ABSTRACT This study investigates the feasibility of an alternative structural health monitoring (SHM) technique for an existing, post-tensioned, prestressed concrete bridge in Niigata, Japan. Currently, a static SHM system is in place to detect the progress of damages within the bridge. However, the existing system cannot properly monitor the structural health of the bridge including the periodic vibration, which is one of the damage-sensitive features of interest. Therefore, to effectively detect the real-time performances of the bridge, a three-dimensional (3D) Finite Element (FE) model was developed as a reference and verified using on-site load-deflection test results. After validating the reference FE model, different damage scenarios, such as degradation of concrete, corrosion & rupture of steel tendons and missing tendons, were incorporated in the FE models. Based on non-linear structural and Eigenvalue analyses, natural frequencies and mode shapes of the bridge remain constant even after careful consideration of all types of damages in the FE model. However, vertical displacements are observed to increase for the damage scenarios. Although the effect of tendon rupture and corrosion showed negligible influences on the vertical displacement, the deterioration of the concrete largely influenced the vertical displacement. Additionally, crack widths were found to vary with damage types. Brifely, this study recommends some effective indicators to monitor the structural conditions of the bridge using FE analysis (FEA).