Osteoporosis is a common metabolic bone disorder, related to aging, characterized by a decrease in bone density, diminished bone strength. Osteoporosis is a silent disease often underrecognized and undertreated. Fracture may be the only manifestation, making osteoporosis a major contributer to morbidity and mortality.
Osteoporosis can be prevented to some extent by means of healthy diet, moderate exercise and medical treatment. Disabilty caused by musculoskeletal disorders such as osteoporosis and its related bone fracture, osteoarthritis can be prevented by early action to resist the development. We would like to offer self-care program as follows.

　

 　
　1)

Recognizing and treating osteoporosis
It is vital to evaluate the degree of osteoporosis by means of medical history, imaging studies for quantification, blood examination for examining the speed of bone resorption. Healthy dieat, moderate exercise should be combined with appropriate medical treatment such as bisphosphonate.

　
　2)

Exercise
Both bone and muscle deteriorate with age especially after 60s. Exercise, especially weight-bearing exercise will maintain or increase the quality and quantity of bone and muscle. Balancing enhancing programs are highly recommended.

　
　3)

Exercise for arthritic pain
Proper exercise will decrease the symptom of osteoarthritis and rheumatoid arthritis, and so it should be combined with medical treatment.

　
　4)

Individualizing the rehabilitation program
Since musculoskeletal disorders are characterized by variability among the patients, the rehabilitation program should be individualized . Exercise program should be combined with cold therapy, heat therapy or traction therapy and mobilization.