Multiple sclerosis (MS) doesn’t just affect the brain and spinal cord — it can also quietly impact bone density. Many people living with MS are surprised to learn that they’re at higher risk of developing osteopenia or osteoporosis. This isn’t caused by MS itself but by several related factors that come with the condition and its management.
Reduced mobility, for example, means less weight-bearing activity — and bones need that gentle stress to stay strong. Some MS medications, especially corticosteroids used to control relapses, can also weaken bone tissue over time. Add in possible vitamin D deficiency, which is common in people with MS, and the risk to bone health becomes even greater.
Protecting bone density with MS starts with awareness. Weight-bearing exercises like standing, light resistance training, or short supported walks can make a big difference. A diet rich in calcium and vitamin D, or supplements if needed, helps maintain bone strength. It’s also worth asking your healthcare provider about bone density scans (DEXA tests) to track changes early.
Living with MS means thinking beyond the obvious symptoms. Looking after your bones is part of that bigger picture — keeping your foundation strong so you can stay as mobile and independent as possible.
