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 Shen Li Wen

Obstetrics and Gynecology

41sec

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Menopausal osteoporosis manifestations

Women experience osteoporosis during menopause, generally occurring in the later stages of menopause, which is between 9-13 years after menopause. During this period, women may develop osteoporosis. In the early stages, women can experience pain in the lower back, limbs, and joints, which is actually a manifestation of rapid bone loss. Later on, some women may develop a hunched back. Due to the increased brittleness of their bones, they are prone to various fractures, with vertebral fractures being the most common. This is followed by fractures of the distal radius and the neck of the femur.

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Written by Liu Hong Xia

Endocrinology

56sec

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Clinical symptoms of osteoporosis

The clinical symptoms of osteoporosis, in mild cases, may result in no discomfort at all. As the condition worsens gradually, pain may surface in the lumbar and back areas, or even aches throughout the body. This commonly intensifies after physical exertion or activity, leading to a decline in weight-bearing capability, or even an inability to bear weight. The second symptom is a reduction in height and shrinking stature, commonly due to vertebral compression fractures, which can be solitary or multiple, occurring with or without a specific cause. The third symptom involves fragile fractures, which can occur from minimal activities or traumas, like bending, bearing weight, compression, or falling. These are commonly known as brittle fractures, which are clinical manifestations of osteoporosis.

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Written by Xie Yi Song

Orthopedics

1min 36sec

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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.

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Written by Lv Yao

Orthopedics

55sec

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What to eat for osteoporosis

Osteoporosis refers to decreased bone density and bone mass, which increases the fragility of bones and can lead to fractures and other systemic skeletal diseases. It commonly occurs in postmenopausal women or arises due to degenerative changes in the elderly. To prevent osteoporosis, one can start with dietary adjustments by increasing the intake of calcium-rich foods such as milk, shrimp crackers, kelp, and legumes. It is also important to engage in appropriate physical activities to enhance bone strength, thereby helping to prevent the exacerbation of osteoporosis. However, merely supplementing with calcium might not be very effective; it is also appropriate to supplement with Vitamin D. If adding calcium alone does not alleviate the symptoms, it might be necessary to use medications that reduce the loss of calcium to prevent and treat osteoporosis.

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Written by Na Hong Wei

Orthopedics

43sec

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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.