How to check for osteoporosis?

Written by Xie Yi Song
Orthopedics
Updated on September 09, 2024
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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.

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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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How to maintain bone health with osteoporosis

Patients with osteoporosis should first pay attention to the following in their daily lives: First, persist in supplementing calcium and second, supplement Vitamin D as medication. In other aspects of life, it is important to engage in appropriate activities and develop a habit of regular activity. Vigorous activities, such as sprinting or playing ball games, are not recommended. Generally, it is advised that patients regularly take walks outdoors and ensure exposure to sunlight. This is why outdoor activities and enhancing sunlight exposure are related, which is the third point. The fourth important point is that if osteoporosis is diagnosed, elderly individuals must implement anti-slip measures at home to prevent falls. (Medication usage should be conducted under the guidance of a professional doctor.)

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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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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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Can osteoporosis be cured?

We cannot generalize about this issue. For instance, osteoporosis caused by certain medications can be cured after stopping the medication and then undergoing treatment for osteoporosis. If the osteoporosis is caused by a certain disease, it can also be cured after the disease is treated. However, for some chronic long-term diseases that inherently cannot be cured, osteoporosis caused by these diseases is difficult to cure. Then there are many patients with primary osteoporosis who, after comprehensive treatment that includes supplements of calcium and vitamin D3 and regular use of anti-osteoporotic pain medications, can completely lose their symptoms after several years. When bone density tests are performed, these patients' bone density has moved out of the osteoporosis range. This can also be considered a clinical cure.