How is osteoporosis treated?

Written by Xie Yi Song
Orthopedics
Updated on September 01, 2024
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Osteoporosis is a systemic metabolic disease characterized by low bone mass and destruction of bone tissue microstructure, leading to increased bone fragility and susceptibility to fractures. Osteoporosis is common in the elderly but can occur at any age. Effective pharmacological treatments can prevent and treat osteoporosis, including estrogen replacement therapy, calcitonin, selective estrogen receptor modulators, and bisphosphonates, which can prevent bone resorption but have little effect on bone formation. Medications used to treat and prevent the development of osteoporosis fall into two main categories: the first category includes drugs that inhibit bone resorption, such as calcium supplements, vitamin D and active vitamin D, calcitonin, bisphosphonates, estrogen, and isoflavones; the second category includes drugs that promote bone formation, such as fluoride, synthetic steroids, and isoflavones. In addition to pharmacotherapy, patients should also enhance nutrition with a high-protein diet, calcium, and various vitamins. High protein is beneficial for the formation of bone matrix, and calcium supplementation can promote calcium balance. Milk, rich in protein and calcium, is an ideal treatment diet, and it is also advisable to take appropriate amounts of calcium tablets, vitamin D, and vitamin C.

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Written by Xie Yi Song
Orthopedics
1min 34sec home-news-image

How is osteoporosis treated?

Osteoporosis is a systemic metabolic disease characterized by low bone mass and destruction of bone tissue microstructure, leading to increased bone fragility and susceptibility to fractures. Osteoporosis is common in the elderly but can occur at any age. Effective pharmacological treatments can prevent and treat osteoporosis, including estrogen replacement therapy, calcitonin, selective estrogen receptor modulators, and bisphosphonates, which can prevent bone resorption but have little effect on bone formation. Medications used to treat and prevent the development of osteoporosis fall into two main categories: the first category includes drugs that inhibit bone resorption, such as calcium supplements, vitamin D and active vitamin D, calcitonin, bisphosphonates, estrogen, and isoflavones; the second category includes drugs that promote bone formation, such as fluoride, synthetic steroids, and isoflavones. In addition to pharmacotherapy, patients should also enhance nutrition with a high-protein diet, calcium, and various vitamins. High protein is beneficial for the formation of bone matrix, and calcium supplementation can promote calcium balance. Milk, rich in protein and calcium, is an ideal treatment diet, and it is also advisable to take appropriate amounts of calcium tablets, vitamin D, and vitamin C.

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Written by Na Hong Wei
Orthopedics
49sec home-news-image

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 Na Hong Wei
Orthopedics
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Osteoporosis detection methods

Osteoporosis is a systemic special disease characterized by low bone mass and damaged bone microarchitecture, which leads to increased bone fragility and susceptibility to fractures. This is the standard set by the World Health Organization in 2017. However, currently in clinical practice, there is no direct method available to measure bone hardness. Therefore, an indirect method is used, which is the measurement of bone density. There are many methods to measure bone density, among which the gold standard is Dual-Energy X-ray Absorptiometry (DXA). Other methods include single photon, single energy X-ray, Quantitative Computed Tomography (QCT), peripheral quantitative CT, and quantitative ultrasound testing.

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Written by Lv Yao
Orthopedics
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How to treat osteoporosis?

To address osteoporosis, it's crucial to determine whether it's primary or secondary in origin. For primary osteoporosis, it is advisable to appropriately supplement with calcium and vitamin D to facilitate bone formation and engage in suitable exercise to strengthen the bones. If the osteoporosis is severe, adding medications that promote bone formation and inhibit bone loss can aid in treatment. If a fracture occurs due to osteoporosis, it is first necessary to reposition and stabilize the fracture, while also using medications to prevent further osteoporosis. Osteoporosis caused by long-term immobilization after a fracture can be managed by increasing physical activity, which helps restore blood flow around the fractured area and prevent such osteoporosis.

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Written by Xie Yi Song
Orthopedics
1min 36sec home-news-image

How to check for osteoporosis?

How is osteoporosis diagnosed? There are several methods currently used for the diagnosis of osteoporosis. One method is X-ray examination, which usually only detects severe cases of osteoporosis and also depends on the amount of radiation used, making it seldom used in clinical settings. Another method is ultrasound testing, referred to as ultrasound bone density testing. It typically examines areas like the heel or the wrist. However, ultrasound bone density can have significant inaccuracies, so it is used more as a screening tool rather than for precise diagnosis. The third method is a bone density scanner. This is currently the simplest and most effective method to diagnose osteoporosis. It involves measuring the Relative Vertebral Density (RVD), where a normal value of 1 indicates that the vertebral body density is higher than that of the intervertebral disc. An RVD value of 0 indicates that the vertebral body density is the same as the intervertebral disc density, which signifies osteoporosis. If the RVD is less than 0, it shows that the vertebral body density is less than that of the intervertebral disc, pointing to severe osteoporosis. The bone density scanning method is very straightforward. The patient simply places a foot or arm inside the machine, and the computer quickly provides the bone density measurement, which is more accurate and cost-effective compared to other diagnostic methods.