Fracture Risk: What Increases It and How to Reduce It

When we talk about fracture risk, the likelihood of breaking a bone due to weakness, trauma, or underlying health issues. Also known as bone fragility, it’s not just something that happens to older people—it’s shaped by what you take, how you live, and even what you eat. Many assume it’s just about getting older, but the truth is, fracture risk can spike because of common medications, low vitamin D, or even taking too many pills at once.

Take polypharmacy, the use of five or more medications at once. Also known as multiple drug use, it’s a major hidden driver of fractures, especially in adults over 65. When you mix blood thinners with NSAIDs, or sleep aids with blood pressure meds, your balance suffers, your bones weaken, and falls become more likely. Studies show people on four or more drugs have up to a 70% higher chance of falling—and breaking a hip. And it’s not just the drugs themselves. Some medications, like corticosteroids or certain antidepressants, directly slow bone rebuilding. Even proton pump inhibitors, often taken for heartburn, can reduce calcium absorption over time. Then there’s osteoporosis, a condition where bones become porous and fragile. Also known as bone thinning, it’s the most common medical cause of fracture risk, especially after menopause or in people with long-term diabetes or thyroid issues. But here’s the thing: osteoporosis often has no symptoms until you fall. That’s why knowing your personal risk factors matters more than waiting for a break.

It’s not all about pills and bones. Your environment plays a huge role. Poor lighting, loose rugs, or even wearing slippers indoors can turn a small stumble into a broken wrist or spine. And if you’re not getting enough vitamin D or protein, your body can’t repair bone tissue properly—even if you’re taking calcium supplements. The good news? You don’t need a miracle cure. Simple steps like strength training twice a week, getting your vitamin D checked, and reviewing your meds with a doctor can cut your fracture risk in half. The posts below dive into exactly how certain drugs, health conditions, and daily habits connect to bone safety. You’ll find real-world guides on what to watch for, what to ask your pharmacist, and how to make your home safer—before it’s too late.