The objective of this study was to describe asymmetric BMD loss following an incomplete SCI and discuss the implications for rehabilitation. This case demonstrates an ambulatory gentleman with motor incomplete SCI and greater motor impairment in the left lower limb than the right lower limb. As would be expected, he bears weight to a lesser extent through the weaker limb. Like- wise, BMD was markedly reduced in the more impaired leg from baseline to 1.5 years post-SCI