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Published on: 8/18/2026

Why Do I Break Bones With Fibromyalgia?

Yoshinori Abe

Reviewed by Yoshinori Abe, MD

Internal Medicine

Fibromyalgia does not directly weaken bone, yet frequent fractures are common with it because of a higher risk of falls, lower bone mineral density, and the effects of certain medications. Dizziness, poor balance, fatigue, disrupted sleep, and "fibro fog" make stumbles more likely, while reduced physical activity, low vitamin D, and drugs such as opioids, sedatives, and some antidepressants can thin bone or slow protective reflexes. Repeated breaks may also signal a separate, undiagnosed problem like osteoporosis, osteomalacia, or a hormonal disorder that deserves its own workup. There are several important factors and warning signs to weigh, so see below for the complete answer before assuming fibromyalgia alone explains it.

Because bone loss is silent until something breaks, the smartest next step is understanding which of your symptoms point toward a treatable cause, and a free, instant, online <a href="https://

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Explanation

Why Do I Break Bones With Fibromyalgia?

Many people with fibromyalgia worry that their condition makes their bones more fragile. While fibromyalgia itself isn’t directly linked to weak bones, several related factors can increase your risk of fractures. Understanding these connections can help you take steps to protect your bone health and stay as strong as possible.

What Is Fibromyalgia?

Fibromyalgia is a chronic pain disorder characterized by:

  • Widespread musculoskeletal pain
  • Heightened sensitivity to pressure
  • Fatigue, sleep disturbances, and cognitive “fog”

It’s not an inflammatory disease or a condition that directly damages your bones. Instead, fibromyalgia alters how your brain and nerves process pain signals.

Do People With Fibromyalgia Break Bones More Often?

There’s no clear evidence that fibromyalgia alone causes bones to be weaker. However, people with fibromyalgia often experience:

  • Reduced physical activity due to pain and fatigue
  • Vitamin D deficiency from less time outdoors
  • Poor sleep, which can affect muscle strength and balance

These factors, alone or combined, can make you more vulnerable to falls and fractures.

Key Factors That Can Increase Fracture Risk

  1. Physical Inactivity

    • Pain and tiredness often lead to a more sedentary lifestyle.
    • Less weight-bearing exercise (walking, jogging, strength training) can decrease bone density over time.

  2. Vitamin D & Calcium Deficiency

    • Limited sun exposure and dietary gaps may lower vitamin D levels.
    • Vitamin D is crucial for calcium absorption and bone mineralization.

  3. Medications

    • Long-term or high-dose corticosteroids (sometimes used for other conditions) weaken bone structure.
    • Certain anticonvulsants or antidepressants can affect bone metabolism or increase fall risk due to dizziness.

  4. Balance & Coordination Issues

    • “Fibro fog” and poor sleep can impair concentration and reaction time.
    • Muscle weakness, particularly in the core and legs, may lead to trips or slips.

  5. Comorbid Conditions

    • Depression and anxiety may reduce motivation for exercise or healthy eating.
    • Conditions like osteopenia or osteoporosis can coexist with fibromyalgia without being caused by it.

  6. Nutritional Shortfalls

    • Chronic pain can suppress appetite or lead to food choices low in calcium, magnesium and protein.
    • Inadequate nutrients impair bone repair and strength.

Signs You Might Be at Higher Risk

  • A history of falls or near-falls
  • Back pain or a stooped posture (potential vertebral fractures)
  • Noticeable decrease in height over time
  • A previous low-impact fracture (e.g., breaking a wrist from a simple trip)

If any of these apply, it’s worth having a conversation with your healthcare provider about bone health.

What You Can Do to Protect Your Bones

Taking proactive steps can make a big difference in reducing fracture risk:

• Stay Active

  • Aim for at least 30 minutes of weight-bearing or resistance exercise most days.
  • Gentle yoga, tai chi, or Pilates can improve balance and core strength without overtaxing sore muscles.

• Optimize Nutrition

  • Include calcium-rich foods: dairy or fortified plant milks, leafy greens, tofu.
  • Get safe sun exposure or consider a vitamin D supplement after discussing with your doctor.
  • Ensure adequate protein intake to support muscle and bone repair.

• Review Medications

  • Talk with your prescriber about the lowest effective dose of any steroids or medications that affect bone health.
  • Ask if there are alternatives that pose less risk to your bones.

• Improve Balance & Stability

  • Practice balance exercises (standing on one leg, heel-to-toe walks).
  • Wear supportive, non-slip footwear.
  • Keep home floors clear of tripping hazards and use grab bars in bathrooms if needed.

• Schedule Bone Density Testing

  • A DEXA scan measures bone mineral density and helps identify osteopenia or osteoporosis early.
  • Follow your doctor’s recommendations on when to test—often around age 65 or earlier if you have risk factors.

• Manage Fibromyalgia Symptoms

  • Work on sleep hygiene to reduce fatigue and “fibro fog.”
  • Use gentle heat, relaxation techniques or approved medications to ease pain.
  • Consider physical therapy to learn safe movement patterns and exercises.

When to Seek Further Evaluation

If you find yourself breaking a bone after a minor bump or fall, or you have persistent pain that won’t respond to usual fibromyalgia strategies, it’s important to:

  • Get a medical evaluation to rule out osteoporosis or other bone disorders
  • Ask for blood tests to check vitamin D, calcium, thyroid function and inflammatory markers
  • Consider imaging (X-rays, DEXA scan) based on your doctor’s advice

You might also try a free, online symptom check, using the doctor approved Ubie Symptom Checker to help identify which evaluations or specialties could be most helpful for your situation.

Putting It All Together

Fibromyalgia doesn’t directly cause brittle bones—but the lifestyle changes, nutritional gaps and medication effects often seen with fibromyalgia can raise your fracture risk. By staying active, eating well, reviewing medications and checking your bone density, you can protect your skeletal health and reduce the chance of breaks.

Above all, keep an open dialogue with your healthcare team. Early action on bone health can help you maintain your best quality of life.

Disclaimer: This information is not a substitute for professional medical advice. If you experience sudden severe pain, a fall, or any symptoms that could be life-threatening or serious, please speak to a doctor right away.

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