How is osteoporosis treated?

Written by Xie Yi Song
Orthopedics
Updated on September 01, 2024
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Osteoporosis is a systemic metabolic disease characterized by low bone mass and destruction of bone tissue microstructure, leading to increased bone fragility and susceptibility to fractures. Osteoporosis is common in the elderly but can occur at any age. Effective pharmacological treatments can prevent and treat osteoporosis, including estrogen replacement therapy, calcitonin, selective estrogen receptor modulators, and bisphosphonates, which can prevent bone resorption but have little effect on bone formation. Medications used to treat and prevent the development of osteoporosis fall into two main categories: the first category includes drugs that inhibit bone resorption, such as calcium supplements, vitamin D and active vitamin D, calcitonin, bisphosphonates, estrogen, and isoflavones; the second category includes drugs that promote bone formation, such as fluoride, synthetic steroids, and isoflavones. In addition to pharmacotherapy, patients should also enhance nutrition with a high-protein diet, calcium, and various vitamins. High protein is beneficial for the formation of bone matrix, and calcium supplementation can promote calcium balance. Milk, rich in protein and calcium, is an ideal treatment diet, and it is also advisable to take appropriate amounts of calcium tablets, vitamin D, and vitamin C.

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Written by Li Jie
Orthopedics
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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.

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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.

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Written by Na Hong Wei
Orthopedics
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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 Xie Yi Song
Orthopedics
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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 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.