What department should I go to for osteoporosis?

Written by Chen Xie
Endocrinology
Updated on March 30, 2025
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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.)

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Written by Zhou Yan
Geriatrics
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How to Prevent Osteoporosis

Osteoporosis is a common aging-related disease closely associated with aging. The symptoms of osteoporosis can be alleviated and the progression of bone hyperplasia can be prevented through the following methods: proper lifestyle, a balanced diet rich in calcium, low in salt, and with adequate protein, appropriate outdoor activities and sunlight exposure, and engaging in physical exercises beneficial for bone health. Avoid smoking and excessive drinking, and use medications that affect bone metabolism with caution. Additionally, supplementing with calcium and vitamin D can promote bone health, maintain muscle strength, and improve body stability.

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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 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 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.