Let’s kick this off straight – we’re talking about how Rheumatoid Arthritis and Osteoporosis are kind of like partners in crime. You know, the two health things that team up and cause a bit of trouble.

Rheumatoid arthritis is the troublemaker that messes with your joints, making things achy and stiff. And then there’s osteoporosis, quietly hanging around, making your bones less strong than they should be.

Now, here’s the deal: these two are more linked than you might think, and it’s something you should know, especially if you’re a woman over forty. This isn’t just medical jargon; it’s real-life stuff that can affect you.

So, why should you care? Well, because understanding this connection is like having a heads-up to help you look after yourself better. Stick around – we’re about to break it down so it’s not as confusing, and you can take charge of your health. Ready? Let’s roll!


Understanding Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a condition where the body’s immune system, for reasons not entirely clear, targets the joints. It’s like an internal miscommunication that leads to joint inflammation.

The impact of RA goes beyond discomfort in the joints. It can cause stiffness, swelling, and, at times, affect the ability to carry out routine activities. Picture joints as the body’s hinges; RA disrupts their smooth function, making daily tasks a bit more challenging.

In addition to joint issues, RA can contribute to fatigue, making you feel more tired than usual. It’s a condition that involves managing both physical symptoms and their broader effects on daily life.

What Is Osteoporosis

Osteoporosis is when your bones become less dense and more fragile. It’s like having a house with weaker foundations – not a showstopper, but definitely a concern.

Now, why is this bone business so important? Your bones aren’t just there to fill out your body; they’re the support system. When they’re strong, you stand tall, walk confidently, do all the things.

But when osteoporosis strolls in, it’s like your support system is taking a coffee break – not as sturdy as it should be.

Bone health might not top the list of riveting topics, but it’s a big deal. Think of it as the structural integrity of your body. When the bones are solid, you’re in good shape.

When they’re not, it’s like having a shaky foundation. Osteoporosis matters and bone health is key for your overall well-being.


Woman wondering is there a link between rheumatoid arthritis and osteoporosis

Is There A Link Between Rheumatoid Arthritis and Osteoporosis

Let’s dive into the nitty-gritty of how rheumatoid arthritis (RA) and osteoporosis may be linked.


RA can be a bit of a troublemaker when it comes to bones. The inflammation it brings to the joints can lead to bone loss over time. Think of it like a slow erosion process. Your bones, already dealing with the joint drama, now have to cope with this added challenge.


Next up, medications. While they play the hero in managing RA symptoms, some can have side effects on bone health. It’s a bit of a catch-22. You need relief from RA, but it might affect those bones.

For example, corticosteroids, a common player in the RA medication game, can be a bit of a double-edged sword. While they may help reduce inflammation, they might also interfere with bone density. It’s like they’re saying, “I got your back on joints, but your bones might feel it.”

And then there’s DMARDs (disease-modifying antirheumatic drugs). While they aim to slow down the progression of RA, some can also impact bone health. It’s like a balancing act – managing one aspect while being mindful of the other.

Hormonal Changes

Other factors, like hormonal changes and inactivity due to joint pain, can also play a role in this complex relationship. It’s like a puzzle where all these pieces come together, affecting your bone health.

Postmenopausal women face a drop in estrogen levels. Estrogen plays a crucial role in maintaining bone density. Its absence can lead to an increased risk of osteoporosis. It’s like the support beam in your bone structure, and when it weakens, the entire framework is affected.

The thing is, bones are in a constant state of remodeling – a bit like renovating a house. Estrogen helps regulate this process, ensuring a healthy balance between bone formation and breakdown. When estrogen levels dip, this balance can tilt, leading to more bone loss than gain.


Bones, much like muscles, thrive on activity. When you’re active, your bones get the memo to stay strong and robust. It’s like a workout for your skeleton, keeping it in tip-top shape.

Now, imagine if the “move it” memo gets lost in the mail. Inactivity, especially as we age, can become a silent contributor to osteoporosis. It’s not about going all-out gym warrior; it’s about finding that sweet spot of regular, weight-bearing activities that give your bones the workout they deserve.

Weight-bearing exercises, like walking, dancing, or even a light jog, signal to your bones that they need to stay strong. When you’re inactive, your bones start thinking, “Guess we’re on break,” and that’s when the trouble starts. Bone density can decrease, making them more prone to fractures and breaks.

In a nutshell, RA and osteoporosis are like unexpected roommates – one causing joint chaos, the other silently affecting bone strength. Understanding this connection is key to managing both.



Preventive Strategies

Diet Tips For Strong Bones

First up, let’s dive into the kitchen. Your bones need the right fuel to stay strong, and that starts with a bone-friendly diet.

  • Calcium-Rich Foods:  
    • Dairy products (milk, cheese, yogurt)
    • Leafy greens (kale, broccoli, bok choy)
    • Fortified foods (tofu, orange juice, cereals)
    • Adults need about 1000 – 1200 mg total from foods, beverages, and supplements combined.
    • There is an upper tolerable intake level for calcium (~2500 mg) for adults because while some calcium is good, too much is not! Too much may contribute to an increased risk of heart disease. If you have too much calcium and not enough magnesium, it can cause your stress response to get stuck in the “on” position as calcium enters your cells as part of the stress response, so it needs enough magnesium to push it back out and “turn off” stress.
  • Vitamin D Boosters:
    • Fatty fish (salmon, mackerel, tuna)
    • Egg yolks
    • Fortified cereals and dairy products
    • Vitamin D helps your body absorb calcium so it’s essential for bone health.
    • Ask your doctor for a Vitamin D 25-OH test annually to find out your vitamin D status. For healthy people, strive for a range of 35-55.  If you’re battling an illness, aim for 45-55.
  • Nutrient-Rich Powerhouses:
    • Nuts and seeds (almonds, chia seeds, sunflower seeds)
    • Whole grains (quinoa, brown rice, oats)
    • Leafy greens (spinach, collard greens, Swiss chard)
  • Balancing Act with Magnesium, Phosphorus, and Vitamin K:
    • Magnesium sources (pumpkin seeds, almonds, spinach)
    • Phosphorus-rich foods (dairy, meat, whole grains)
    • Vitamin K from leafy greens (kale, Brussels sprouts, cabbage)
  • Protein is not just for building muscle:
    • Builds bone tissue
    • Protein-rich foods like lean meats, poultry, fish, eggs, nuts, legumes, and yogurt help build collagen which is like the glue that holds the bone matrix together.
    • Enhances calcium absorption
    • Helps maintain bone density. Protein, especially from animal sources, has been associated with higher bone mineral density, reducing the risk of fractures and bone loss.

Remember, eating a rainbow is your ticket to strong bones.


Now, let’s shift gears to staying active without aggravating those RA joints. Low-impact exercises are your go-to, like swimming, walking, or tai chi. It’s like giving your bones a workout without the high-impact drama.

Strength training is another superhero in this story. Light weights or resistance bands can be your best pals. It’s about building muscle, which, in turn, supports your bones. It’s like creating a solid backup team for your skeletal structure.

Remember, the key is finding what works for you and your comfort level. Consult with your healthcare team to tailor a routine that aligns with your bone health goals and RA management.

Stress Management Techniques

  1. Mindfulness and Relaxation:
    • Engage in mindfulness practices like meditation and deep breathing. These techniques not only help manage stress but can also have positive effects on pain perception and overall well-being.
  2. Yoga and Gentle Exercises:
    • Incorporate gentle exercises like yoga into your routine. These not only contribute to physical flexibility but also offer a calming effect on the mind, reducing stress levels.
  3. Creative Outlets:
    • Explore creative activities such as art, music, or writing. Expressing yourself creatively can be a powerful outlet for stress and a way to channel your energy positively.
  4. Social Support:
    • Connect with friends, family, or support groups. Having a strong social support system can provide emotional reinforcement and alleviate the burden of stress.
  5. Time Management:
    • Break down tasks into manageable chunks. Avoid overwhelming yourself with a long to-do list. Prioritize tasks and give yourself the time and space to accomplish them.

Lifestyle Adaptations

  • Joint-Friendly Ergonomics:
    • Optimize your living space. Ensure that commonly used items are easily accessible to minimize reaching or bending, reducing strain on your joints.
  • Adaptive Tools:
    • Embrace adaptive tools designed to make daily activities easier. From jar openers to ergonomic kitchen utensils, these tools can be game-changers in reducing joint stress.
  • Proper Body Mechanics:
    • Be mindful of your body mechanics. When lifting, bending, or sitting, prioritize proper posture and movement to minimize strain on your joints and bones.
  • Comfortable Footwear:
    • Invest in supportive and comfortable footwear. Your feet are the foundation of your body, and the right shoes can contribute significantly to overall joint comfort.
  • Temperature Management:
    • Pay attention to temperature. Warmth can soothe joints, so consider using heating pads or warm baths to ease discomfort. Conversely, cold packs can be beneficial for managing inflammation.


Recognizing the connection between RA and osteoporosis is crucial, as certain medications for RA can have implications for bone health. Post-40, hormonal changes and a sedentary lifestyle may impact bone health, making awareness and lifestyle adjustments essential.

Prioritizing a bone-friendly diet, incorporating calcium and vitamin D, and engaging in low-impact exercises are foundational steps in supporting bone health while managing RA. Stress management techniques and practical adjustments in daily life contribute significantly to overall comfort and well-being.

Bottom line: your bones matter. Treat them right, move a bit, and keep stress in check. If you’ve got some hacks on dealing with RA and bones after 40, spill the tea in the comments.  I’d love to know what your experience has been.

If you’re looking for a community for more support on your RA journey, then get on the waitlist to join my upcoming membership community, Thrive Beyond Inflammation. You’ll get tools, tips, trainings, and the support you need to help you on your RA journey.  Get on the list!

***Disclaimer: This post is for informational purposes only and should not be construed as medical advice***




  • Susan Taylor, RDN LD

    Meet Susan, registered dietitian / nutritionist and fellow autoimmune warrior who is dedicated to helping women with autoimmune disease get their groove back. With the right diet and lifestyle changes, Susan empowers her clients to take control of their health and feel their best. When she's not busy saving the world you can find Susan strolling along the beach, jet-setting to new destinations, and soaking up quality time with family & friends.

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