Understanding musculoskeletal anatomy and physiology underpins physiotherapy practice. Physiotherapists are at the forefront of promoting good bone hygiene and, consequently, require an in-depth understanding of bone. This knowledge can be used to understand disease prevention or progression and can serve as a foundation on which to base effective treatment regimens. Orthopedic Rehabilitation Science is an important textbook for the clinician and budding scientist that highlights all aspects of bone biology and physiology; it provides an overview of the pertinent issues in the management of bone disorders from the cellular level to the whole bone and across the lifespan. Orthopedic Rehabilitation Science is divided into three sections: (1) basic bone biology and physiology, (2) bone biomechanics and (3) common musculoskeletal pathologies. Within each section, clinically relevant key features are highlighted. Section 1 provides a description of basic bone biology, including the physiology of the basic multicellular unit, key indicators of bone metabolism and the process of bone turnover. Dr. Lundon describes the diagnostic tools used to establish bone formation or turnover rate and summarizes imaging tools involved in bone quality assessment. In particular, Lundon reviews dual energy x-ray absorptiometry (DXA), considered the “gold standard” for assessing bone density (e.g., osteoporosis), quantitative ultrasonography and peripheral quantitative computed tomography (pQCT). The importance of pQCT is that it can describe volumetric bone mineral density and bone geometry and can separate cortical from trabecular bone. In Section 2, Dr. Lundon summarizes bone biomechanics and the response to physical activity. Several key, peer-reviewed studies are cited that discuss the impact of exercise on bone health across the lifespan. The important parameters of exercise prescription, such as type, duration and site are discussed. Lundon emphasizes the lifespan approach by reviewing the impact of exercise on bone health across age groups, from peak bone mass accrual in adolescents to the loss of bone mass in the post-menopausal phase. This is particularly relevant for exercise prescription in people with compromised low-bone mass, such as those at risk of developing osteoporosis. This section concludes with a chapter on fracture healing (traumatic, fragility and stress fractures) and suggests evidence-based treatment approaches. Physiotherapists can be key stakeholders by acting as catalysts in the secondary prevention of osteoporosis after a fragility fracture. Section 3 of Orthopedic Rehabilitation Science is key for clinicians. The information from Sections 1 and 2 is successfully translated into relevant information for practicing clinicians. One skeletal disorder that is discussed in detail is osteoporosis, a condition of skeletal fragility characterized by low bone mass and affecting 25% of women and 12% of men over the age of 50 years in Canada. Osteoporosis costs approximately $1.3 billion dollars annually in Canada, most of which is related to hip fractures. Physiotherapists are important health providers in the treatment of osteoporosis and prevention of disease progression. The chapter on metabolic bone diseases provides an overview of osteoporosis, including diagnostic tools, clinical assessment and, finally, a review of pharmacology and therapeutic management strategies. This book provides a solid understanding to guide clinicians toward a better background of bone-related issues. Throughout Section 3, highlighted textboxes provide “Clinical Notes” for the practicing clinician. For example, in the section on osteoporosis, there is a referenced summary that reviews the general and specific management of acute compression fractures. More information and clinician sidebars on related joint pathologies, such as osteoarthritis and rheumatoid arthritis, would further add to the textbook. Lastly, a section on the important role that physiotherapists play in the prevention of disease progression is warranted. Orthopedic Rehabilitation Science is an important and timely textbook to provide evidence-based clinical information for physiotherapists. It provides a theoretical basis for treatment and clinically relevant information to assist in the treatment and prevention of bone-related pathologies.