Menopausal osteoporosis manifestations

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on January 07, 2025
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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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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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How to exercise with osteoporosis

How should people with osteoporosis exercise? Many patients with osteoporosis believe that exercising could lead to fractures. In fact, by exercising, muscles can develop more fully, which not only protects the bones but also indirectly provides better support for bone metabolism. As long as scientific exercise methods are used and accidents and injuries are avoided, fractures will not occur. The following exercises are very suitable for osteoporosis patients to practice regularly. The first type is Tai Chi. Tai Chi can be considered a national treasure of China. It is a slow and elegant exercise that emphasizes coordination of the body and mind, and has functions that strengthen bones. Tai Chi can slow the rate of bone loss. The second type is Yoga. Research has found that women who regularly practice yoga have significant increases in spinal bone density. This slow and delicate exercise can increase the bone density in the hips, spine, and wrists. However, patients with osteoporosis should exercise within their limits. Excessive exercise or improper physical activity can be a burden on the patient's body and may cause adverse consequences. It is recommended to consult a doctor and choose an appropriate exercise method.

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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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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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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.