What to do with osteoporosis?

Written by Lv Yao
Orthopedics
Updated on September 26, 2024
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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
1min 15sec home-news-image

What are the symptoms of osteoporosis?

What are the symptoms of osteoporosis? Previously there were three categories, but the latest 2017 treatment guidelines have changed it to four categories: First, pain. This mainly manifests as pain in the lower back or pain throughout the bones of the body. Second, spinal deformation. Severe osteoporosis can cause a person to stoop and hunchback, and it can even lead to a decrease in a person's height and cause limited spinal mobility. Third, fractures. Fractures due to osteoporosis belong to the category of fragile fractures. These are fractures that can occur with very low energy or minor trauma. Common sites include the thoracic and lumbar vertebrae, hip fractures, the distal radius and ulna, as well as the humerus and tibia, so sometimes, just a simple fall or being bumped by a door can result in a fracture. Fourth, impacts on psychological states and quality of life. Sometimes after developing osteoporosis, a person may experience fear, anxiety, depression, and loss of self-confidence, which directly leads to reduced contact with the outside world and a decline in the quality of independent living.

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Written by Lv Yao
Orthopedics
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Causes of Osteoporosis

Osteoporosis is caused by two types of reasons, one is primary disease, and the other is secondary disease. Primary disease is commonly seen in postmenopausal women, as well as in some chronic strain injuries, and the occurrence of some metabolic diseases, which accounts for primary osteoporosis. Secondary osteoporosis may be due to trauma, long-term plaster immobilization, or lack of weight bearing after surgical fixation, leading to disuse osteoporosis.

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Written by Na Hong Wei
Orthopedics
1min 10sec home-news-image

Does osteoporosis cause pain?

Osteoporosis can be painful, and the clinical manifestations of osteoporosis are threefold: first, pain; second, vertebral deformation; third, fragile fractures. Pain is the earliest symptom of osteoporosis, which can be localized pain, generalized pain, aching pain, or dull pain. Therefore, for older individuals or women around the time of menopause, if there is unexplained pain, and no primary or secondary lesions can be found, osteoporosis should be considered. In fact, the examination for osteoporosis is quite simple. Currently, the most commonly used clinical examinations are radiological and biochemical tests. In radiological tests, DXA, which stands for Dual-energy X-ray Absorptiometry, is the gold standard for clinical diagnosis. In addition, some bone markers can be tested, making diagnosis fairly straightforward. Therefore, osteoporosis can be painful, and if there is unexplained generalized pain in conjunction with age and gender, osteoporosis should be considered.

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Written by Chen Xie
Endocrinology
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What department should I go to for osteoporosis?

Osteoporosis is a metabolic bone disease characterized by reduced bone mass and destruction of bone microstructure, leading to increased bone fragility and susceptibility to fractures. It can be divided into primary and secondary types based on the cause. Secondary osteoporosis has a clear primary cause, often due to endocrine metabolic diseases such as gonadal insufficiency, hyperthyroidism, hyperparathyroidism, Cushing's syndrome, type 1 diabetes, or systemic diseases. Primary osteoporosis is commonly seen in postmenopausal osteoporosis and senile osteoporosis. Therefore, it is recommended to consult an endocrinology or orthopedics department for osteoporosis.

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Written by Luo Han Ying
Endocrinology
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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.)