk, patients may be prescribed bone-strengthening medications such as bisphosphonates (e.g., zoledronic acid) alongside calcium and vitamin D supplements Macmillan Cancer Support
Aromatase Inhibitors (AIs): Drugs like anastrozole, letrozole, and exemestane reduce oestrogen in postmenopausal women, leading to accelerated bone loss of up to 5% to 8% per year in some patients. About one in four patients experiences a substantial loss of bone mineral density after 5 years of this treatment. Royal Osteoporosis Society
Note: Many individuals attending Jill Wigmore-Welsh MSc HCPC FRSPH at the Reading Osteoporosis Practice with diagnosed ( -2.5 T Score) want to start rehabilitation with weight training (Strong Pillar), or body awareness and posture work (Straight), but they may have balance issues and probably need to start with (Steady). We discuss this at the first appointment if you want to have a conversation book below.
As an advanced practice physiotherapist specialising in bone health, I know that for many people having cancer treatment, concerns about breast cancer and osteoporosis can make starting an exercise programme while navigating hormone therapy feel like a significant transition.
You are already taking proactive steps for your health. Today, I want to shift the focus to the positive, transformative power of movement and exercise for bone health.
If you are concerned about bone loss after breast cancer treatment, it is important to know that evidence shows exercise is one of the most powerful things you can do to protect your bones and your future health.
While aromatase inhibitors and bone health are often discussed in relation to reduced bone density, I would like you to think of exercise as a vital protective strategy within your lifestyle management toolbox.
In the scientific community, we often refer to exercise as a “non-pharmacological pill”—a natural, powerful intervention that works alongside, and complements, your medical care to help keep your body resilient and strong.
Your body is incredibly adaptable, and through our work together we will tap into its natural ability to protect and strengthen itself. Exercise after breast cancer treatment is about far more than maintaining bone density—it is about building deep strength, confidence and long-term resilience.
People often ask how movement can influence something as solid as bone.
One of the most fascinating aspects of your biology is that your bones are living, dynamic tissues. They are constantly “listening” to the world around them and responding to the signals you give them. I cover much of this in my Better Bones the Anatomy of Movement series of talks.
When we exercise, we apply mechanical forces to bone through the natural pull of our muscles. This process is known as mechanotransduction. When your muscles create tension—pulling where they attach to your skeleton—they send a direct “building” signal to your bone cells. This encourages your body to maintain structural strength and improves how bone is distributed throughout your skeleton.
By choosing to exercise, you are literally giving your skeleton the “green light” to stay strong and healthy.
A central focus of our bone health journey together will be developing your lean muscle mass. Think of muscle as your bones’ best friend and most dedicated bodyguard.
First, stronger muscles create what we call muscle-tendon traction. Every time your muscles contract, they tug on your bones, providing an essential anabolic, or bone-building, stimulus that encourages your skeleton to remain dense and resilient.
Second, building muscle while improving your balance and agility provides a protective suit of armour for your whole body. Greater stability and coordination help you move through the world with confidence, reducing the risk of slips and falls while enabling you to continue enjoying sport, hobbies and self-care.
We are not simply trying to improve bone density numbers on a scan. We are working towards a whole person who is strong, upright and steady, ready for whatever activities that matter most to you.
We can provide a tailored strength programme to improve your bone health at the practice in Reading at- 218 Tilehurst Road Reading, RG30 2NE and via Teleheath consultations across the UK
As part of your cancer treatment, you may be taking aromatase inhibitors, bisphosphonates, calcium or vitamin D supplements. You may also have had a DEXA scan, know your T-score, or have a FRAX assessment. These are all important parts of your bone health journey.
One of the most encouraging findings from bone health research is that exercise enhances the benefits of other healthy habits.
When a well-designed movement and exercise programme is combined with your existing treatments, they work together in synergy. Movement helps your body make effective use of the nutrients you provide, supporting a healthier internal bone environment. Exercise helps shift your body’s balance towards bone building rather than bone loss.
Evidence also suggests that combining exercise with prescribed treatments often produces greater benefits than either approach alone.
Reclaiming Your Vitality and Quality of Life
Beyond its effects on bone, exercise is a powerful tool for overall wellbeing.
Navigating cancer treatment can sometimes leave you feeling as though you have lost a degree of control over your own body. Movement and exercise provides an opportunity to reclaim that control.
Regular physical activity has been shown to help reduce many of the common side effects of cancer treatment. It can improve energy levels, lift mood and enhance overall quality of life.
The evidence is clear: women who remain physically active often report feeling more capable, more energetic and more empowered throughout their recovery.
Movement and exercise allows you to focus on what your body can do, rather than what it has been through.
The protective effects of exercise are cumulative. While your body begins responding to movement almost immediately, the greatest long-term benefits for bone health come through exercise consistency.
Think of exercise as a long-term investment in your future self. Research shows that the greatest benefits for maintaining bone strength are seen when an exercise routine is maintained consistently for 12 to 24 months and beyond.
The best routine is one that becomes an integrated enjoyable, sustainable part of everyday life, alongside your other healthy habits.
Working together, we will aim to build a steady rhythm of activity, ideally reaching around 150 minutes of movement each week—the current gold standard for supporting long-term health.
As your specialist, my role is to remove the guesswork, so you do not have to worry about where to begin or what is right for you.
We will start with a comprehensive assessment to understand your individual needs, and then together, we will co-create a programme tailored specifically to you.
Our work together will be trauma-informed, kind, calm, focused and purposeful. Somatic movement is about far more than strength training alone. While we will prioritise strengthening the muscles that support long-term independence and bone health, particularly around your hips and spine, we will also integrate whole body movement awareness, breathwork, nervous system regulation, better sleep and recovery.
I will ensure the programme is appropriately challenging—enough to stimulate those bone-building cells—while remaining safe, achievable, practical and suited to your current level of health and fitness.
Choosing to begin a movement and exercise programme is a positive powerful act of self-care and resilience.
By taking this step, you are choosing to be proactive, build physical and emotional strength, develop resources, connections, and invest in a future where you move with greater confidence and ease.
Your bones are ready and waiting for the signal to become stronger. Let’s start giving them that signal, one movement at a time.
Jill Wigmore-Welsh MSc HCPC FRSPH
Evidence-informed: This article is based on current research and international clinical guidance on exercise, breast cancer treatment and bone health. References are available on request.
Author:
Jill Wigmore-Welsh MSc HCPC FRSPH Founder, Positive Healthspan™ & OsteoProSisters™ · Creator of Juven Systems™
Article publication date: 26 June 2026
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