Which activity is best for someone with osteoporosis who has knee pain?

• A. Running on pavement
• B. High-impact aerobics
• C. Heavy squats
• D. Aqua (water) exercises

Answer: (D)

Low-impact, joint-friendly activity is best when osteoporosis is present and there’s knee pain. Running on pavement or high-impact aerobics place large forces through the knee joints that can worsen pain and fracture risk, and heavy squats load the knees and spine even more, which isn’t ideal with fragile bones. Aquatic exercises reduce knee and spinal loading thanks to buoyancy while still providing resistance to strengthen the muscles around the joints. The water environment also helps improve range of motion and balance with less pain and a safer space to progress gradually. So, water-based activities protect the joints and spine while supporting muscle strengthening and osteoporosis management.