Osteoporosis


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.


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.


What should I do about osteoporosis?
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.


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.


What are the symptoms of osteoporosis in women?
Symptoms of osteoporosis in women generally include the following: The first is pain, which can be localized back pain or generalized pain throughout the body. The second is spinal deformity, which is often manifested by bending and hunching over, as well as some individuals appearing shorter than before—these conditions are also caused by osteoporosis, leading to reduced bone strength and vertebral deformity. The third is brittle fractures, which occur because osteoporosis leads to a reduction in bone mass, making the bones less sturdy. Even a minor external force can cause a fracture, for example, a simple fall might result in a distal radius fracture. Thus, the basic symptoms of osteoporosis in women include pain, spinal deformity, and brittle fractures.


Causes of osteoporosis
Osteoporosis is primarily characterized by a reduction in bone mass, deterioration of bone tissue microstructure, and increased bone fragility, leading to an increased risk of fractures. It is a metabolic bone disease. Some cases are primary, also referred to as postmenopausal osteoporosis, which generally lacks specific causes and is mainly linked to estrogen deficiency. There is also a category known as secondary osteoporosis, which has a variety of causes, primarily secondary to metabolic endocrine disorders such as hyperparathyroidism, Cushing's syndrome, diabetes, and growth hormone deficiency. Additionally, some hematologic disorders, such as leukemia and lymphoma, can lead to osteoporosis. There are also some less common or rare diseases like osteogenesis imperfecta and scurvy that can cause osteoporosis. Furthermore, long-term use of certain medications, such as corticosteroids and anticonvulsants, can lead to osteoporosis. Kidney diseases, such as chronic renal failure and renal tubular acidosis, can also cause osteoporosis.


Osteoporosis lacks what element?
Osteoporosis refers to a systemic skeletal disease characterized by decreased bone density and strength, resulting in increased bone fragility and potential fractures. There are primarily two types of osteoporosis: primary and secondary. Primary osteoporosis commonly occurs in postmenopausal women and as a result of aging and degenerative changes; secondary osteoporosis sometimes refers to the condition developing after fractures due to prolonged immobilization. Osteoporosis mainly arises from a deficiency in the trace elements calcium and phosphorus, which are crucial components of bone. A lack of these substances can alter bone structure and lead to osteoporosis.


Can osteoporosis be treated with moxibustion?
Osteoporosis can manifest as pain in the lumbar and back areas, as well as in the joints. Moxibustion, with its effects of promoting blood circulation, removing blood stasis, reducing swelling, and relieving pain, can alleviate these symptoms. However, to thoroughly treat osteoporosis, a causative treatment is necessary, which means taking oral medications specifically for osteoporosis, such as bisphosphonates, estrogen modulators, and calcitonin. These are some of the common medications used. Also, it is important to supplement with calcium and vitamin D, and get plenty of sunlight. Only then can osteoporosis be thoroughly cured through causative treatment. While moxibustion is effective, it does not solve the fundamental issue and is just one of the methods to relieve symptoms.


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.


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.)