Physiotherapy for Bone Health, Osteopenia, and Osteoporosis in Singapore

Bone health is essential for long-term wellbeing and is affected by hormonal changes during perimenopause and menopause. In Singapore, up to one in three women over 50 will suffer an osteoporotic fracture, often without warning. At Calyx, we provide specialised physiotherapy to preserve bone density, improve balance, and help you move safely with strength and confidence.

What Is Physiotherapy for Osteopenia and Osteoporosis?

At Calyx, we personalise programmes to help women strengthen bones with targeted, evidence-based movement. Our physiotherapists understand the unique hormonal and musculoskeletal changes of perimenopause and menopause. We use gentle resistance training, postural awareness, fall prevention, balance exercises, and breathwork to support core stability. Whether managing osteopenia or preventing bone loss, our care is gentle and effective.

Is This Safe for Me?

Yes. If you have osteoporosis or osteopenia, we work closely with your doctor to provide a comprehensive care plan that supports your bone health. Our physiotherapists are specially trained to ensure every exercise and technique is safe and carefully guided to your needs.

Who Should Consider Physiotherapy for Bone Health?

Physiotherapy for bone health is ideal for women navigating perimenopause or menopause who want to protect their bones early. It also benefits those experiencing medically-induced menopause, newly diagnosed with osteopenia or osteoporosis, recovering from fractures, or aiming to prevent falls. If you notice postural changes, stiffness, balance issues, or want to return to strength-based movement, this care can help. At Calyx, we support both the subtle and obvious signs because your body deserves attention at every stage.

  • Do I Need a Referral?

    No referral is needed. You can book directly with Calyx for a thorough assessment and personalised care plan. When appropriate, our physiotherapists work closely with your doctor to ensure your care is seamless and well coordinated.

  • Can I Begin Even If I’ve Never Strength-Trained Before?

    Absolutely. Many patients are new to resistance training or returning after a break. We start slowly and safely, building your strength and confidence. Our physiotherapists guide you carefully, addressing any aches or injuries before helping you reach your goals without pushing through pain.

  • Does This Complement My Medical Treatment?

    Yes. Bone health is best supported through a holistic approach that includes medical treatment and physiotherapy. While medications address bone density, movement builds strength, balance, and resilience in daily life. At Calyx, we work alongside your medical team to provide personalised, coordinated care that helps you move with confidence and safety.

Symptoms and Signs You May Benefit from This Treatment

Common signs include:

  • Reduced height or rounding of the upper back
  • Sudden loss of balance or near-falls
  • Stiffness in the spine or hips
  • Increased muscle fatigue or weakness
  • Postural changes or back pain
  • Worry or fear around movement or injury

Many women may not realise their body is signalling early changes in bone health. At Calyx, we help you respond to these signs with confidence. Our approach sees bone health as an opportunity to build strength and resilience rather than a sign of fragility.

What Happens During Your Calyx Session

Your first visit includes a thorough assessment of your history, movement, strength, and balance to create a personalised plan that supports your goals and builds lasting strength.

  • Will There Be an Internal Assessment?

    No internal assessments are usually needed for bone health physiotherapy. We focus on posture, balance, muscle strength, and movement patterns. All assessments are done externally with your comfort in mind.

    If you have pelvic symptoms related to GSM, click here to learn more.

  • Do I Need to Prepare or Bring Anything?

    Please wear comfortable clothing that allows easy movement. If you have recent DEXA scans, bloodwork, or reports related to bone density or menopause, bring them along to help personalise your care. No other preparation is needed, just come as you are.

  • What Happens After the Session?

    You’ll get a personalised plan with exercises and tips to support bone health. We’ll guide you safely and provide ongoing support in-person or online.

  • Can I Do My First Session via Telehealth?

    Yes, your first session can be done via telehealth. We conduct a detailed assessment, address your concerns, and provide guidance for symptom relief and self-care. If needed, we’ll recommend an in-person visit or continue your care remotely based on your condition.

  • Can I Do Bone Health Physiotherapy Entirely Online?

    Yes. Many aspects of bone health physiotherapy can be done effectively via telehealth, especially early on. We guide you through understanding your bone health, safe strength and balance exercises, posture improvement, and a personalised plan for your home. If hands-on care is needed, we’ll support a smooth transition. Many women find a mix of online and in-person sessions works well.

Techniques and Tools We May Use

  • Myofascial release and joint mobilisation
  • Clinical Pilates-based rehabilitation
  • Core and postural retraining
  • Gentle strength-building exercises
  • Breathing and relaxation techniques
  • Real Time Ultrasound for core activation and function
  • Bone health education and exercises
  • Is It Painful or Uncomfortable?

    No. Sessions are gentle and safe. Mild muscle soreness may occur, which is normal when starting strength training. We guide you carefully and adjust as needed. Most women feel relief and gain confidence after sessions. Your comfort and consent always come first.

  • How We Ensure Safety in Each Method

    We follow evidence-based guidelines tailored for low bone density and menopause. All care is personalised and delivered by AHPC-registered physiotherapists with specialised training in women’s health. You are in safe, experienced hands.

Your Progress and Results Over Time

  • How Soon Will I See Improvement?

    Improvement varies based on your body, symptoms, and commitment to your plan. Bone strengthening is a gradual process. Some women notice positive changes within weeks while others may take longer. After your assessment, we will provide a clear and realistic timeline.

  • How Often Will I Need Sessions?

    We typically start with one to two sessions per week based on your needs, comfort, and goals. Research recommends at least two to three resistance training sessions weekly to maintain or improve bone density. Some women benefit from regular support early on while others prefer more independence. We tailor your care to support progress and build confidence.

  • Will I Need Maintenance Visits?

    After your initial progress, ongoing support can help you maintain strength, posture, and healthy movement habits as you navigate midlife changes and beyond. You may benefit from one-to-one check-ins or join Resilient in Transition, our specialised programme designed to support lasting bone health, mobility, and confidence throughout this chapter of life.

     

  • What Do I Need to Do at Home?

    You’ll get a personalised home programme with strengthening, mobility, and self-care exercises. It is designed to be practical and manageable so you can steadily build strength between sessions.

  • Can I Continue My Sessions Through Telehealth?

    Yes. Telehealth is a good option for ongoing support if you cannot come in regularly. We will monitor your progress, adjust your exercises, and guide you from home in a safe and effective way.

Why Women Trust Calyx for Perimenopause / Menopause Physiotherapy for Joint and Muscle Pain

Women trust Calyx because we combine clinical precision with deep understanding of how hormonal shifts affect muscles, joints, sleep, and energy while offering care that is both evidence-based and genuinely supportive.

Are Sessions Covered by Insurance?

Coverage for physiotherapy varies by insurer and plan. Please check with your provider. We’re happy to provide detailed invoices to support any claims.

What Makes Calyx Different?

Care focused on muscle, bone and joint changes in midlife. Pelvic and musculoskeletal expertise for safe and effective strength training. Supportive care from experienced AHPC-registered physiotherapists.

How Much Does It Cost?

We offer transparent session-based pricing. See price list.

Take the First Step Toward Relief

You don’t have to navigate this stage alone. Our experienced team is here to guide you with clarity and care.

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RAJWEEN KAUR
Pilates Instructor

Rajween is a Pilates instructor with a strong academic and clinical foundation in movement, health and rehabilitation. With a Master’s degree in Nutrition and Metabolism and a Bachelor of Science in Molecular and Cell Biology, she approaches movement with a deep understanding of the body as an integrated system.

Her own journey into Pilates began after the birth of her children, where she experienced first-hand how Pilates improved alignment, strengthened her deep core and pelvic floor and complemented strength training and yoga. This experience shaped her passion for supporting women through different life stages.

Rajween is Polestar Pilates trained and certified in pre- and post-natal Pilates. Her teaching style is supportive, personalised and attentive. She works closely with the physiotherapy team to ensure care is aligned and individualised.

  • Polestar Pilates: Certified Comprehensive Instructor (Mat, Reformer, Trapeze Table, Barrel, Chair)
  • Art of Motion: Slings Essential
  • Art of Motion: Anatomy Trains
  • Masters in Science, Metabolism & Nutrition, Boston University School of Medicine
  • Bachelors in Science, Life Sciences, Molecular & Cell Biology, National University of Singapore
  • Pre and Postnatal Pilates Specialist (The Centre for Women’s Fitness)
  •  
  • Pregnancy
  • Postpartum
  • Diastasis Recti
  • Strength Training
EZORA WONG
Senior Physiotherapist

Ezora is a certified physiotherapist with over a decade of experience in women’s health, musculoskeletal and sports physiotherapy. Her current practice focuses on pelvic health and sexual wellness across all stages of a woman’s life. 

Trained in both internal and external pelvic floor assessments and real-time ultrasound, she supports women experiencing pelvic pain, sexual discomfort, or postpartum recovery needs. Fluent in English and Cantonese, Ezora is known for her skilled hands-on approach and her dedication to helping women restore confidence, comfort and connection with their bodies.

  • Allied Health Professions Council (AHPC) registered
  • Member of Singapore Physiotherapy Association (SPA)
  • BSc Physiotherapy (Honors, 2i), Trinity College of Dublin, 2014
  • Female Pelvic Health: Advanced Assessment and Management, Physio Skills
  • Level 2A & 2B Women’s Pelvic Health, Australian Physiotherapy Association (2023, 2024)
  • Level 1A & 1B Women’s Health Physiotherapy, Australian Physiotherapy Association (2021, 2022)
  • Dry Needling, OMT
  • Scar Therapy Practitioner
  • Rocktape & Dynamic Tape, Battlewin Tape 
  •  
  • Sexual Health and Wellness
  • Pelvic Pain
  • Scar Massage Therapy
  • Pre and Postnatal care
  • Neck and Shoulder Pain
CHLOE NG
Co-founder, Senior Physiotherapist

Chloe is a dedicated women’s health physiotherapist whose personal and professional journey has shaped her compassionate approach to care. Early in her career, she noticed that many women’s health concerns, including incontinence, painful intercourse and fertility challenges, were often dismissed or left unspoken. This sparked her commitment to specialise in pelvic health and provide women with the support they deserve.

She pursued training in pelvic health assessment and management, and integrates Polestar Pilates principles into her practice to restore functional movement, postural alignment, and overall wellbeing.

Her personal decision to go through two unmedicated births reinforced her belief in the power of education, preparation, and informed support during pregnancy and beyond. 

  • Allied Health Professions Council (AHPC) registered
  • Member of Singapore Physiotherapy Association (SPA)
  • BSc Physiotherapy (Honors), Trinity College of Dublin, 2016
  • Functional Fitness for Pregnancy and Postpartum, Brooke Turner
  • Female Pelvic Health: Advanced Assessment and Management, Physio Skills
  • Pelvic Pain and Rectal Courses, Pelvic Health Melbourne
  • Pelvic Health Foundation, Pelvic Health Melbourne
  • Level 1 & 1A Women’s Health Physiotherapy, Australian Physiotherapy Association
  • Polestar Pilates Trained
  • Dry Needling, OMT
  • Spinal Manipulation, OMT
  • Birth Preparation
  • Dyspareunia
  • Endometriosis Management
  • Pre and Postnatal Care
  • Lactation Care
  • Clinical Pilates
CLARE TANG
Co-founder, Senior Physiotherapist

Clare is an experienced physiotherapist specialising in women’s musculoskeletal and pelvic health, focusing on pregnancy, postpartum recovery, and perimenopause. She combines clinical precision with a whole-body approach, integrating hands-on manual therapy and movement strategies tailored to women’s changing needs.

As a twin mum, Clare personally experienced the gaps in postpartum care, which fuels her passion for changing the status quo. As co-founder of Calyx, she champions a preventive physiotherapy model that closes critical gaps between medical care, recovery, and long-term wellbeing.

  • Allied Health Professions Council (AHPC) registered
  • Member of Singapore Physiotherapy Association (SPA)
  • BSc(Hons) Physiotherapy, First Class Honours, Trinity College Dublin, 2014
  • MSc Rehabilitation Science, University of Melbourne, 2020 (Women’s Health, Health Behaviour Change)
  • Caesarean scar specialist, Restore scar therapy
  • Diastasis Recti Abdominis & The Postpartum Course, Munira Hudani
  • Female Pelvic Health: Advanced Assessment and Management, Physio Skills
  • Dry Needling, GEMT
  • Kinesiotaping Fundamentals and Advanced (KT1 and KT2)
  • DMA Clinical Pilates
  • Postpartum Recovery
  • Caesarian Section Rehabilitation
  • Women’s Musculoskeletal Care
  • Back and Pelvic Girdle Pain
  • Pre and Postnatal Care
  • Preventive Physiotherapy 
  • Perimenopause Management
  • Core Rehabilitation (Pregnancy, Postpartum, Post-Operative)