Evidence-based guidance for people with osteoporosis or osteopenia from Chartered Physiotherapist and Pilates instructor Lorraine Maxwell (Updated August 2026 • 8 minute read). Balance training is one of the key recommendations within the Strong, Steady and Straight guidance, helping to reduce falls risk and maintain independence. If you've recently been diagnosed with osteoporosis or osteopenia, you may wondering whether it is still safe to exercise - or whether Pilates is r