Your patient is exploring osteogenic loading with us. This isn't a gym, a supplement, or a treatment — it's a supervised, evidence-based way to load the skeleton and trigger the body's own bone-building response. Here's the clinical picture in under three minutes: the mechanism, the safety profile, who it fits, and what we measure.
OsteoStrong uses a four-device circuit that lets your patient self-generate axial compressive force at multiples of body weight in a controlled, supervised range. This emulates the high-impact loading that builds bone — without the impact or injury risk. The stimulus drives mechanotransduction: the osteocyte-mediated signaling by which mechanical strain triggers osteogenesis. Loading is isometric and self-limited; the patient controls the force against a fixed device, with real-time biofeedback in pounds and multiples of body weight.
Bisphosphonates are often the first line for osteoporosis, but tolerance and long-term concerns complicate that decision for many patients. OsteoStrong is designed to complement pharmacotherapy or serve as a non-pharmacologic option — not replace physician-directed care.
It gives patients who can't or won't take medication a supervised, measurable path, and gives medicated patients an additional loading stimulus.
Because force is self-generated and isometric, the ceiling is set by the patient, not the machine — which is why this is appropriate even for higher-risk patients. No exercise is entirely without risk. We request physician clearance before starting when a patient has any of the following, and we defer entirely to your judgment and any restrictions you specify: recent fracture, active spinal pathology, uncontrolled hypertension or cardiovascular disease, retinal conditions, pregnancy, or recent surgery.
We offer in-center REMS (Radiofrequency Echographic Multi Spectrometry) — a radiation-free ultrasound assessment of bone density and quality — to set a baseline and track change. It is a separate, paid scan: not part of a membership and not bundled into anything. It complements, and does not replace, DXA, and your patient can share every result with your office.
OsteoStrong members have reported BMD increases of up to 14% over 12 months between DXA scans, alongside:
At this center, measured. Loading only does anything above the threshold, so the fair question is whether members reach it. In our repeat-scan group — 11 members, median age 69, ten of them 65 or older — every one exceeded it on the average repetition, not merely their best:
Loads, not outcomes, from 11 self-selected people; we do not present them as proof of a bone result. Individual results vary.
The threshold. Bone adapts to load magnitude, and below a certain magnitude it does not adapt at all. In 724 adolescents, habitual impacts above ~4.2g were positively associated with femoral neck BMD (β = 0.137, p < 0.001); moderate (2.1–4.2g) and low impacts were not. Deere K, Sayers A, Rittweger J, Tobias JH. J Bone Miner Res 2012;27(9):1887–95.
The loading study. Dr. John Jaquish, who developed these devices, followed 55 postmenopausal women (mean age 69, T-score ≤ −1.0, none on pharmacotherapy) for 24 weeks. Tolerated hip and lower-extremity loading rose 131% over that period and spinal loading 126%. In the DXA subgroup, hip BMD rose 14.9% and spine BMD 16.6% (p < 0.01 for both). It was an observational trial without a control arm, and the standard deviations are wide. On our own equipment the working thresholds are a Growth Trigger at 4.2 multiples of body weight and a Rapid Growth Trigger at 7.2; those are our figures, not this study's. Hunte B, Jaquish J, Huck C. J Osteoporos Phys Act 2015;3(3):146.
The turnover response. In a case report co-authored with a NASA bone physiologist, 24 weeks of weekly 15-minute osteogenic loading raised bone-specific alkaline phosphatase 39% and lowered NTX 41% — formation up, resorption down — though that single healthy subject showed no change at spine or hip. Tsung A, Jupiter D, Jaquish J, Sibonga J. Aerosp Med Hum Perform 2021;92(3):201–206.
Read the Research at OsteoStrong.me →If you're comfortable, a brief note stating your patient is cleared for supervised, controlled resistance loading — with any restrictions you want observed — is all we need to begin. We're glad to coordinate directly with your office, and you're welcome to come and see the floor for yourself — watch a session, ask anything — so you can advise from firsthand knowledge.