We often encounter many elderly people who come to the doctor with no serious trauma, no bumps or bruises and no strenuous activity, but suddenly have back and back pain, inability to move or significant limitation of movement, and when we diagnose them with a fracture the patient and family often cannot understand. Under what circumstances can fractures be induced by osteoporosis in the elderly? Because of the presence of osteoporosis as a factor that triggers fractures in the elderly, most fractures in the elderly do not require significant traumatic violence, but can often be triggered by minor types of violence, so in addition to acute violent trauma such as falls and bruises, fractures can also be caused by lifting heavy objects, bumps in a car, sneezing, or sudden twisting of the back, etc. Minor injuries can also occur. Therefore, we clinicians often need to distinguish the diagnosis of fractures from lumbar sprains. Here I can teach you a simple way to distinguish a spinal fracture from a lumbar sprain. Generally, if there is no acute trauma, the elderly can sit or stand normally, then we can keep the elderly in a sitting position, and the person examining them stands behind them and presses down on their shoulders with appropriate force with both hands. A hospital visit is necessary. For another common fracture in the elderly secondary to osteoporosis, the fracture of the femoral neck or intertrochanteric fracture of the hip, in addition to traumatic factors such as bruises and falls, sometimes the fracture can also occur when the elderly lean to the side from a sitting position, in this case, our family members can compare by shaking the left and right thighs of the elderly, if there is significant pain on one side, we can also highly suspect a fracture and should go to the hospital. If there is significant pain on one side, we can also highly suspect a fracture and should go to the hospital. What should I do if I have a spinal compression fracture due to osteoporosis? If an elderly person is injured due to a slip and fall or accidental injury and is found to have a suspected spinal compression fracture using the method I just described, what should we do? If it is really necessary to carry, do not allow one person to hold or carry, which is easy to produce secondary spinal cord injury or cause fracture displacement, should be at least 2 people to protect the neck and shoulders, waist and hip, and both lower limbs, to avoid the body trunk position of the twist, especially the upper and lower body twist in different directions, because Once the torso is twisted excessively, it can cause fracture displacement. Of course, while waiting for professional care, the elderly should pay attention to keeping the elderly warm while lying over there. How to restore function after treatment of spinal compression fracture? After an elderly person’s spinal compression fracture occurs, regardless of whether the hospital gives surgical or non-surgical treatment, in order to promote the recovery of its function and allow the elderly to return to life as soon as possible, they should be encouraged to practice exercises early, and such exercises should be practiced early, insist on practicing, and practice in a gradual manner. If there are no comorbidities such as shock in post-injury patients, they can generally do it within 1-2 days after the injury if their general condition allows. In the first few days of practice, there may be some soreness and discomfort, if there are no other complications, attention should be paid to encourage patients to seize the opportunity to persevere. For middle-aged people, they can rely on practice to get most of the fractures reset within 2 weeks, while for the elderly, the purpose of practice is not to reset the fractures, but to promote the healing of the fractures and the coordination of the low back muscles and abdominal muscles, and early recovery of function. The method of practice is: the first step, five-point support: the patient lies on his back on a plank bed, using his head, elbows and feet to support his whole body, so that his back is stretched backwards with his best efforts. The second step, three-point support: the patient lies on his back on a plank bed, with his arms placed in front of his chest, and uses his head and feet to support his whole body, making it vacant. The third step, arch bridge support: the patient’s hands and feet support the whole body in the shape of an arch bridge. How to avoid spinal compression fracture? For the elderly, prevention is more important than cure, so in daily life should pay attention to the daily exercise of lumbar activities, such as the twisting of the waist with both hands in the standing position, the abdominal movement in the flat lying position, and the water carriage movement in the flat lying position, or the practice of small movements of taijiquan, etc. Professor Shi Qi of Longhua Hospital for spinal disease founded the city of implementation of the twelve words of health care is also a very good health practice method, regardless of No matter which exercise method is used by the elderly, it is important to remember that the action must be slow, from small to large amplitude, the principle of gradual progress. Nowadays, it is more popular to practice standing on tiptoe, but I think this movement is not suitable for everyone and should be carried out according to their own ability, especially for those who have ankle and knee joints with moderate to severe changes, it is not suitable because such a movement can lead to further damage to the weight-bearing joints. While practicing gong, some good habits can also avoid injury and can likewise play a role in maintaining health. For example: get up in the morning to develop the habit of supporting the waist to turn the waist activities, develop the habit of moving the waist first before going to brush your teeth and wash your face, for the prevention of lumbar trauma or sprain are helpful; usually avoid straight legs bending over to pick up items on the ground; do not extract heavy items, especially moving and other heavy lifting; avoid using bamboo poles to dry heavy clothes and quilts, etc. What foods can prevent osteoporosis? Often the elderly family members say that the elderly osteoporosis, give him more bone broth to supplement calcium, in fact, this is not true, because bone broth does not play a role in calcium, on the contrary, if you drink more bone broth, too nourishing for the elderly, but caused by high blood lipids in the blood affect the normal blood nutrients carried, resulting in tissue malnutrition. So for the elderly diet should pay attention to the following points: (1) dietary balance. In the daily diet to achieve food diversity, the main food and side dishes, meat and vegetarian dishes, coarse grains and fine grains with each other in a balanced diet can prevent protein, phosphorus and other too high or too low intake. (2) Alkaline diet. Appropriate alkaline food can prevent and control osteoporosis. Because alkaline food can prevent the loss of calcium. General vegetarian food is mostly alkaline food. (3) Eat more food high in calcium. Milk, dairy products, shrimp, shrimp, fish, animal bones, sesame paste, beans and their products, eggs and certain vegetables, etc., are calcium-rich food. Among them, milk is not only high in calcium. And the lactic acid in the milk can promote the absorption of calcium, is the best natural source of calcium. We have met some elderly people are more sensitive to animal fat, ate to easily diarrhea, then should avoid these diets, in fact, the elderly food appropriate to eat more write shrimp, tender fish bones, small animals (chicken and duck, etc.) joint cartilage is very helpful to replenish the collagen component of the bone matrix. (4) Avoid diet carbonated drinks, quit smoking and avoid alcohol abuse. What exercises can prevent osteoporosis? Calcium supplementation is important for the prevention of osteoporosis, but it is also important to get out and exercise and be exposed to sunlight. Nowadays, many people know that vitamin D should be supplemented with calcium, but the vitamin D we take in food or medicine is not active, only through ultraviolet light exposure to the skin, vitamin D can be activated in the liver and kidneys and can be combined with calcium. Of course, through exercise, we can promote the coordination of the whole body of the elderly and avoid trauma. Among all kinds of exercises, low and medium intensity exercises are more suitable, such as walking, jogging, aerobics, taijiquan, qigong, swimming, cycling, etc., including some jerking movements in bed, etc., which can help prevent and treat osteoporosis. I do not recommend that middle-aged and elderly people go hiking or climbing stairs for exercise, because this will cause further damage to the knee and ankle joints that are already degenerating in our elderly people. The Shih’s Twelve Characters for Health created by Professor Shi Qi of Longhua Hospital is designed more for spinal disorders, and I suggest that you can learn and contact it every day for the treatment of diseases and health benefits. In doing practice or exercise should pay attention to the following points: 1, each time you can arrange 30 to 60 minutes of exercise time, try to train in the morning. 3 to 5 times a week, to the extent that the next day does not feel fatigue. 2, in the process of exercise, we should follow the principle of gradual progress, strengthen supervision, gradually increase the amount of activity to avoid injury and fracture. 3, after exercise can be a small number of times to drink some light salt water and low sugar water to prevent the occurrence of cramps; you can eat some chocolate to replenish physical strength and speed up the recovery of body functions.