What should I do about osteoporosis?

Written by Zhao Xin Lan
Endocrinology
Updated on January 25, 2025
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Once osteoporosis is diagnosed, the first step is to change lifestyle habits. For example, if someone likes to drink strong tea and coffee and dislikes exercise, these unhealthy habits should be changed. Additionally, it's beneficial to get more sun exposure, and to supplement the treatment with calcium and vitamin D. Then, it is necessary to visit the hospital and consult a specialized clinic for osteoporosis or the department of metabolic endocrinology for targeted medical intervention, to prevent the condition from worsening and avoid fractures.

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Written by Xie Yi Song
Orthopedics
1min 23sec home-news-image

Is osteoporosis easy to treat?

Osteoporosis is characterized by low bone mass and destruction of bone tissue microstructure, resulting in increased bone fragility, decreased bone strength, and susceptibility to fractures. It is a systemic metabolic disease. Its treatment includes the following aspects: supplementation with calcium and Vitamin D, and the use of medications that inhibit the activity of osteoclasts. Firstly, calcium supplementation is essential, along with Vitamin D, which promotes the absorption of calcium. Based on the severity of osteoporosis, stronger medications might be necessary, such as bisphosphonates or calcitonin. The choice of treatment plan depends on the severity of the patient's condition. Both bisphosphonates and calcitonin are used to inhibit the activity of osteoclasts. The specific duration of treatment for osteoporosis depends on the patient's condition; additionally, patients need to regularly check their bone density. If the bone density is up to standard, they may stop the medication as per the doctor’s advice and undergo regular check-ups. If a relapse occurs, prompt medical treatment is necessary. Thus, the duration of treatment for osteoporosis is relatively long, generally from six months to a year, or even longer.

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Written by Tang Zhuo
Endocrinology
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What are the symptoms of osteoporosis?

What are the symptoms of osteoporosis? Osteoporosis is a metabolic bone disease characterized by decreased bone mass, destruction of bone tissue microstructure, increased bone fragility, and susceptibility to fractures. Osteoporosis can be divided into primary and secondary types. Pain is the most common symptom of primary osteoporosis, commonly seen as back pain, with the pain spreading along the spine to both sides. The pain decreases when lying on the back or sitting, and increases when standing upright, bending backwards, or after long periods of sitting or standing. Additionally, osteoporosis can lead to a decrease in height, hunchback, and fractures are the most common and serious complications of osteoporosis.

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Written by Liu Hong Xia
Endocrinology
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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
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Can osteoporosis be cured?

We cannot generalize about this issue. For instance, osteoporosis caused by certain medications can be cured after stopping the medication and then undergoing treatment for osteoporosis. If the osteoporosis is caused by a certain disease, it can also be cured after the disease is treated. However, for some chronic long-term diseases that inherently cannot be cured, osteoporosis caused by these diseases is difficult to cure. Then there are many patients with primary osteoporosis who, after comprehensive treatment that includes supplements of calcium and vitamin D3 and regular use of anti-osteoporotic pain medications, can completely lose their symptoms after several years. When bone density tests are performed, these patients' bone density has moved out of the osteoporosis range. This can also be considered a clinical cure.

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Written by Lv Yao
Orthopedics
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What are the symptoms of osteoporosis?

The main symptom of osteoporosis is pain, including pain in the limbs, spine, and pelvic area. Sometimes, the pain may worsen during activities such as walking. Even light activities like climbing stairs, hiking, or even sneezing can cause fractures due to osteoporosis, leading to increased pain.