Osteoporosis treatment has a long recovery period, and once a fracture occurs it is often life-threatening, so prevention is emphasized. Because the amount of bone acquired before the age of 20 determines the amount of bone for life, bone health starts at an early age.
We attribute the prevention and treatment of osteoporosis to the “three steps”.
First, focus on basic preventive measures to reduce the risk factors for osteoporosis.
Consume more foods containing calcium and phosphorus, such as fish, shrimp, kelp, milk, bone broth, eggs, bean mixes, sesame seeds, etc., do not smoke, do not drink excessively, sunbathe outdoors for more than 30 minutes a day, and take basic supplements for bone health such as calcium and vitamin D.
Second, drug intervention “three drugs in combination”.
The drugs used to treat osteoporosis are.
1, drugs that inhibit bone resorption such as sodium allantoin phosphate and calcitonin.
2, drugs that promote bone formation such as parathyroid hormone, calcium, vitamin D, etc.
3, drugs with compound mechanisms such as raloxifene, strontium salts, herbs, etc.
Clinical treatment emphasizes the combination of drugs with different mechanisms of action, and the currently accepted drug combination is calcium, vitamin D, plus a bone resorption inhibitor “three-drug combination”, called the “land, sea and air” combination. This combination can increase bone density and reduce the risk of fracture, but the side effects are not elevated. As long as the treatment is adhered to, half of the lost bone mass can be recovered, and the fracture rate can be reduced by 6 to 70%.
Third, pay attention to rehabilitation treatment and exercise to prevent fragility fracture.
Exercise can prevent fragility fractures in two ways: improving bone density and preventing falls. Exercise should include weight-bearing exercise and impedance exercise, such as brisk walking, doing dumbbell exercises, weight lifting, rowing, and pedaling. It is recommended that weight-bearing exercises be performed 4-5 times per week and impedance exercises be performed 2-3 times per week, with an intensity that is appropriate for muscles to feel sore and tired after each exercise and disappear the next day after rest. The individualized type and frequency of exercise, as well as the choice of exercise duration, should be combined with the doctor’s guidance and your own feelings.
[Health Tips].
The choice of medical examination items for osteoporosis
1.Bone density test is a necessary item, other options are X-ray spine film, chest film, pelvis film, magnetic resonance, CT, isotope bone scan, etc.
2, suspected endocrine and other reasons need to test blood parathyroid hormone, blood calcium, urine calcium, etc.
3.Bone metabolism biochemical markers such as alkaline phosphatase, osteocalcin, urinary calcium/urinary creatinine ratio, pyridinoline, etc.
Precautions for osteoporosis prevention and treatment
1, no medication is as important as exercise, and bone health emphasizes starting at an early age.
2. daily outdoor activities and more than 30 minutes of light per day.
3.The elderly must prevent fragility fractures caused by falls.