What Is Osteoporosis?

Osteoporosis (OP) refers to low bone mineral density and leaves with you with an increased risk of bone fracture.


· Affects 1 in 4 women aged over 75

· A hip fracture is the most common site for traumatic fracture

· An estimated 924,000 Australians have osteoporosis


Diagnosis of osteoporosis is performed used a DEXA scan (Dual energy x-ray absorptiometry) which looks at the bone mineral density in the spine and hips. Results are generated as a ‘T-Score’ and then compared to that of a health young adult. A score of less than 2.5 indicates osteoporosis.

Risk Factors:

· Female aged 50 or over

· Family History

· Prolonged corticosteroid use

· Smoking

· High alcohol intake

· A diet low in calcium

· Low body weight

· Sedentary lifestyle

· Low vitamin D

Physiotherapy Management:

Engaging in regular weight-bearing exercise is incredibly important in the management of osteoporosis. Physiotherapists can help design resistance-based programs aimed towards improving strength, balance and ultimately bone density.

When exercising, you create stress to the bone matrix which results in the bone adapting to cope with that higher load. In contrast, a sedentary lifestyle leads to reduced muscle mass and therefore less stress on the bone itself.

The research shows that regular weight-bearing or resistance-based exercise can promote bone health. As previously stated, exercise needs to stress the bone to change the bone matrix and therefore individuals should complete exercises which are challenging or new. This may include increasing weights or regular program review every 4-6 weeks.

In addition to physiotherapy and exercise, modification to diet and behaviour (i.e., smoking and alcohol intake) can help in management of osteoporosis.

If you live with osteoporosis or are concerned about your bone density, be sure to chat to one of our physiotherapists about what’s right for you.



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Our Values

Our values are the basis of everything we do at Fitwise.

Excellence, Respect, Innovation and Fun – For our clients, for our team and for ourselves.

This is evident with the service we provide, the environment in which we provide it, the way in which we operate as a team and how we care for and value our clients, referral partners and ourselves; we live the Fitwise values every day.

Our culture is one where everyone feels supported, respected and safe. Our clients and our team, experience a leading-edge health environment where we remember to have fun along the way.

Our Story

In 2004, Gen McGlashan and Libby Oldfield founded Fitwise Physiotherapy. They first met in 1994.  Libby was Gen’s physio when she had her first child. Gen then worked for Libby for 10 years in Libby’s previous business, located at the Epworth Freemasons Maternity Unit in East Melbourne. They have been a team working together for a very long time!!

Libby and Gen have always had a passion for empowering women, by helping provide accurate evidence based information and treatment to help women live their best lives. Excellence in all that they do, practising and operating in an innovative way has always been their core. Fitwise was the first multi-practitioner practice providing Women’s Health physiotherapy consultations, exercise classes and clinical pilates in Melbourne.

Gen and Libby

In February 2005 Gen and Libby moved their one room practice to Albert St East Melbourne. They had expanded to 2 treatment rooms, an exercise studio and a pilates studio with a small team of physiotherapists and one receptionist. This was exciting as they wanted to be able to help more people and to grow their team – enabling their other passion: teaching and mentoring clinicians who also wanted to work within the Women’s, Men’s and Pelvic Health arena.

5 years later, they expanded their East Melbourne clinic and in 2015 opened their second clinic in Armadale.

Remedial Massage, Myotherapy and Dietetics have been an exciting addition in recent years, with Podiatry and Exercise Physiology being added in 2022.

Fitwise Physiotherapy | Armadale

The Fitwise team has now grown to include 18 amazing practitioners and 12 wonderful administrative team members and is still growing!

Libby and Gen have always loved providing a holistic service, treating a variety of conditions in consultations and providing exercise appropriate for different life stages. The community of clients that are part of the Fitwise family, (some who have been part of the journey from the very beginning – over 17 years ago), are the biggest reason they do what they do. For Gen and Libby, it is a privilege to be part of these wonderful people’s lives.