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Can OsteoStrong reverse osteoporosis? A look at the evidence

4 min read

According to the National Osteoporosis Foundation, roughly 54 million Americans have low bone mass, putting them at increased risk for osteoporosis. A technology called OsteoStrong claims to increase bone density using osteogenic loading, but can OsteoStrong reverse osteoporosis, or is its marketing unsupported by scientific evidence? A closer look reveals significant debate and recent clinical trials that have yielded unimpressive results.

Quick Summary

OsteoStrong uses high-impact emulation to trigger bone growth via osteogenic loading. However, recent clinical trials raise serious doubts about its effectiveness for reversing osteoporosis, especially as a standalone treatment.

Key Points

  • Limited Evidence: Independent clinical trials, including recent ones from 2025, have found no significant improvement in bone density from using OsteoStrong.

  • Study Flaws and Controversy: A 2025 company-funded study suggesting positive results was heavily criticized by the scientific community for methodological flaws and potential bias, leading to calls for its retraction.

  • Effective Only with Medication?: Some analyses suggest that any observed bone density improvements in study participants may have been due to concurrent osteoporosis medication, not OsteoStrong itself.

  • Proven Alternatives: Evidence-based methods, including a combination of prescription medication and regular weight-bearing and resistance exercises, are the most effective treatments for osteoporosis.

  • Inadequate Stimulus: Experts suggest that the low frequency and volume of OsteoStrong sessions may not provide enough osteogenic stimulus to produce the claimed bone-building effects.

  • Consult a Doctor: Before pursuing any treatment, it is essential to consult a healthcare provider to ensure a safe and effective plan tailored to individual needs.

In This Article

Understanding Osteogenic Loading

Osteogenic loading is an exercise-based technique designed to stimulate the body's natural bone-building process. It is based on Wolff's Law, which states that bone adapts to the loads placed upon it. By subjecting bones to intense, low-impact pressure, the process aims to trigger the growth of new bone tissue, or osteogenesis. OsteoStrong centers use a patented system called Spectrum to facilitate these high-intensity, limited-range isometric contractions. The sessions are brief, typically lasting just 10–15 minutes once per week, and are often promoted as a no-impact way to achieve the high loads needed for bone growth. The core claim is that these forces are significantly higher than those achieved through traditional weight training, and therefore more effective at stimulating bone growth.

The Controversial Evidence for OsteoStrong

For many years, the primary evidence supporting OsteoStrong's efficacy came from anecdotal testimonials and small, potentially biased observational studies. In 2025, a study on OsteoStrong was published online in the Journal of Clinical Endocrinology & Metabolism, but it was met with significant backlash from the scientific community. Concerns were raised regarding its methodology, potential conflict of interest (it was funded by OsteoStrong), and lack of a transparent, randomized design. Critics argued the study was deeply flawed and called for its retraction. Later, Osteoporosis Canada published a detailed statement noting several issues with the study, including the fact that significant bone mineral density (BMD) improvements were only observed in participants already taking osteoporosis medication, not from OsteoStrong alone.

Findings from Independent Research

In addition to the highly criticized 2025 study, other more rigorously conducted research has also shed doubt on OsteoStrong's claims. A study published in ScienceDirect in September 2025, and funded in part by OsteoStrong Australia and Monash University, looked at the effects of 8 months of OsteoStrong on postmenopausal women with low BMD.

The key findings were as follows:

  • Feasibility and Safety: The intervention was deemed feasible and safe, with good adherence among participants and few adverse events.
  • Physical Function: Some improvements in physical function, such as chair stand times, were observed.
  • Bone Density and Microarchitecture: Crucially, the study concluded that OsteoStrong did not significantly improve bone density, microarchitecture, or strength. Some measures of microarchitecture even showed declines.

These findings suggest that while OsteoStrong may have minor benefits for physical function, its impact on bone density is, at best, negligible and at worst, potentially ineffective, especially as a standalone therapy. This aligns with other analyses and reviews that have found inconsistent effects and a lack of high-quality randomized controlled trials supporting its efficacy.

Comparison: OsteoStrong vs. Conventional Osteoporosis Treatments

It is helpful to compare the unproven claims of OsteoStrong with the evidence-based strategies for osteoporosis management. Traditional and established treatments rely on medication, comprehensive exercise, and lifestyle modifications.

Feature OsteoStrong (Osteogenic Loading) Conventional Osteoporosis Treatment
Primary Mechanism High-impact emulation via isometric contractions on proprietary machines. Prescription medications (antiresorptives, anabolics) combined with targeted weight-bearing and resistance exercises.
Scientific Evidence Limited by small, observational, and potentially biased studies. The one published clinical trial showing efficacy was heavily criticized and flawed. Recent independent trials show no significant benefit to bone density. Decades of high-quality, large-scale randomized controlled trials and clinical data supporting the efficacy of both medication and specific exercise protocols.
Effect on Bone Density Recent, independently funded research found no significant improvement in bone density. Some studies even suggest slight declines. Company-sponsored studies and testimonials make unsubstantiated claims. Medications can increase BMD by 2-5% for antiresorptives or 4-13% for anabolic agents within 12 months. Targeted exercise can also lead to modest but measurable gains.
Frequency/Duration Brief, low-frequency sessions (e.g., 10–15 minutes, once per week). Ongoing, frequent exercise protocols (2+ sessions per week) combined with daily activity. Medication treatment plans vary.
Best for Reversing Osteoporosis? Does not appear to reverse osteoporosis based on current independent evidence. May offer marginal improvements in physical function. No single treatment can fully reverse osteoporosis, but conventional strategies can significantly slow bone loss, increase density, and lower fracture risk.

The Role of Exercise in Bone Health

While OsteoStrong's specific program lacks compelling evidence for reversing osteoporosis, robust scientific consensus confirms that exercise is a cornerstone of managing bone health. However, the type of exercise matters. Effective exercise programs for osteoporosis often include a combination of:

  • Weight-Bearing Exercise: Activities performed while on your feet, such as walking, jogging, hiking, and dancing, stimulate bones against gravity.
  • Progressive Resistance Training: Using weights, resistance bands, or machines to progressively challenge muscle strength, which in turn puts stress on bones.
  • Balance and Flexibility Training: Exercises like Tai Chi and yoga are crucial for improving stability and coordination, reducing the risk of falls and subsequent fractures.

Effective bone-building exercise typically requires higher frequency and intensity than the minimal approach promoted by OsteoStrong.

Conclusion

When asking, "Can OsteoStrong reverse osteoporosis?" the current, independent scientific evidence suggests no. While the concept of osteogenic loading is scientifically sound in theory, the minimal, low-frequency approach used by OsteoStrong does not appear to provide the necessary stimulus to significantly increase bone mineral density in women with low BMD, based on recent independent clinical trials. Furthermore, significant concerns over the methodological quality and potential bias of company-sponsored studies have been raised. For individuals seeking to manage or improve osteoporosis, sticking with well-established and evidence-based methods—including physician-prescribed medication, comprehensive weight-bearing, and resistance exercise—remains the most reliable path. It is crucial to consult with a healthcare provider before starting any new treatment plan for osteoporosis.

Final Recommendations for Bone Health

  • Consult a physician: Work with a doctor or specialist to develop a personalized treatment plan.
  • Focus on proven methods: Incorporate regular weight-bearing and resistance exercises into your routine.
  • Consider medication: If prescribed, use pharmaceutical treatments as they have a proven track record of slowing bone loss and increasing density.
  • Prioritize nutrition: Maintain adequate intake of calcium and vitamin D.
  • Avoid unproven quick fixes: Approach programs with unsubstantiated or flawed evidence with caution.

Visit the official National Osteoporosis Foundation website for more information.

Frequently Asked Questions

Yes, OsteoStrong's marketing materials and company-sponsored studies have made claims about reversing osteoporosis through its osteogenic loading program. However, these claims are not supported by recent independent research.

No, OsteoStrong is not a proven treatment for osteoporosis. Recent independent clinical trials have found no significant improvement in bone density from using the program. The scientific evidence supporting its claims is limited, and some studies suggesting efficacy have faced strong criticism for methodological flaws.

Traditional osteoporosis medications, such as bisphosphonates, have decades of clinical trial data demonstrating their effectiveness in increasing bone density and reducing fracture risk. OsteoStrong has not shown significant bone density improvements in independent trials and lacks the robust evidence of conventional medical treatments.

No, exercise alone cannot fully reverse osteoporosis once bone density has been significantly lost. However, a program of regular, targeted weight-bearing and resistance exercises can slow down bone loss, stimulate modest gains in density, and improve balance to reduce fracture risk.

Recent studies suggest that OsteoStrong is feasible and generally well-tolerated by postmenopausal women with low bone mineral density (BMD). However, its potential to provide meaningful benefit to bone density remains unproven by independent research.

Osteogenic loading is a high-intensity, low-impact exercise method designed to stimulate bone formation. It uses controlled, maximum-force isometric contractions to apply loads greater than those experienced in daily activities. OsteoStrong's machines are a specific application of this concept.

The most effective exercises include a combination of weight-bearing activities (walking, hiking), progressive resistance training (lifting weights), and balance and flexibility training (Tai Chi, yoga).

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.