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Patient Education Series

Bone and Muscle Health

Answers to the questions people ask most — a practical guide to understanding how bones and muscles change with age, how to protect them, and when to seek medical advice.

BIMC Nusa Dua HospitalBone & Muscle HealthPatient Education
Understanding your body

Bones and muscles work as a team.

Bones give your body its frame, while muscles pull on that frame to create movement. Up until your late 20s or early 30s, your body builds new bone faster than it loses it, so density peaks around this age; after that, breakdown gradually outpaces formation.

Muscle follows a similar pattern, naturally beginning to decline around age 30 and accelerating after 60. This is a normal part of aging, but how fast it happens depends heavily on activity level, nutrition, and lifestyle — all of which are within your control.

B

Bone density

Bone density generally peaks in the late 20s or early 30s, after which breakdown gradually begins to outpace formation.

M

Muscle mass

Muscle decline can begin around age 30 and tends to accelerate after 60, making strength-preserving habits increasingly important.

Know the difference

Osteoporosis and osteoarthritis are not the same condition.

Two conditions often get confused. They affect different parts of the body and may require different assessment and treatment.

Bone

Osteoporosis

Affects the bone itself, causing it to lose density and become fragile, often silently until a fracture occurs.

Joint

Osteoarthritis

Affects the joints as cushioning cartilage wears down, which can cause pain and stiffness.

It is possible to have one, both, or neither. Persistent joint pain or a fracture from a minor fall is worth having properly assessed rather than assumed.

Prevention

Small, consistent habits can make a meaningful difference.

Prevention comes down to a few consistent habits that support bone density, muscle strength and balance over time.

01 / Nutrition

Calcium + Vitamin D

Calcium builds bone, while vitamin D allows the body to absorb it. Individual needs vary by age, sex and health history.

02 / Movement

Weight-bearing activity

Walking, jogging and stair climbing signal bones to maintain density, while resistance training builds and preserves muscle mass.

03 / Balance

Reduce fall risk

Balance-focused activity, such as tai chi, can help reduce fall risk — an important consideration for people with weakened bones.

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The encouraging news is that bone and muscle loss can often be slowed — and in some cases improved — no matter your age.

When to seek medical advice

Changes in strength, posture or pain deserve attention.

Consider seeing a doctor if something feels different.

Early assessment can help clarify what is happening and guide the right next step.

Fracture from a minor fall
Ongoing joint or bone pain
Noticeable loss of height
A stooped posture
Climbing stairs has become harder
Standing from a chair is more difficult

Specialist support at BIMC Nusa Dua Hospital

BIMC Nusa Dua Hospital has a center of expertise in bone and muscle health, backed by international standards of care. If you have concerns, the team can guide you through the appropriate assessment and treatment plan.

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