Osteoporosis detection methods

Written by Na Hong Wei
Orthopedics
Updated on September 13, 2024
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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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What to do with osteoporosis?

When osteoporosis occurs, it is first important to determine the cause of the osteoporosis, whether it's due to postmenopausal women, overuse injuries, or osteoporosis caused by long periods of immobilization following trauma. If such osteoporosis occurs, it is advisable to appropriately supplement with calcium and vitamin D, especially for postmenopausal women and elderly individuals affected by degenerative changes. These supplements can be taken orally, and appropriate physical exercise can be incorporated to increase bone strength and achieve recovery. In cases of disuse osteoporosis, appropriate functional exercises should be performed to allow for active muscle contractions and slight weight-bearing by the bones, which promotes circulation around the bones and reduces the risk of osteoporosis.

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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 Lv Yao
Orthopedics
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Osteoporosis nursing measures

Osteoporosis is commonly seen in postmenopausal women, elderly patients with degenerative diseases, and patients with disuse osteoporosis caused by long-term immobilization due to fractures, with the first two groups having the highest incidence rates. When osteoporosis occurs, it is essential first to provide psychological guidance to the patients, encouraging them not to be afraid and to face their condition correctly. This disease can be prevented and its progression delayed. Similarly, guiding patients to engage in appropriate exercises, such as walking slowly and practicing Tai Chi, can help increase bone strength. It is also necessary to advise patients to appropriately supplement with calcium and vitamin D, as osteoporosis primarily involves the loss of inorganic bone salts, particularly calcium and phosphate ions. Adequate supplementation of calcium and vitamin D can prevent some cases of osteoporosis. If osteoporosis is severe, it may be necessary to provide medications that promote bone formation and inhibit bone resorption for symptomatic treatment. Additionally, the diet should include foods rich in calcium to enhance the care of patients with osteoporosis from these various aspects.

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Written by Na Hong Wei
Orthopedics
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What are the massage techniques for osteoporosis?

Osteoporosis is not suitable for massage because if the force is not controlled properly, it can cause fractures. This is due to the fact that fragile bones have a very low stress tolerance, and sometimes even a small external force can cause fractures. Moreover, the spine is the most common site of fractures. If massage is necessary, then only gentle techniques should be used, such as light kneading, pressing, or rolling. Do not apply heavy pressure or manipulate joints, and certainly do not perform bone-setting on others unnecessarily, as this can easily cause fragile fractures, resulting in more harm than good and bringing trouble. Therefore, it is generally best to avoid massages for those with osteoporosis.

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Written by Xie Yi Song
Orthopedics
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What to eat for osteoporosis

Osteoporosis is commonly seen in elderly people and mainly refers to a reduction in bone tissue per unit volume, which affects the structure and function of bones. To prevent and treat osteoporosis, it is important to supplement various nutritional elements in daily life, such as calcium, phosphorus, protein, fats, and vitamin D. So, what is good to eat for osteoporosis? Foods rich in calcium are recommended, including milk, milk powder, oysters, eggs, soybeans and soy products, pork bone soup, fish, shrimp, and dried scallops, and should be consumed more frequently. Additionally, foods like carrots, Chinese cabbage, celery, rapeseed, garlic sprouts, leeks, jujube, persimmons, and olives also contain a good amount of calcium and should be included in the diet. Supplementing vitamin D: Vitamin D, after being exposed to ultraviolet sunlight, is an essential substance that promotes the calcification of bones. Taking vitamin D can increase the intestinal absorption of calcium and help in its deposition in the bones, making them stronger. Therefore, patients with osteoporosis should regularly take vitamin D and frequently sunbathe.