What to do if osteoporosis causes leg pain?

Written by Xie Yi Song
Orthopedics
Updated on September 29, 2024
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To alleviate leg pain caused by osteoporosis, it is important to pay attention to a reasonable diet and regular exercise. Maintaining a balanced diet to ensure sufficient intake of calcium and vitamin D is crucial, with options such as high-calcium, low-fat fresh milk, cheese, cow milk, and dark green vegetables being the best choices. Based on the imbalance of yin and yang in the body, regularly taking kidney-nourishing products can to a certain extent stabilize and enhance the level of human sex hormones, indirectly inhibiting the bone-resorbing activity of osteoclasts. Smoking should be avoided, excessive drinking should be prevented, and timely prevention of systemic metabolic diseases such as hypertension, diabetes, and gout is essential. Elderly individuals with leg pain should persist with gradual and progressive exercise, such as swimming, practicing health exercises, Tai Chi, and walking. These activities not only can alleviate the loss of bone mass but also significantly increase the content of bone salts and promote the activity of bone cells. However, engaging in intense physical activities, especially those that cause excessive muscle soreness, should be avoided. If continual leg pain is experienced, it is advisable to visit a hospital for examination to determine if it is caused by osteoporosis.

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Written by Lv Yao
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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 Na Hong Wei
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Which department should I go to for osteoporosis?

What department should I go to for osteoporosis? According to the latest osteoporosis treatment guidelines, osteoporosis is classified as a chronic, frequently occurring disease in orthopedics. Generally, hospitals rated Grade IIIA or above have specialized clinics for osteoporosis. Therefore, if you suspect you have osteoporosis, you can first visit the orthopedics department. If there is a specialized osteoporosis clinic, you can go there directly. Both departments can treat this disease, but the specialized osteoporosis clinic is relatively more professional.

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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 Xie Yi Song
Orthopedics
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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.

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Written by Na Hong Wei
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How is osteoporosis diagnosed?

How to check for osteoporosis? Currently, in clinical practice, there is no single instrument or technology that can definitively determine whether you have osteoporosis. Therefore, the examination for osteoporosis involves measuring bone density and bone markers, or combining these two methods to achieve a joint diagnosis. What is the gold standard for bone density measurement? It is DXA, which stands for Dual-Energy X-ray Absorptiometry. Through the measurement of this instrument, a Z-score and T-score will be obtained, among which the T-score is mainly used as the diagnostic indicator, while the Z-score is primarily considered for differential diagnosis. Secondly, bone markers are tested, and large hospitals, especially tertiary hospitals, perform this test very well. So, if you suspect that you have osteoporosis and want to know what tests to take? These two tests would be sufficient.