Stronger Bones.
Better Movement.
Better Life.
Expert physio-led exercise programmes for Osteoporosis and Osteopenia — designed to build bone density, reduce fracture risk, and keep you strong and independent.
What Is Osteoporosis & Osteopenia?
Osteoporosis is a condition where bones become weak and brittle, increasing the risk of fractures. Osteopenia is an earlier stage where bone density is lower than normal but not yet classified as osteoporosis. Both conditions are common — particularly in women after menopause — but they are not inevitable, and they are highly treatable.
The good news is that the right kind of exercise, guided by a chartered physiotherapist, is one of the most powerful tools available to slow bone loss, improve balance, and significantly reduce your risk of falls and fractures.
- Full body composition analysis including bone mass measurement
- Evidence-based weight-bearing and resistance exercise
- Balance and fall prevention training
- Posture correction and spinal loading education
- Lifestyle and nutrition guidance to support bone health
Initial Consultation
The perfect first step. In this hands-on session we assess your bone health, understand your goals, and get you started with the right programme straight away.
- Full body composition report — including bone mass, muscle mass & metabolic age
- One-to-one goal review with a chartered physiotherapist
- Introductory gym session tailored to your needs
- Lifestyle Medicine recommendations based on your goals
- Health insurance & tax claimable
Book Your Initial Consultation
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Signs, Symptoms & Risk Factors
Osteoporosis is often called a "silent disease" — but there are important warning signs and risk factors to be aware of.
Common Signs & Symptoms
- Back pain, often caused by a fractured or collapsed vertebra
- Loss of height over time
- Stooped or hunched posture (kyphosis)
- Bone fractures from minor falls or even sneezing
- Fragility fractures — most commonly wrist, hip or spine
- Reduced grip strength
- Increased fear of falling or loss of confidence in movement
Risk Factors
- Female gender — particularly post-menopause
- Age over 50
- Family history of osteoporosis or hip fracture
- Low body weight or history of eating disorders
- Long-term use of corticosteroid medications
- Smoking or excessive alcohol consumption
- Low calcium and vitamin D intake
- Sedentary lifestyle or prolonged bed rest
- Previous fracture from a minor injury
How We Help
A comprehensive, physio-led programme designed specifically around your bone health — from detailed assessment through to ongoing 1:1 strength training and progress tracking.
Detailed Specific Assessment
We take a number of measurements specifically related to bone and musculoskeletal health, giving us a precise, personalised baseline to build your programme from.
Body Composition Testing — BIA
We measure Bone Mass (%), Muscle Mass (%) and Metabolic Age using Bioelectrical Impedance Analysis (BIA) — fast, non-invasive, and tracked at every session so you can see real progress over time.
DEXA Scan Interpretation & Planning
The gold standard for measuring bone density is a DEXA scan. We help you understand your results and put a clear, evidence-based plan in place to help you improve your bone density over time.
1:1 Strength & Conditioning with a Chartered Physiotherapist
One of the most important aspects of good bone health is strength training. We guide you through every session, developing a personalised programme that is safe, effective, and something you can build easily into your everyday life.
Lifestyle Medicine Support
Sleep, nutrition, stress, and vitamin D all impact bone health. As certified Lifestyle Medicine practitioners, we take a whole-person approach that goes beyond the gym floor.
Ongoing Monitoring & Progress Tracking
Regular reassessments track your body composition and bone health over time — showing you measurable, motivating progress at every stage of your programme.
How It Works
Four simple steps from first contact to a stronger, more confident you.
Detailed Consultation
Full body composition report including bone mass, muscle mass, and metabolic age.
Full Body Assessment
Comprehensive assessment of your movement, balance, strength and posture.
Bespoke Programme
A personalised bone health exercise plan designed by your chartered physio.
Train & Progress
1-to-1 supervised sessions with ongoing reassessment and measurable results.
Meet Your Physiotherapist
Yordan Delchev
Senior Physiotherapist & Bone Health Specialist
Yordan brings a rare combination of clinical expertise and lifestyle medicine knowledge to the management of Osteoporosis and Osteopenia. With a BSc in Physiotherapy and a Postgraduate Master's degree in Sport and Exercise Medicine from Trinity College Dublin, he has the academic foundation to design truly evidence-based bone health programmes.
As a certified Lifestyle Medicine practitioner through the Royal College of Surgeons Ireland, Yordan takes a whole-person approach — understanding how sleep, nutrition, stress, and daily activity all play a role in bone density and long-term health.
Having worked with clients ranging from post-menopausal women managing osteoporosis to older adults recovering from fragility fractures, Yordan's approach is always patient-centred, evidence-based, and focused on long-term independence.
Real Results, Real People
"I can't say enough great things about Yordan at Peak Physio! After a difficult Total Knee Replacement surgery, I was nervous about recovery — but Yordan made all the difference. He is kind, caring, and incredibly attentive. Thanks to his detailed and thoughtful approach, my recovery has been in the best possible hands."
"I was diagnosed with osteopenia and had no idea where to start. Yordan explained everything clearly, designed a programme around my body, and I've seen real improvement in my strength and confidence. Brilliant service."
"After my osteoporosis diagnosis I was afraid to exercise. The team at Peak Physio gave me confidence and a clear plan. I'm now stronger than I've been in years and my follow-up DEXA scan showed real improvement."
Simple, Transparent Pricing
No hidden fees. Expert bone health programmes from chartered physios.
Single Session
- 1-to-1 with a chartered physio
- Tailored session plan
- Movement & balance coaching
- Progress notes
Platinum Package
- 5 x 45-min sessions
- Full body composition report
- Bespoke bone health programme
- Email support between sessions
- Progress review included
Gold Package
- 8 x 45-min sessions
- Full body composition report
- Personalised programme
- Priority booking
Ready to Build Stronger Bones?
Book your €49 initial consultation today — including your full body composition report.
Book Your ConsultationOr call us at (01) 667 0111 · [email protected]
Common Questions
Yes. As our sessions are provided by CORU-registered chartered physiotherapists, they can be claimed through all major Irish health insurers including VHI, Laya Healthcare, Irish Life Health, and GloHealth. Sessions are also eligible for tax relief under the Med 1 scheme, saving you up to 75% per session.
Yes — and it is one of the most important things you can do. The key is having the right type of exercise, prescribed and supervised by a chartered physiotherapist who understands your condition. We design programmes specifically for people with osteoporosis, avoiding movements that increase fracture risk while maximising the bone-building benefits of exercise.
Osteopenia refers to lower than normal bone density, while osteoporosis is a more advanced condition where bones have become significantly weakened and fragile. Both are diagnosed using a DEXA scan. Osteopenia does not always progress to osteoporosis, especially with the right exercise and lifestyle interventions — which is why early action is so important.
No referral is required. If you have already had a DEXA scan, please bring your results as they are extremely helpful in designing your programme. If you haven’t had one, we can advise you on how to get one through your GP and can work with you in the meantime using our own body composition analysis.
Improvements in strength, balance, and confidence can be felt within weeks. Measurable changes in bone density typically take 6–12 months of consistent exercise, and are confirmed by a follow-up DEXA scan. We track your muscle mass and body composition throughout so you can see progress at every stage.
This is one of the most common concerns we hear — and it’s completely understandable. Our physiotherapists are specifically trained in safe exercise prescription for osteoporosis. We avoid high-risk movements such as forward spinal flexion, and focus instead on exercises that are both safe and highly effective for building bone and improving balance.
