Osteoporosis

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Written by Liu Hong Xia
Endocrinology
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Clinical symptoms of osteoporosis

The clinical symptoms of osteoporosis, in mild cases, may result in no discomfort at all. As the condition worsens gradually, pain may surface in the lumbar and back areas, or even aches throughout the body. This commonly intensifies after physical exertion or activity, leading to a decline in weight-bearing capability, or even an inability to bear weight. The second symptom is a reduction in height and shrinking stature, commonly due to vertebral compression fractures, which can be solitary or multiple, occurring with or without a specific cause. The third symptom involves fragile fractures, which can occur from minimal activities or traumas, like bending, bearing weight, compression, or falling. These are commonly known as brittle fractures, which are clinical manifestations of osteoporosis.

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Written by Luo Han Ying
Endocrinology
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How much calcium should be supplemented daily for osteoporosis?

Every day, the calcium requirement for the human body is 800mg for adults. For patients diagnosed with osteoporosis, the daily calcium supplementation required is between 1000mg and 1200mg. There are many calcium formulations on the market, such as calcium carbonate, liquid calcium, and calcium citrate. Each manufacturer produces different types of calcium, and the content of trace elements of calcium varies, so it cannot be generalized. Therefore, patients with osteoporosis who buy different types of calcium should follow the instructions of different medications when taking them. In addition to calcium supplementation, patients with osteoporosis must also remember to supplement with vitamin D daily.

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Written by Tang Zhuo
Endocrinology
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What are the symptoms of osteoporosis?

What are the symptoms of osteoporosis? Osteoporosis is a metabolic bone disease characterized by decreased bone mass, destruction of bone tissue microstructure, increased bone fragility, and susceptibility to fractures. Osteoporosis can be divided into primary and secondary types. Pain is the most common symptom of primary osteoporosis, commonly seen as back pain, with the pain spreading along the spine to both sides. The pain decreases when lying on the back or sitting, and increases when standing upright, bending backwards, or after long periods of sitting or standing. Additionally, osteoporosis can lead to a decrease in height, hunchback, and fractures are the most common and serious complications of osteoporosis.

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Written by Chen Xie
Endocrinology
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What department should I go to for osteoporosis?

Osteoporosis is a metabolic bone disease characterized by reduced bone mass and destruction of bone microstructure, leading to increased bone fragility and susceptibility to fractures. It can be divided into primary and secondary types based on the cause. Secondary osteoporosis has a clear primary cause, often due to endocrine metabolic diseases such as gonadal insufficiency, hyperthyroidism, hyperparathyroidism, Cushing's syndrome, type 1 diabetes, or systemic diseases. Primary osteoporosis is commonly seen in postmenopausal osteoporosis and senile osteoporosis. Therefore, it is recommended to consult an endocrinology or orthopedics department for osteoporosis.

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Written by Zhou Yan
Geriatrics
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How to Prevent Osteoporosis

Osteoporosis is a common aging-related disease closely associated with aging. The symptoms of osteoporosis can be alleviated and the progression of bone hyperplasia can be prevented through the following methods: proper lifestyle, a balanced diet rich in calcium, low in salt, and with adequate protein, appropriate outdoor activities and sunlight exposure, and engaging in physical exercises beneficial for bone health. Avoid smoking and excessive drinking, and use medications that affect bone metabolism with caution. Additionally, supplementing with calcium and vitamin D can promote bone health, maintain muscle strength, and improve body stability.

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Written by Zhao Xin Lan
Endocrinology
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What should I do about osteoporosis?

Once osteoporosis is diagnosed, the first step is to change lifestyle habits. For example, if someone likes to drink strong tea and coffee and dislikes exercise, these unhealthy habits should be changed. Additionally, it's beneficial to get more sun exposure, and to supplement the treatment with calcium and vitamin D. Then, it is necessary to visit the hospital and consult a specialized clinic for osteoporosis or the department of metabolic endocrinology for targeted medical intervention, to prevent the condition from worsening and avoid fractures.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Menopausal osteoporosis manifestations

Women experience osteoporosis during menopause, generally occurring in the later stages of menopause, which is between 9-13 years after menopause. During this period, women may develop osteoporosis. In the early stages, women can experience pain in the lower back, limbs, and joints, which is actually a manifestation of rapid bone loss. Later on, some women may develop a hunched back. Due to the increased brittleness of their bones, they are prone to various fractures, with vertebral fractures being the most common. This is followed by fractures of the distal radius and the neck of the femur.

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Written by Na Hong Wei
Orthopedics
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What are the symptoms of osteoporosis in women?

Symptoms of osteoporosis in women generally include the following: The first is pain, which can be localized back pain or generalized pain throughout the body. The second is spinal deformity, which is often manifested by bending and hunching over, as well as some individuals appearing shorter than before—these conditions are also caused by osteoporosis, leading to reduced bone strength and vertebral deformity. The third is brittle fractures, which occur because osteoporosis leads to a reduction in bone mass, making the bones less sturdy. Even a minor external force can cause a fracture, for example, a simple fall might result in a distal radius fracture. Thus, the basic symptoms of osteoporosis in women include pain, spinal deformity, and brittle fractures.

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Written by Zhao Xin Lan
Endocrinology
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Causes of osteoporosis

Osteoporosis is primarily characterized by a reduction in bone mass, deterioration of bone tissue microstructure, and increased bone fragility, leading to an increased risk of fractures. It is a metabolic bone disease. Some cases are primary, also referred to as postmenopausal osteoporosis, which generally lacks specific causes and is mainly linked to estrogen deficiency. There is also a category known as secondary osteoporosis, which has a variety of causes, primarily secondary to metabolic endocrine disorders such as hyperparathyroidism, Cushing's syndrome, diabetes, and growth hormone deficiency. Additionally, some hematologic disorders, such as leukemia and lymphoma, can lead to osteoporosis. There are also some less common or rare diseases like osteogenesis imperfecta and scurvy that can cause osteoporosis. Furthermore, long-term use of certain medications, such as corticosteroids and anticonvulsants, can lead to osteoporosis. Kidney diseases, such as chronic renal failure and renal tubular acidosis, can also cause osteoporosis.

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Written by Lv Yao
Orthopedics
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Osteoporosis lacks what element?

Osteoporosis refers to a systemic skeletal disease characterized by decreased bone density and strength, resulting in increased bone fragility and potential fractures. There are primarily two types of osteoporosis: primary and secondary. Primary osteoporosis commonly occurs in postmenopausal women and as a result of aging and degenerative changes; secondary osteoporosis sometimes refers to the condition developing after fractures due to prolonged immobilization. Osteoporosis mainly arises from a deficiency in the trace elements calcium and phosphorus, which are crucial components of bone. A lack of these substances can alter bone structure and lead to osteoporosis.