Osteoporosis and Your Foot Health

When we think about strong bones, we often focus on the spine or hips. But as a podiatrist and foot and ankle surgeon, I see firsthand how important it is not to overlook the bones in our feet—especially for those living with osteoporosis.

Each of your feet contains 26 bones, working together to support your weight and keep you moving comfortably. When bone density decreases, as it does with osteoporosis, these structures can become more vulnerable to fractures—particularly in the toes, midfoot, and heel.

What Is Osteoporosis?

Osteoporosis is a condition where bones become thin, brittle, and more prone to fractures. It occurs when the body loses too much bone, makes too little bone, or both. This imbalance weakens the skeletal structure over time, making even minor injuries or normal daily activities potentially harmful. While osteoporosis is more common in older adults—especially women—it can affect anyone.

Why Bone Health in the Feet Matters

Your feet are your foundation. They’re responsible for absorbing shock, providing balance, and supporting every step you take. Weak bones in the feet can lead to stress fractures, deformities, and chronic pain. Unfortunately, many patients don’t realize they have osteoporosis until they suffer a fracture—sometimes in the foot.

Stress fractures in the foot are a common early sign. These are tiny cracks in the bone that occur with repetitive activity or pressure, such as walking or standing for long periods. In osteoporotic bones, these fractures can happen even without significant trauma.

Signs to Watch For

If you have osteoporosis or are at risk, pay attention to symptoms like:

1. Persistent foot or ankle pain without an obvious cause

2. Swelling or bruising in the foot

3. Difficulty bearing weight or walking comfortably

4. History of fractures in other bones

These could be signs of stress fractures or bone weakening in the feet.

Preventing Foot Problems When You Have Osteoporosis

Here are key ways to maintain foot health if you’re managing or trying to prevent osteoporosis:

• Get a Bone Density Test - If you’re over 50, especially if you’re a postmenopausal woman, talk to your doctor about screening. Early diagnosis helps in managing the condition before it affects the feet.

• Stay Active, But Smart - Weight-bearing exercises like walking can strengthen bones, but if you already have osteoporosis, talk to your doctor or podiatrist first. We can recommend low-impact activities that reduce the risk of foot injury.

• Choose the Right Footwear - Supportive shoes with cushioned soles and proper arch support help distribute pressure evenly and reduce fracture risk. Avoid high heels and unsupportive flats.

Maintain Good Nutrition

Calcium and vitamin D are essential for bone health. Incorporate dairy, leafy greens, fortified foods, and sunlight exposure into your routine.

Regular Foot Exams

Dr. Lawrence J. Kales recommends regular checkups—especially for those with known bone loss or risk factors. Early detection of problems can prevent more serious issues.

Your foot health reflects your overall bone health. If you’ve been diagnosed with osteoporosis or are at risk, don’t overlook your feet. Pasco-Hernando Foot & Ankle’s goal is to help patients maintain mobility, independence, and quality of life. By being proactive and attentive, we can keep your foundation strong—one step at a time. Call (727) 868-2128 or (352) 683-5799 or request an appointment online, our Hudson/Bayonet podiatry practice is here to help. Your feet deserve the best!