The 83-year-old Liu Danyang has been feeling lumbago after the Spring Festival, she thought it might be because her children were tired after coming home, and did not care. However, in the following days, her back pain worsened day by day, especially when changing positions, the pain was even more powerful. When Liu came to the orthopedic injury department of the First Affiliated Hospital of Henan College of Traditional Chinese Medicine, Dr. Ding Yongli, the chief physician of the department, suspected that her fracture was caused by osteoporosis and suggested that the old man have an MRI examination. Ding Yongli, orthopedic injury treatment center of the First Affiliated Hospital of Henan College of Traditional Chinese Medicine
The results came out, suggesting fractures of the lumbar 2 and 4 vertebrae. Director Ding Yongli said that after the Spring Festival, there was a small climax of fractures in the outpatient clinic. However, many elderly people may think that the lumbar muscle strain is caused by strain and they will be fine after a few days of rest. But after a few days, the pain caused by the fracture will get heavier and heavier, especially when changing positions, and they have to go to the hospital. In fact, such fractures in the elderly are mainly caused by osteoporosis, mainly due to the lowering and flattening of the vertebral body height, unlike long bone fractures of the limbs, which are obviously ectopic and generally do not need to be repaired. In the outpatient clinic, we also see some elderly people who get up after sitting for a long time, feel back pain and go to the hospital for an examination, suggesting a fracture. Some patients even sneeze or twist their waist, which can cause a fracture.
Therefore, the elderly should be alerted to the presence of fractures and go to the hospital for examination and treatment if they suddenly experience localized pain that gradually worsens over time and becomes more pronounced when changing positions.
Director Ding Yongli said that the first element of treatment for elderly people with fractures is bed rest to reduce local bleeding and edema. In addition, the patient can be injected with a miketoxin injection that has analgesic properties, reduces bone loss and promotes bone healing under the guidance of a doctor. If some patients have significant pain, they can use analgesics such as Fotarine and Cilpro under the guidance of the doctor. In addition, Chinese medicine believes that “the kidney is the master of bone and marrow”, therefore, patients with fractures should use Chinese medicines that have the effect of tonifying the kidney and strengthening the bones, such as strong bone capsule and Xian Ling Bone Program, etc., for better effect. Nowadays, in order to avoid more serious osteoporosis in elderly patients with osteoporotic fractures who are bedridden for a long time, minimally invasive surgery, namely vertebral cementoplasty, can be performed, and the pain disappears after the surgery, and you can walk on the ground the next day. This is the most advanced means of treating fractures caused by osteoporosis.
It is worth emphasizing that some elderly people may experience abdominal distension and dry stools in the early stage of fracture, mainly due to the stimulation of sympathetic nerves by retroperitoneal hematoma, resulting in reduced intestinal peristalsis, which is easily misdiagnosed as enteritis, acute abdomen and cholecystitis in clinical practice, so it is important to be alert. If the abdominal pain is diagnosed to be caused by a fracture, the patient can use the Chinese medicine laxative to laxative treatment, or can also use diarrhea leaves in water as a tea substitute.
Of course, osteoporotic lumbar fractures are important to prevent, that is, the prevention of osteoporosis, poor absorption of calcium in the elderly, loss of more, less activity, aging body functions, and so on, these will lead to the emergence of osteoporosis, so the elderly must “will eat”, nutrition structure to be reasonable; moderate exercise, more sunshine; will be calcium supplementation, speaking of When it comes to calcium supplementation, many elderly people will say, is it just taking calcium tablets? This is a misconception, pure “calcium supplementation”, futile, must be added to promote the absorption of calcium drugs to do, otherwise, the calcium easily absorbed will be mostly on the growth of bone spurs.
Finally, Director Ding Yongli said that the elderly suffering from osteoporosis, there is a small formula with a strong bones and kidneys, swelling and pain relief effect is good, you may want to try: 15 grams of bone crushed tonic, 10 grams of earth yuan, boiled water to take every day.