What should I do if osteoporosis is severe?

Written by Lv Yao
Orthopedics
Updated on June 17, 2025
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The severity of osteoporosis manifests as fractures, which are caused by increased brittleness. The principle of treatment varies based on the location of the fracture. Different methods are chosen accordingly. However, it is important to first reposition the fracture and then strengthen internal fixation. After fixation, patients should be advised to engage in appropriate functional exercises. During these exercises, medications for treating osteoporosis should be administered, such as increasing the intake of calcium or vitamin D. Additionally, medications that promote bone absorption and inhibit bone loss should be used for symptomatic treatment.

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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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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 Na Hong Wei
Orthopedics
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Osteoporosis detection methods

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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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 Lv Yao
Orthopedics
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How is osteoporosis treated?

Osteoporosis refers to a decline in bone density and quality, increasing brittleness and potentially leading to systemic skeletal diseases. Once osteoporosis occurs, it is crucial to appropriately supplement inorganic salts that promote bone formation, as the structure composed of inorganic salts and collagen in the bones changes. Dietary intake should be enhanced with foods rich in calcium, and it is equally important to supplement with Vitamin D, as the absorption of calcium is facilitated by Vitamin D. Therefore, not only should calcium be supplemented, but also Vitamin D should be appropriately added. Alongside supplementing calcium and Vitamin D, proper exercise is important, as increased physical activity can help strengthen the bones. If these measures do not alleviate the condition, it may be necessary to investigate whether the issue stems from an obstruction in bone formation or from a problem with bone loss. Determining the cause of osteoporosis in this way, there are also medications available that can alleviate bone loss and promote bone formation, allowing for targeted treatment.