How is osteoporosis treated in the elderly?

  Osteoporosis is a systemic skeletal degeneration, manifested by a decrease in bone mass and bone quality (especially microstructural damage), leading to a significant decrease in the physical strength of bone and a significantly higher risk of fracture. There are many causes of osteoporosis in the elderly, the most common of which are senile and postmenopausal osteoporosis. For most men after the age of 55 and women after menopause, low levels of sex hormones, weakened protein synthesis, as well as reduced osteoblast function and reduced bone formation can lead to osteoporosis.  Therefore, age-related osteoporosis is actually a very common manifestation of the aging process, especially in bone tissue, but the impact of this insidious lesion on the health and quality of life of the elderly cannot be ignored. One of the most common symptoms of senile osteoporosis is pain, with low back pain being the most common, accounting for 70-80% of patients with pain. The pain spreads along the spine to both sides, decreases when lying on the back or sitting, increases when posteriorly stretched when standing upright or when standing or sitting for a long time, is light during the day and increases at night and when waking up in the morning, and increases when bending, muscle movement, coughing and straining to stool. Bone pain generally occurs when 12% or more of bone mass is lost. As we age, osteoporosis increases, and most of the front part of the vertebral body is composed of cancellous bone, and this part is the pillar of the body, which has a large weight and is easily compressed and deformed, causing the curvature of the spine to increase, resulting in hunchback and shortening of body length. Fragility fracture caused by osteoporosis is the most important cause of fracture in the elderly. In addition to the degeneration of the bones themselves, the decline of the sensory organs such as vision and hearing and the degeneration of the nervous system and motor system in the elderly make them significantly more likely to fall and suffer from trauma than young people, which is also a cause of fractures. Fracture is an important complication of osteoporosis and is often the reason why osteoporosis patients first visit the doctor. It not only increases the patient’s pain and financial responsibility, but also severely limits the patient’s activity and even shortens life expectancy.  Once this “invisible killer” causes discomfort and physical changes in the elderly, it is a great burden to the individual, family and society because of the pain, limited mobility, and medical expenses for fracture surgery. However, there is no safe and effective method to help restore the original shape of the loosened bones, therefore, proper understanding and early prevention are important. It’s too late.  Adherence to scientific physical exercise and physical activity is a simple and very effective measures, women can choose a physical activity according to their hobbies, interests and objective conditions, step by step, persistent, can effectively reduce bone loss. But at the same time should avoid unscientific physical exercise, such as too much climbing, up and down the stairs may increase the wear and tear of the knee joint, resulting in knee pain.  It is advisable to supply adequate calcium in the diet. You should always eat calcium-rich foods, such as ribs, crispy bones, shrimp, kelp, hairy vegetables, fungus, barrel citrus, walnuts, etc.; consume enough protein, such as milk, eggs, fish, chicken, lean meat, beans and soy products, etc.; it is also appropriate to consume sufficient vitamin D and C, as they play an important regulatory role in bone metabolism; you should eat more fresh vegetables, amaranth, snow peas, parsley, cabbage, and also Eat more fruits; Avoid spicy, too salty, too sweet and other stimulating foods.  If symptoms persist and are not significantly relieved, you should seek the guidance of a specialist and receive regular anti-osteoporosis treatment as soon as possible. Clinically used drugs include: 1, alendronate sodium: the mechanism mainly lies in reducing bone loss, and at the same time has the effect of prevention and treatment of osteoporosis. It must be used in combination with calcium.  Calcitonin: absorbed by subcutaneous, intramuscular or nasal injection, it is effective for women with osteoporosis who have stopped menstruation for more than five years. However, as soon as the drug treatment is stopped, the rate of bone loss will start to accelerate, so long-term treatment is necessary.  3. Calcium and vitamin D: The combination is more effective. The presence of vitamin D is a guarantee that calcium can be effectively absorbed and utilized after intake. Normal people can produce some vitamin D-like substances in their skin when exposed to sunlight, but elderly people need to take medication in addition to supplementation.  4. Hormone supplementation therapy: estrogen plus progesterone can prevent and treat osteoporosis. If a hysterectomy has been performed for other reasons, progesterone does not need to be applied.  Several of the above drugs are effective in treating osteoporosis and need to be used under the guidance of a doctor according to the patient’s own situation.