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Published on: 8/18/2026

Is There a Link Between Fibromyalgia and Fractures?

Yoshinori Abe

Reviewed by Yoshinori Abe, MD

Internal Medicine

Yes, studies show people with fibromyalgia face a higher risk of fractures, largely because of increased falls, lower bone density, vitamin D deficiency, reduced physical activity, and medications that cause dizziness or drowsiness. The connection is indirect rather than a direct cause, and several important factors affect individual risk, including age, menopause status, and how long symptoms have been present. See below for the complete answer, including the specific warning signs and prevention steps that matter most.

Because widespread pain, fatigue, and fracture risk overlap with many other treatable conditions, guessing can delay the right care and leave a serious problem unaddressed. Take a free, instant, online symptom check to better understand what may be driving your symptoms and what to do next.

Last reviewed for medical accuracy: 08/18/2026

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Explanation

Is There a Link Between Fibromyalgia and Fractures?

Fibromyalgia is a chronic condition characterized by widespread pain, fatigue, sleep disturbances and cognitive difficulties. Fractures occur when a bone breaks under stress that it cannot withstand. You may wonder whether living with fibromyalgia increases your risk of fractures. Current research suggests there can be connections, but the story is complex.

Understanding Fibromyalgia and Fracture Risk

Several factors common in fibromyalgia may contribute to fracture risk:

  • Reduced physical activity
    Pain and fatigue often mean people with fibromyalgia move less. Lower weight-bearing exercise can lead to decreased bone density over time.

  • Muscle weakness and balance issues
    Fibromyalgia can affect muscle strength and coordination. This may increase the chance of falls, which in turn can cause fractures.

  • Medication side effects
    Some patients take medications such as selective serotonin reuptake inhibitors (SSRIs) or corticosteroids. Long-term corticosteroid use is well known to decrease bone density, while SSRIs have been linked to a modest rise in fracture risk in some studies.

  • Sleep problems
    Poor sleep quality can impair muscle recovery and reaction time, making accidental falls more likely.

  • Vitamin D deficiency
    People with chronic pain conditions sometimes spend less time outdoors. Low vitamin D levels can weaken bones.

What Does the Research Say?

  1. Bone Mineral Density (BMD) Studies

    • Some small studies have shown that individuals with fibromyalgia may have lower BMD in the spine or hip compared to healthy controls.
    • Other studies find no significant difference once age, menopause status and body mass index (BMI) are taken into account.

  2. Fracture Incidence Data

    • A large population-based study in Taiwan tracked thousands of people diagnosed with fibromyalgia over several years. It reported a higher rate of fractures—particularly hip and vertebral fractures—than in people without fibromyalgia.
    • European and North American data are more limited, but several cohort studies echo an elevated fracture risk in fibromyalgia patients, especially in older women.

  3. Confounding Factors

    • Age, gender, hormonal status (like menopause), nutritional status and coexisting health conditions (e.g., rheumatoid arthritis, osteoporosis) play major roles in fracture risk.
    • Researchers emphasize that it can be hard to separate the direct impact of fibromyalgia from these overlapping factors.

Possible Mechanisms Linking Fibromyalgia and Fractures

  1. Impaired Bone Remodeling
    Chronic pain and systemic inflammation may disrupt the normal balance between bone formation and resorption.

  2. Altered Hormone Levels
    Stress hormones (cortisol) can be elevated in fibromyalgia. High cortisol over time can reduce bone density.

  3. Physical Deconditioning
    Muscle atrophy and reduced coordination heighten the risk of falls.

  4. Nutritional Gaps
    Chronic pain can affect appetite and diet quality. Low calcium or vitamin D intake is common.

Practical Steps to Protect Your Bones

While research continues, there are steps you can take now to support bone health:

  • Engage in safe weight-bearing and strength exercises
    Low-impact activities like walking, tai chi or water aerobics can improve bone density and balance.

  • Ensure adequate nutrition

    • Aim for at least 1,000–1,200 mg of calcium daily through dairy, leafy greens or fortified foods.
    • Get 600–800 IU of vitamin D per day from sunlight, food or supplements (check with your doctor).

  • Review your medications
    Discuss with your healthcare provider whether any drugs you take might affect bone health. In some cases, dosage adjustments or alternative treatments can help.

  • Optimize sleep hygiene
    Better rest can improve muscle recovery and reduce fall risk. Establish a regular sleep schedule and create a relaxing bedtime routine.

  • Fall-proof your environment
    Remove loose rugs, install grab bars in the bathroom, use night-lights and wear stable, supportive footwear at home.

Monitoring Symptoms and Seeking Help

It’s important to stay alert for signs that could suggest bone weakening or an undiagnosed fracture:

  • Persistent pain in your back, hip or wrist after a minor fall or bump
  • Sudden loss of height or a stooped posture
  • Difficulty bearing weight on a limb

You may also want to try a free, online symptom check, using the doctor approved Ubie Symptom Checker to better understand your pain patterns and when to seek medical evaluation.

When to Talk to Your Doctor

Always speak to a doctor if you experience:

  • Severe or worsening pain following any injury
  • Numbness, tingling or loss of function in a limb
  • Signs of infection (redness, fever, swelling) after a fall or cut

If you have fibromyalgia and are concerned about fractures, your physician might recommend:

  • Bone mineral density testing (DEXA scan)
  • Blood tests for calcium, vitamin D and thyroid function
  • Referral to a specialist in bone health (endocrinologist or rheumatologist)

Key Takeaways

  • People with fibromyalgia may face a modestly higher risk of fractures due to a combination of factors: lower bone density, muscle weakness, balance challenges and medication effects.
  • Research findings vary, and individual risk depends on age, gender, lifestyle, nutrition and other health conditions.
  • You can take proactive steps to strengthen bones—through safe exercise, good nutrition, medication review and fall prevention.
  • Consider using the free, online symptom check, using the doctor approved Ubie Symptom Checker to track your symptoms and get personalized guidance.
  • Always speak to a doctor about any serious or life-threatening concerns, especially if you suspect you have a fracture or other urgent health issue.

By staying informed and working closely with your healthcare team, you can better manage fibromyalgia symptoms and protect your bone health over the long term.

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