Common misconceptions about the treatment and prevention of osteoporosis

  Myth 1: Treating osteoporosis with estrogen will lead to cancer. The medical community has reached a consensus that patients with osteoporosis who are also suffering from menopausal symptoms can be reasonably treated with estrogen replacement therapy under the guidance of a doctor. The principle of estrogen use is low dose, short term, with the main purpose of improving menopausal symptoms, and regular follow-up during the treatment process. If a patient with osteoporosis does not have menopausal symptoms, estrogen supplementation is not recommended.  Myth 2: Only drinking bone broth can prevent osteoporosis. Adding the right amount of vinegar to bone broth can dissolve calcium for easy absorption, but bone broth also dissolves a lot of bone fat, which may cause other health problems when consumed regularly. The important thing in the treatment of osteoporosis is to learn to get the necessary calcium from the diet.  Myth 3: Osteoporosis is unique to the elderly and has nothing to do with young people. If you neglect exercise in your younger years, often pick or diet, and have an unbalanced diet structure that does not achieve the ideal peak bone mass and quality, you will give osteoporosis, a disease of the elderly, the opportunity to invade young people, especially young women.  Myth 4: Patients with osteoporosis should rest in bed. In fact, the blood circulation of the whole body and bones can be significantly restored during exercise, and the contraction and expansion of muscles have a stimulating effect on bones, which can promote bone formation, reduce bone loss and slow down the progress of osteoporosis. Therefore, it is best for people with osteoporosis to choose outdoor exercise within their means.  Myth #5: The more calcium you take to prevent and treat osteoporosis, the better. The principles and objectives of osteoporosis prevention and treatment are to increase the content of bone matrix and bone minerals in the bones, prevent the breakdown of bone mass, promote its synthesis, and relieve or alleviate the pain and discomfort caused by osteoporosis. For osteoporosis bone calcium loss, patients can choose calcium preparations that are less irritating to the gastrointestinal tract, and choose the appropriate dose according to different ages under the guidance of a doctor.  Myth 6: Osteoporosis is a degenerative disease and cannot be prevented. Once osteoporosis occurs, it is impossible to increase bone density, but only to delay the loss. Generally speaking, people who focus on dietary calcium supplementation and adhere to exercise and maintain appropriate weight from a young age are less likely to suffer from osteoporosis, or will delay the age of onset of osteoporosis to the maximum extent, and even if symptoms appear, they are less severe and develop at a slower pace. According to clinical observation, a significant number of patients showed an increase in bone density on review after one year of reasonable treatment. It indicates that the treatment is not just to delay the bone loss, but to make the bone loss stop and at the same time can improve the bone quality.  Myth #7: Relying on self-perception to detect osteoporosis. Most patients with osteoporosis do not experience any abnormal sensations or do not feel it significantly in the early to middle stages. It is too late to seek medical attention when you notice your back pain or fracture. Early diagnosis of the disease relies on two-photon bone densitometry and quantitative CT examinations; after 10 years of disease, it can be confirmed by X-ray radiography.  Prevention of osteoporosis is more important than treatment, and prevention is more realistic and effective than treatment. Prevention of osteoporosis should begin in childhood and continue throughout life to obtain the ideal peak bone mass and prevent bone loss, otherwise it will easily lead to fracture. People generally reach their optimal peak bone mass around the age of 30, before which is the reserve period, after which all are expenditures. The peak bone level is determined 70% to 80% by genetic factors and 20% to 30% by environmental factors. Two of the environmental factors have been confirmed: a calcium-rich diet and regular weight-bearing exercise are conducive to the establishment of an ideal bone peak, so the probability of fracture will be reduced if a diet rich in calcium, low in salt and moderate in protein is consumed from childhood onwards, and if adequate light is obtained and regular weight-bearing exercise is performed to achieve a satisfactory bone peak. The rate of bone loss in adulthood and old age is closely related to the occurrence of osteoporosis and fractures, and it is also important to avoid and intervene in bone loss.