Is osteoporosis easy to treat?

Written by Xie Yi Song
Orthopedics
Updated on September 19, 2024
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Osteoporosis is characterized by low bone mass and destruction of bone tissue microstructure, resulting in increased bone fragility, decreased bone strength, and susceptibility to fractures. It is a systemic metabolic disease. Its treatment includes the following aspects: supplementation with calcium and Vitamin D, and the use of medications that inhibit the activity of osteoclasts. Firstly, calcium supplementation is essential, along with Vitamin D, which promotes the absorption of calcium. Based on the severity of osteoporosis, stronger medications might be necessary, such as bisphosphonates or calcitonin. The choice of treatment plan depends on the severity of the patient's condition. Both bisphosphonates and calcitonin are used to inhibit the activity of osteoclasts. The specific duration of treatment for osteoporosis depends on the patient's condition; additionally, patients need to regularly check their bone density. If the bone density is up to standard, they may stop the medication as per the doctor’s advice and undergo regular check-ups. If a relapse occurs, prompt medical treatment is necessary. Thus, the duration of treatment for osteoporosis is relatively long, generally from six months to a year, or even longer.

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Written by Xie Yi Song
Orthopedics
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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 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 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 Xie Yi Song
Orthopedics
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Can people with osteoporosis eat vinegar?

Although vinegar is acidic, the human body has a strong fluid buffering system, so as long as it is not consumed in excess, there is no need to worry that vinegar will disrupt the body's acid-base balance. There is also no evidence to suggest that osteoporosis patients cannot consume vinegar. Osteoporosis patients can consume vinegar normally as long as they do not have contraindications like gastrointestinal ulcers. Similarly, the external use of vinegar will not affect the body's acid-base balance, nor will it lead to osteoporosis. Vinegar, as a food or medicine, not only does not cause osteoporosis, but moderate amounts can also promote the absorption and utilization of calcium. This is because vinegar reacts chemically with calcium in food, forming calcium acetate, which is soluble in water and easily absorbed by the human body.

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Written by Li Jie
Orthopedics
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Can osteoporosis be treated with moxibustion?

Osteoporosis can manifest as pain in the lumbar and back areas, as well as in the joints. Moxibustion, with its effects of promoting blood circulation, removing blood stasis, reducing swelling, and relieving pain, can alleviate these symptoms. However, to thoroughly treat osteoporosis, a causative treatment is necessary, which means taking oral medications specifically for osteoporosis, such as bisphosphonates, estrogen modulators, and calcitonin. These are some of the common medications used. Also, it is important to supplement with calcium and vitamin D, and get plenty of sunlight. Only then can osteoporosis be thoroughly cured through causative treatment. While moxibustion is effective, it does not solve the fundamental issue and is just one of the methods to relieve symptoms.